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Silica Dust Exposure Increases Risk for Rheumatoid Arthritis: A Swedish National Registry Case-Control Study
Department of Occupational and Environmental Medicine, Faculty of Medicine and Health, Örebro University, Sweden.
National Institute of Occupational Health (STAMI), Oslo, Norway.
Department of Occupational and Environmental Medicine, Faculty of Medicine and Health, Örebro University, Sweden.
Örebro University, School of Medical Sciences. Örebro University Hospital. Department of Occupational and Environmental Medicine.
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2021 (English)In: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 63, no 11, p. 951-955Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: Rheumatoid arthritis (RA) is an inflammatory disease with unknown etiology. This study examines if silica dust exposure increases the risk for seropositive and seronegative RA.

METHODS: A nationwide registry case-control study was conducted that included all cases of RA in Sweden between 2005 and 2016. In total, 31,139 cases with two matched controls were included. A JEM was used to estimate exposure.

RESULTS: Silica dust exposure was associated with a statistically significant increase in odds ratio (OR) for seropositive (OR 1.22, 95% CI 1.05 to 1.40) and seronegative (OR 1.23, 95% CI 1.04 to 1.46) RA among men.

CONCLUSION: This study found an increased OR for RA in silica-exposed men. The OR was equal for seropositive and seronegative RA. These findings further support the hypothesis that silica dust may be a trigger for RA.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2021. Vol. 63, no 11, p. 951-955
Keywords [en]
case-control study, occupational exposure, rheumatoid arthritis, silica
National Category
Occupational Health and Environmental Health
Identifiers
URN: urn:nbn:se:oru:diva-92184DOI: 10.1097/JOM.0000000000002281ISI: 000714714600027PubMedID: 34091575OAI: oai:DiVA.org:oru-92184DiVA, id: diva2:1562004
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Region Örebro CountyAvailable from: 2021-06-08 Created: 2021-06-08 Last updated: 2024-01-02Bibliographically approved

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Fornander, LouiseVihlborg, Per

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