Meta-analysis of standard mortality ratio in cotton textile workers

Eur J Epidemiol. 2004;19(11):989-97. doi: 10.1007/s10654-004-0917-3.


Background: Pulmonary function tests may reveal obstructive lung disease with altered forced expiratory volume in 1 s (FEV1) in cotton textile workers. Since 1930, many cohort studies have been performed to assess the disease mortality rate in cotton textile workers.

Materials and methods: The authors performed a meta-analysis of the SMR results of these studies.

Results: From the meta-analysis, the SMRs were as follows: for all deaths, 0.792 in males and 0.873 in females; for cancers, 0.705 in males and 0.829 in females.

Discussion: The male cotton textile workers were healthier than the general population. The healthy-worker effect may be one of the causes, in general workers in industry have a better mortality patterns than those not working.

Publication types

  • Meta-Analysis

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Follow-Up Studies
  • Gossypium*
  • Humans
  • Lung Diseases / etiology
  • Lung Diseases / mortality
  • Male
  • Neoplasms / etiology
  • Neoplasms / mortality
  • Occupational Diseases / etiology
  • Occupational Diseases / mortality*
  • Sex Factors
  • Survival Rate
  • Textile Industry
  • Textiles / adverse effects*