Gender ratio and malignant mesothelioma in women. An international comparative analysis of mortality data

2016 ◽  
Vol 2016 (1) ◽  
Author(s):  
Alessandro Marinaccio* ◽  
Alessandra Binazzi ◽  
Davide Di Marzio ◽  
Pierpaolo Ferrante* ◽  
Sergio Iavicoli
2017 ◽  
Vol 75 (4) ◽  
pp. 254-262 ◽  
Author(s):  
Alessandro Marinaccio ◽  
Marisa Corfiati ◽  
Alessandra Binazzi ◽  
Davide Di Marzio ◽  
Alberto Scarselli ◽  
...  

IntroductionThe epidemiology of gender differences for mesothelioma incidence has been rarely discussed in national case lists. In Italy an epidemiological surveillance system (ReNaM) is working by the means of a national register.MethodsIncident malignant mesothelioma (MM) cases in the period 1993 to 2012 were retrieved from ReNaM. Gender ratio by age class, period of diagnosis, diagnostic certainty, morphology and modalities of asbestos exposure has been analysed using exact tests for proportion. Economic activity sectors, jobs and territorial distribution of mesothelioma cases in women have been described and discussed. To perform international comparative analyses, the gender ratio of mesothelioma deaths was calculated by country from the WHO database and the correlation with the mortality rates estimated.ResultsIn the period of study a case list of 21 463 MMs has been registered and the modalities of asbestos exposure have been investigated for 16 458 (76.7%) of them. The gender ratio (F/M) was 0.38 and 0.70 (0.14 and 0.30 for occupationally exposed subjects only) for pleural and peritoneal cases respectively. Occupational exposures for female MM cases occurred in the chemical and plastic industry, and mainly in the non-asbestos textile sector. Gender ratio proved to be inversely correlated with mortality rate among countries.ConclusionsThe consistent proportion of mesothelioma cases in women in Italy is mainly due to the relevant role of non-occupational asbestos exposures and the historical presence of the female workforce in several industrial settings. Enhancing the awareness of mesothelioma aetiology in women could support the effectiveness of welfare system and prevention policies.


1990 ◽  
Vol 31 (8) ◽  
pp. 879-889 ◽  
Author(s):  
Edmund Wnuk-Lipinski ◽  
Raymond Illsey

2021 ◽  
Vol Volume 13 ◽  
pp. 1135-1140
Author(s):  
Shu-Yu Tai ◽  
Jingyi Wu ◽  
Lukas Jyuhn-Hsiarn Lee ◽  
Tsung-Hsueh Lu

2020 ◽  
Vol 338 ◽  
pp. 477-485
Author(s):  
András Bojtor ◽  
Gábor Bozsó

A well-functioning administration with embedded institutions enables the formulation of a competitive environment which propitiously effects the country’s economic growth. In case of an intervention, the results and impacts should be measured and continuously monitored in a strategic policy cycle. These activities can be done on project and national levels and at the same time there could be a legitimate claim for carrying out international comparative analysis of results. The majority of public administration developments belongs to the scope of e-government. The evidencebased policy making is a component of good governance next to transparency, sustainability, efficiency, integrity and people centricity. Government obligations and responsibilities in evaluations vary from country to country. Digitalization brings new challenges for public service and governments are taking various measures in response to them. Evaluation can fulfil its role in the strategic policy cycle only if it can meet the political conditions with attention to ethical and methodological standards; can adapt to the digitalized circumstances. The paper aims a deeper analysis of evaluation phase, and to summarize the possible new methods reaching better results in public services and public administration services. In this paper we are going to conduct an international comparative analysis with a special attention given to a public administration development program in Hungary.


Health Policy ◽  
2016 ◽  
Vol 120 (5) ◽  
pp. 471-485 ◽  
Author(s):  
Roy J.P. Hendrikx ◽  
Hanneke W. Drewes ◽  
Marieke Spreeuwenberg ◽  
Dirk Ruwaard ◽  
Jeroen N. Struijs ◽  
...  

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