Table 6.

Case-control studies on silica exposure and SSc.

Author/locationMethodsFindings
Silman, 199269, United KingdomClinic based (dates not specified)No cases with probable silica exposure
56 male cases2 cases with probable silica exposure
56 age, sex and clinic-matched controlsClinic controls: OR = 1.0 (0.1–7.2)
41 age and sex-matched friend-controlsFriend controls: OR = 1.4 (0.1–16.1)
Exposure: assessment of jobs (length not specified) and self-reported exposures
Bovenzi, 199570, ItalyClinic based: (1976–91)Men: OR = 5.2 (0.48–74.1)
21 cases (5 men, 16 women)Women: no exposed cases
42 age and sex matched clinic controls
Exposure: Assessment of all jobs held ≥ 6 mo
Burns, 199671, Michigan, USAPopulation based: (1985–91)Working with/around silica: OR = 1.5 (0.7–2.9)
274 female cases, 1184 age, sex and region-matched controls
Exposure: assessment of jobs held ≥ 3 months/history of jobs held ≥ 5 yrs
Grinding, pottery, dental lab: OR = 1.2 (0.8–1.9)
Englert, 200013, AustraliaPopulation based; 160 male cases; 83 age and sex-matched controlsOR = 3.93 (1.84–8.54); OR = 2.51 (1.28–4.98), (adjusted by socioeconomic level)
Australia, Edenhope, 200527Population based: (1991)
5035 men, 4795 women; 2 age, sex and region-matched controls per case6 SSc cases; prevalence = 6.1/10,000; RR = 10.2 (4.5–23)
Comparison: SSc estimated prevalence in the population
Exposure/occupation: phone survey about work held > 6 mos
Mora, 200372, Argentina, Buenos AiresClinic based: (1998–2002); 20 patients (15 women, 5 men); 61 sex and age-matched controls
Exposure: structured questionnaire designed by environment hygienists about silica-related tasks held > 6 mos
12 exposed cases/4 exposed controls; OR = 21 (4.7–21); 8 female exposed cases; OR = 24.6 (3.6–216); 4 male exposed cases; OR = 28 (1.4–1200)
Bovenzi, 200473, ItalyClinic based: (1997–1999); 46 women, 9 men; 153 sex and age-matched controls
Exposure: structured questionnaire assessed by an environmental hygienist about work held > 6 mos
8 exposed cases (5%)—2 women, 1 man; 5 exposed controls (3%)—3 women, 2 men; OR = 1.7 (0.4–7.6)
  • SSc: systemic sclerosis. OR: odds ratio. Modified from Parks, et al54.