Mortality from heart, respiratory, and kidney disease in coal mining areas of Appalachia
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The purpose of this study was to test whether population mortality rates from heart, respiratory and kidney disease were higher as a function of levels of Appalachian coal mining after control for other disease risk factors.
The study investigated county-level, age-adjusted mortality rates for the years 2000–2004 for heart, respiratory and kidney disease in relation to tons of coal mined. Four groups of counties were compared: Appalachian counties with more than 4 million tons of coal mined from 2000 to 2004; Appalachian counties with mining at less than 4 million tons, non-Appalachian counties with coal mining, and other non-coal mining counties across the nation. Forms of chronic illness were contrasted with acute illness. Poisson regression models were analyzed separately for male and female mortality rates. Covariates included percent male population, college and high school education rates, poverty rates, race/ethnicity rates, primary care physician supply, rural-urban status, smoking rates and a Southern regional variable.
For both males and females, mortality rates in Appalachian counties with the highest level of coal mining were significantly higher relative to non-mining areas for chronic heart, respiratory and kidney disease, but were not higher for acute forms of illness. Higher rates of acute heart and respiratory mortality were found for non-Appalachian coal mining counties.
Higher chronic heart, respiratory and kidney disease mortality in coal mining areas may partially reflect environmental exposure to particulate matter or toxic agents present in coal and released in its mining and processing. Differences between Appalachian and non-Appalachian areas may reflect different mining practices, population demographics, or mortality coding variability.
KeywordsHeart disease Respiratory disease Kidney disease Mortality Coal mining Appalachia
This research was partially supported by a grant to the author from the Regional Research Institute, West Virginia University. The author gratefully acknowledges the assistance of Kathryn O’Donnell in the preparation of the data sets used in this study.
- ARC (2007) ARC: Appalachian Regional Commission. Retrieved 08-17-07, from http://www.arc.gov/index.jsp
- ARF (2006) Area Resource File. Rockville, MD: U.S. Department of Health and Human Services Health Resources and Services Administration, Bureau of Health ProfessionsGoogle Scholar
- Barnett E, Elmes GA, Braham VE, Halverson JA, Lee JL, Loftus S (1998) Heart disease in appalachia: an atlas of county economic conditions, mortality, and medical care resources. Center for Social Environment and Health Research, Prevention Research Center, West Virginia University, MorgantownGoogle Scholar
- CDC (2007a) Behavioral Risk Factor Surveillance System. Retrieved 07-11-07, from http://www.cdc.gov/brfss/index.htm.
- CDC (2007b) Compressed Mortality 1999–2004 Request. Retrieved 09-14-07, from http://wonder.cdc.gov/cmf-ICD10.html.
- Coyne CA, Demian-Popescu C, Friend D (2006) Social and cultural factors influencing health in southern West Virginia: a qualitative study. [Electronic Version]. Preventing Chronic Disease [serial online]. Retrieved 11-02-06 from http://www.cdc.gov/PCD/issues/2006/oct/06_0030.htm
- Freme F (2001) Coal industry annual 2000. Energy Information Administration, US Department of Energy, Washington, DCGoogle Scholar
- Freme F (2002) Annual coal report, 2001. Energy Information Administration, US Department of Energy, Washington, DCGoogle Scholar
- Freme F (2003) Annual coal report, 2002. Energy Information Administration, US Department of Energy, Washington, DCGoogle Scholar
- Freme F (2004) Annual coal report, 2003. Energy Information Administration, US Department of Energy, Washington, DCGoogle Scholar
- Freme F (2005) Annual coal report, 2004. Energy Information Administration, US Department of Energy, Washington,DCGoogle Scholar
- Goodell J (2006) Big Coal. Houghton Mifflin, BostonGoogle Scholar
- Halverson JA, Ma L, Harner EJ (2004) An analysis of disparities in health status and access to health care in the Appalachian region. Appalachian Regional Commission, Washington, DCGoogle Scholar
- Hendryx M, O’Donnell K, Horn (2008). Lung cancer mortality is elevated in coal-mining areas of Appalachia. Lung Cancer (in press)Google Scholar
- Hoffman CB, Paradise J (2007) Health insurance and access to health care in the United States. Ann N Y Acad Sci (in press)Google Scholar
- Loeb P (2007) Moving mountains. University Press of Kentucky, LexingtonGoogle Scholar
- McAuley SD, Kozar MD (2006) Ground-water quality in unmined areas and near reclaimed surface coal mines in the northern and central Appalachian coal regions, Pennsylvania and West Virginia. U.S. Geological Survey Scientific Investigations Report 2006–5059Google Scholar
- Meliker JR, Wahl RL, Cameron LL, Nriagu JO (2007) Arsenic in drinking water and cerebrovascular disease, diabetes mellitus, and kidney disease in Michigan: a standardized mortality ratio analysis. [Electronic Version]. Environmental Health 6:4 (February 2) [serial online]. Retrieved 11-11-07 from http://www.ehjournal.net/articles/browse.asp?date=2-2007
- Orem WH (2007). Coal slurry: geochemistry and impacts on human health and environmental quality. Retrieved 11-11-07 from http://www.sludgesafety.org/misc/wm_orem_powerpoint/index.html
- Stout BM, Papillo J (2004) Well water quality in the vicinity of a coal slurry impoundment near Williamson, West Virginia. Wheeling Jesuit University, WheelingGoogle Scholar
- WVGES (2007) Trace elements in West Virginia Coals. Retrieved 10-06-07 from http://www.wvgs.wvnet.edu/www/datastat/te/index.htm