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Greater Odds for Angina in Uranium Miners Than Nonuranium Miners in New Mexico

al Rashida, Vanessa J.M., MD, MPH; Wang, Xin, MS; Myers, Orrin B., PhD; Boyce, Tawny W., MS, MPH; Kocher, Elizabeth, MPH; Moreno, Megan, BS; Karr, Roger, BS; Ass’ad, Nour, MD; Cook, Linda S., PhD; Sood, Akshay, MD, MPH

Journal of Occupational and Environmental Medicine: January 2019 - Volume 61 - Issue 1 - p 1–7
doi: 10.1097/JOM.0000000000001482

Objective: The aim of this study was to test the hypothesis that uranium miners in New Mexico (NM) have a greater prevalence of cardiovascular disease than miners who extracted the nonuranium ore.

Methods: NM-based current and former uranium miners were compared with nonuranium miners by using cross-sectional standardized questionnaire data from the Mining Dust in the United States (MiDUS) study from 1989 to 2016.

Results: Of the 7215 eligible miners, most were men (96.3%). Uranium miners (n = 3151, 43.7%) were older and diabetic, but less likely to currently smoke or use snuff (P ≤ 0.001 for all). After adjustment for covariates, uranium miners were more likely to report angina (odds ratio 1.51, 95% confidence interval 1.23 to 1.85) than nonuranium miners.

Conclusion: Our data suggest that along with screening for pulmonary diseases, uranium industry workers should be screened for cardiovascular diseases.

Department of Internal Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico (Drs al Rashida, Wang, Myers, Boyce, Kocher, Assad, Cook, Sood); Division of Cardiovascular Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas (Dr al Rashida); and Black Lung Program, Miners’ Colfax Medical Center, Raton, New Mexico (Moreno, Karr, Dr Sood).

Address correspondence to: Vanessa J.M. al Rashida, MD, MPH, Division of Cardiovascular Medicine, University of Arkansas for Medical Sciences, 4301 W. Markham St. #532, Little Rock, AR 72205 (

Funding for this study was provided by Health Resource Service Administration (HRSA) and Patient Centered Outcomes Research Institute (PCORI).

al Rashida, Wang, Myers, Boyce, Kocher, Moreno, Karr, Ass’ad, Cook, and Sood have no relationships/conditions/circumstances that present potential conflict of interest.

The JOEM editorial board and planners have no financial interest related to this research.

Copyright © 2019 by the American College of Occupational and Environmental Medicine