Non-cancer mortality in workers in the meat and delicatessen departments of supermarkets (1950-2006).
Non-cancer mortality in workers in the meat and delicatessen departments of supermarkets (1950-2006).
复制标题
超市肉类和熟食部门工人的非癌症死亡率（1950-2006 年）。
DOI：
10.1016/j.envres.2015.06.030
复制
发表时间：
2015
影响因子：
8.3
通讯作者：
Johnson,ES
中科院分区：
文献类型：
--
作者：
Jadhav,S;Chedjieu,IP;Faramawi,MF;Ndetan,H;Fischbach,L;Thapa,S;Johnson,ES
我们研究了10,701名超市肉类和熟食部工作人员的非癌症死亡率，因为他们暴露在牛、猪、羊和家禽等食用动物中的各种微生物中，这些微生物会感染并导致疾病，普通人群也会接触到这些微生物，尽管程度较轻。这些工人还暴露在包装机产生的烟雾中。标准化死亡率在整个队列和种族/性别亚组中进行了估计，并使用美国人口进行比较。研究对象从1950年1月到2006年12月进行了跟踪调查。糖尿病、缺血性心脏病、肺栓塞、慢性支气管炎、腹膜炎、颅内和椎管内脓肿等细菌性疾病的死亡率显著增加，结缔组织弥漫性疾病、心脏功能性疾病、脑出血、脑前动脉和脑动脉闭塞/狭窄的死亡率显著下降，在某些种族/性别亚组或整个队列中观察到各种类型的事故。观察到的几种感染情况的风险增加表明，职业接触微生物的增加可能至少是所观察到的过量死亡的部分原因，而接触烟雾也可能导致慢性支气管炎的过度。这一发现不仅对超市工人和肉类和家禽行业的其他工人很重要，还因为普通民众接触到了食用动物及其产品中发现的这些微生物。现在需要在包括超市和肉类和家禽业其他部门的工人在内的队列中进行嵌套病例对照研究，以检查职业暴露的具体风险，同时充分控制混杂因素，以便能够充分评估这些传染病在工人和一般人群受试者中发生这些疾病的作用。
We studied non-cancer mortality in 10,701 workers in the meat and delicatessen departments of supermarkets because they have increased exposure to a variety of microorganisms that infect and cause disease in food animals such as cattle, pigs, sheep, and poultry, to which subjects in the general population are also exposed, albeit to a lesser degree. These workers were also exposed to fumes from the wrapping machine. Standardized mortality ratios were estimated in the cohort as a whole and in race/sex subgroups, using the US population for comparison. Study subjects were followed up from January 1950 to December 2006. Significantly increased deaths from diabetes, ischemic heart disease, pulmonary embolism, chronic bronchitis, peritonitis, intracranial and intraspinal abscess, other bacterial diseases, and significantly decreased deaths from diffuse diseases of connective tissue, functional diseases of the heart, intracerebral hemorrhage, occlusion/stenosis of the precerebral and cerebral arteries, and various types of accidents were observed in certain race/sex subgroups or in the cohort as a whole. The observed increased risks of several infectious conditions suggest that the increased occupational exposure to microorganisms may be responsible for at least some of the observed excess deaths, while exposure to fumes may also contribute to the excess of chronic bronchitis. The findings are important not only for supermarket workers and other workers in the meat and poultry industries, but also because the general population is exposed to these microorganisms found in food animals and their products. Nested case-control studies within cohorts that include both workers in supermarkets and other sectors of the meat and poultry industries, are now needed to examine specific risks from occupational exposures while adequately controlling for confounding factors, so that the role of these infectious agents in the occurrence of these diseases in workers and in general population subjects can be adequately assessed.