Mortality attributable to occupational exposure in Sweden
Mortality attributable to occupational exposure in Sweden
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DOI：
10.5271/sjweh.3284
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发表时间：
2013-01-01
影响因子：
6.3
通讯作者：
Bystedt, Jennie
中科院分区：
文献类型：
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作者：
Jarvholm, Bengt;Reuterwall, Christina;Bystedt, Jennie
Jarvholm B，Reuterwall C，Bystedt J.瑞典因职业接触造成的死亡率。Scand J Work Environ Health. 2013;39（1）：106-111. doi：10.5271/sjweh.3284 Objective本研究的目的是估计在Sweden.Methods中由于职业暴露引起的癌症、心血管和呼吸系统疾病的死亡率，分别计算男性和女性的估计值，我们只考虑25-74岁之间的死亡。我们考虑了根据国际癌症研究机构（IARC）分类为1或2a的癌症暴露/部位。急性心肌梗死是唯一纳入的心血管疾病。呼吸系统疾病包括慢性阻塞性肺疾病（COPD）、哮喘、尘肺和肺泡炎。所有因肺尘埃沉病及肺泡炎而死亡的个案均被视为与工作有关。估计是基于瑞典2007年的死亡率。结果在总数，我们估计有大约800例，每年的研究原因与工作有关的死亡。大多数是由于急性心肌梗死，126名妇女和337名男子的死亡可归因于工作压力、轮班工作、废气、燃烧产物或环境烟草烟雾（ETS）。有99例呼吸系统疾病相关死亡，绝大多数来自COPD（N=92）。据估计，总共有270例癌症死亡与工作有关。对于男性，一半的情况下，归因于石棉exposition.Conclusions我们的研究结果表明，预防措施，以减少职业死亡率应考虑与心肌梗死，如工作紧张，轮班工作，从车辆和燃烧产物的废气的因素。暴露于与COPD相关的因素，如灰尘，也似乎是重要的预防。
Jarvholm B, Reuterwall C, Bystedt J. Mortality attributable to occupational exposure in Sweden. Scand J Work Environ Health. 2013;39(1):106-111. doi:10.5271/sjweh.3284 Objective The aim of this study was to estimate the mortality from cancer, cardiovascular, and respiratory diseases attributable to occupational exposure in Sweden.Methods Estimates were calculated for men and women separately, and we considered only deaths between 25-74 years of age. We considered cancer exposures/sites classified as 1 or 2a according to the International Agency for Research on Cancer (IARC). Acute myocardial infarction was the only included cardiovascular disease. Respiratory diseases comprised chronic obstructive pulmonary disease (COPD) asthma, pneumoconiosis, and alveolitis. All deaths of pneumoconiosis and alveolitis were considered work-related. Estimates were based on Swedish mortality in 2007.Results In total, we estimate there are about 800 work-related deaths per year in the studied causes. The majority are due to acute myocardial infarction, with 126 deaths among women and 337 deaths among men attributable to job strain, shift work, exhaust gases, combustion products, or environmental tobacco smoke (ETS). There are 99 respiratory disease-related deaths, the vast majority from COPD (N=92). In total, 270 cancer deaths are estimated to be work-related. For men, half of the cases are attributed to asbestos exposure.Conclusions Our results indicate that preventive measures to decrease occupational mortality should consider factors associated with myocardial infarction such as job strain, shift work, and exhaust gases from vehicles and combustion products. Exposures to factors associated with COPD, such as dust, would also appear important to prevent.