瑞典与职业暴露相关的死亡率

Mortality in Sweden related to occupational exposures

Occupational and Environmental Medicine · 2011
被引 0
ABS 3

中文导读

该研究估算了2007年瑞典25-74岁人群中因职业暴露导致的癌症、心血管和呼吸系统疾病的死亡人数,发现心肌梗死和肺癌是主要死因,为预防策略提供依据。

Abstract

<h3>Objectives</h3> The objective is to estimate to proportion of mortality in cancer, cardiovascular and respiratory diseases that can be attributed to occupational exposure. <h3>Methods</h3> Sites of cancer that in IARC categories I and IIa were considered along with myocardial infarction, asthma, chronic obstructive lung disease, pneumoconioses and hypersensitivity pneumonitis. Most analyses were restricted to ages between 25 and 74 years of age. We used conservative estimates, when possible from national case-reference studies. <h3>Results</h3> In total we estimated that there were around 800 deaths in 2007 attributable to occupational exposures in this age group. The majority were myocardial infarction (N=463) attributable to job-strain (N=193), shift work (N=89) exhausts from motors and burning (N=152) and environmental tobacco smoke (N=29). In total 270 deaths of cancer were attributed to occupational factors, approximately half of them in lung cancer (N=134). Ninety percent of mesothelioma deaths were estimated to be attributed to occupational factors meaning a total 56 cases (54 men and 2 women). There were 2 deaths in pneumoconiosis and no death in hypersensitivity pneumonitis in this age group. There were 4 deaths in asthma and 92 deaths in chronic obstructive lung disease attributed to occupational factors. <h3>Conclusions</h3> Cardiovascular diseases contribute to a considerable proportion of the mortality related to occupational factors in the working population. Both psychosocial factors and exhaustive gases from engines and combustion seem important. Estimations of attributable deaths may be a useful tool in setting priorities in preventive strategies.

职业医学流行病学心血管疾病癌症呼吸系统疾病