Frank E, Biola H, Burnett C A
Emory University School of Medicine, Atlanta, Georgia 30303-3219, USA.
Am J Prev Med. 2000 Oct;19(3):155-9. doi: 10.1016/s0749-3797(00)00201-4.
CONTENT/OBJECTIVES: No recent national studies have been published on age at death and causes of death for U.S. physicians, and previous studies have had sampling limitations. Physician morbidity and mortality are of interest for several reasons, including the fact that physicians' personal health habits may affect their patient counseling practices.
Data in this report are from the National Occupational Mortality Surveillance database and are derived from deaths occurring in 28 states between 1984 and 1995. Occupation is coded according to the U.S. Bureau of the Census classification system, and cause of death is coded according to the ninth revision of the International Classification of Diseases.
Among both U.S. white and black men, physicians were, on average, older when they died, (73.0 years for white and 68.7 for black) than were lawyers (72.3 and 62.0), all examined professionals (70.9 and 65.3), and all men (70.3 and 63.6). The top ten causes of death for white male physicians were essentially the same as those of the general population, although they were more likely to die from cerebrovascular disease, accidents, and suicide, and less likely to die from chronic obstructive pulmonary disease, pneumonia/influenza, or liver disease than were other professional white men.
These findings should help to erase the myth of the unhealthy doctor. At least for men, mortality outcomes suggest that physicians make healthy personal choices.
内容/目标:近期没有关于美国医生死亡年龄和死因的全国性研究发表,且以往研究存在抽样局限性。医生的发病率和死亡率受到关注有几个原因,包括医生的个人健康习惯可能会影响他们对患者的咨询做法这一事实。
本报告中的数据来自国家职业死亡率监测数据库,来源于1984年至1995年期间28个州发生的死亡情况。职业根据美国人口普查局的分类系统进行编码,死因根据《国际疾病分类》第九版进行编码。
在美国白人和黑人男性中,医生死亡时的平均年龄(白人73.0岁,黑人68.7岁)高于律师(72.3岁和62.0岁)、所有接受调查的专业人员(70.9岁和65.3岁)以及所有男性(70.3岁和63.6岁)。白人男性医生的十大死因与普通人群基本相同,不过与其他专业白人男性相比,他们死于脑血管疾病、事故和自杀的可能性更高,死于慢性阻塞性肺病、肺炎/流感或肝病的可能性更低。
这些发现应有助于消除对不健康医生的误解。至少对男性而言,死亡率结果表明医生做出了健康的个人选择。