Haas Nelson S, Gochfeld Michael, Robson Mark G, Wartenberg Daniel
Department of Occupational Medicine, North Country Hospital, 1743 Crawford farm Road, Newport, Vermont 05855, USA.
Int J Occup Environ Health. 2003 Apr-Jun;9(2):95-103. doi: 10.1179/oeh.2003.9.2.95.
Firefighter mortality studies that used standardized mortality ratio (SMR) as a summary measure are reviewed and an overview of time-dependent mortality effects for all causes, CAD, cancer, and respiratory deaths is provided. Of 17 studies reporting SMRs for firefighters, three overlapped with larger studies and six did not contain time-dependent data, leaving eight for inclusion. The time effects showed no increased mortality with increasing time employed and time since first employment (latency) for all-cause mortality or any specific cause. There were many causes of death for which firefighters' SMRs were below one through all durations of employment and latency. There was no convincing evidence that employment as a firefighter is associated with increased all-cause, CAD, cancer, or respiratory disease mortality.
对使用标准化死亡比（SMR）作为汇总指标的消防员死亡率研究进行了综述，并提供了所有原因、冠心病、癌症和呼吸系统死亡的时间依赖性死亡率影响概述。在17项报告消防员SMR的研究中，3项与更大规模的研究重叠，6项不包含时间依赖性数据，因此纳入了8项研究。时间效应表明，随着工作时间的增加和首次就业后的时间（潜伏期）的延长，全因死亡率或任何特定原因的死亡率均未增加。在整个就业和潜伏期内，消防员的SMR低于1的死亡原因有很多。没有令人信服的证据表明，消防员职业与全因、冠心病、癌症或呼吸系统疾病死亡率的增加有关。
