牲畜及农业工人中的缺血性心脏病。
Ischaemic heart disease among livestock and agricultural workers.
作者信息
Sjögren B, Weiner J, Larsson K
机构信息
Work Environment Toxicology, Institute of Environmental Medicine, Karolinska Institutet, Box 210, SE-171 77 Stockholm, Sweden.
出版信息
Occup Environ Med. 2003 Aug;60(8):e1. doi: 10.1136/oem.60.8.e1.
BACKGROUND
Agricultural workers are exposed to organic dust containing endotoxins, mites, and moulds.
AIMS
To compare the occurrence of ischaemic heart disease (IHD) among male and female livestock and agricultural workers with gainfully employed men and women in Sweden.
METHODS
Male and female livestock and agricultural workers were identified in the Swedish National Censuses of 1970 and 1990 and were followed until the end of 1995. The IHD mortality among the livestock and agricultural workers was compared with that of gainfully employed men and women. Information of smoking habits was gathered from a previous national survey.
RESULTS
Male as well as female livestock workers had slightly higher standardised mortality ratios (SMR) regarding IHD compared with all gainfully employed men and women in Sweden. The SMR for male workers was 1.06 (95% CI 0.95 to 1.18). The SMR for female workers was 1.10 (95% CI 0.98 to 1.23). Agricultural workers had lower SMRs. Adjustments for smoking habits would further increase the SMRs by about 9% in male workers and about 5% in female workers.
CONCLUSION
The present data suggest a slightly increased risk for IHD among both male and female livestock workers, which may be the result of organic dust exposure.
背景
农业工人会接触到含有内毒素、螨虫和霉菌的有机粉尘。
目的
比较瑞典从事畜牧业和农业的男性及女性工人与有酬就业的男性和女性中缺血性心脏病（IHD）的发生率。
方法
在1970年和1990年的瑞典全国人口普查中确定从事畜牧业和农业的男性及女性工人，并随访至1995年底。将从事畜牧业和农业的工人的IHD死亡率与有酬就业的男性和女性的死亡率进行比较。吸烟习惯信息来自之前的全国性调查。
结果
与瑞典所有有酬就业的男性和女性相比，从事畜牧业的男性和女性工人的缺血性心脏病标准化死亡比（SMR）略高。男性工人的SMR为1.06（95%可信区间0.95至1.18）。女性工人的SMR为1.10（95%可信区间0.98至1.23）。农业工人的SMR较低。对吸烟习惯进行调整后，男性工人的SMR将进一步增加约9%，女性工人的SMR将进一步增加约5%。
结论
目前的数据表明，从事畜牧业的男性和女性工人患缺血性心脏病的风险略有增加，这可能是接触有机粉尘的结果。
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