Hasselback P, Neutel C I
Department of Community Medicine and Epidemiology, University of Ottawa, Ontario, Canada.
Br J Ind Med. 1990 Jul;47(7):498-501. doi: 10.1136/oem.47.7.498.
The risk of mortality related to occupation was determined for commercial fishermen in the Canadian Atlantic coast provinces of Nova Scotia, New Brunswick, and Prince Edward Island. The subjects were a cohort of 31,415 fishermen licensed by the Canadian Department of Fisheries during 1975-83. Mortality and cause of death were obtained from the Canada Mortality Data Base and the Marine Casualty Investigation Unit (MCI), and were confirmed by examination of death certificates. Eighty four deaths likely to be related to fishing were recorded over 183,378 person-years of exposure for an annual mortality of 45.8 (95% confidence interval (CI) 36.0-55.6) per 100,000 fishermen. The rate of potential years of life lost up to age 75 was 1583 per 100,000 person-years of exposure. Inclusion of 14 additional deaths, which were possibly related to occupation, would increase these rates further. Bias in this study is likely to underestimate the risks. It is concluded that fishing is one of the most hazardous occupations in terms of mortality related to work.
研究人员确定了加拿大新斯科舍省、新不伦瑞克省和爱德华王子岛这几个大西洋沿岸省份商业渔民的职业相关死亡风险。研究对象为1975年至1983年间加拿大渔业部颁发执照的31415名渔民组成的队列。死亡率和死亡原因来自加拿大死亡率数据库和海事伤亡调查股（MCI），并通过检查死亡证明进行了确认。在183378人年的暴露时间里，记录了84例可能与捕鱼相关的死亡，每10万名渔民的年死亡率为45.8（95%置信区间（CI）36.0 - 55.6）。75岁之前潜在寿命损失率为每10万人年1583。纳入另外14例可能与职业相关的死亡会使这些比率进一步上升。本研究中的偏差可能低估了风险。得出的结论是，就与工作相关的死亡率而言，捕鱼是最危险的职业之一。
