Speciality Trainee in Occupational Medicine, Occupational Health Service, NHS Greater Glasgow and Clyde, Glasgow G42 9TY, UK.
Occup Med (Lond). 2013 Sep;63(6):448-50. doi: 10.1093/occmed/kqt076. Epub 2013 Jul 11.
Just over a fifth of all deaths in Scotland occur in those under the age of 65. This study examined deaths in service in employees of the National Health Service Greater Glasgow and Clyde (NHS GG&C) Health Board over a 3-year period.
To assess crude death rates by occupational group, the main causes of death and evidence of causes that could have been prevented or modified by lifestyle changes.
Demographic details, occupational grouping and death certificate data were obtained for all NHS GG&C employees who died in service between 2007 and 2009.
A total of 138 employees died in this period. The occupational groups in which most deaths occurred were support services (porters, domestic and catering staff; 35%) and nurses (34%). The commonest causes of death were lung cancer (15%), ischaemic heart disease (9%) and suicide (9%). The overall crude death rate was 1.2/1000 persons/year (females 1.0 and males 1.7) and was highest among support services employees (2.4) and lowest among medical staff (0.5). The relative risk of death in support services was significantly greater than the majority of occupational groups.
These findings suggest health inequality within this workforce. The main causes of death identified in the support services group could potentially be modified through workplace risk factor screening and health promotion.
苏格兰超过五分之一的死亡发生在 65 岁以下人群中。本研究调查了在格拉斯哥和克莱德国民保健服务局（NHS GG＆C）卫生委员会工作的员工三年内的在职死亡情况。
按职业群体评估粗死亡率、主要死因以及可能通过生活方式改变来预防或改变的病因的证据。
收集 2007 年至 2009 年期间在格拉斯哥和克莱德国民保健服务局服务期间死亡的所有 NHS GG＆C 员工的人口统计学细节、职业群体和死亡证明数据。
在此期间，共有 138 名员工死亡。死亡人数最多的职业群体是支持服务人员（搬运工、家政和餐饮人员；35%）和护士（34%）。最常见的死因是肺癌（15%）、缺血性心脏病（9%）和自杀（9%）。总的粗死亡率为 1.2/1000 人/年（女性为 1.0，男性为 1.7），支持服务人员的死亡率最高（2.4），医务人员的死亡率最低（0.5）。支持服务人员的死亡相对风险明显高于大多数职业群体。
这些发现表明该劳动力中存在健康不平等现象。支持服务组中确定的主要死因可以通过工作场所危险因素筛查和健康促进来进行改变。
