阿巴拉契亚产煤县和非产煤县的总体死亡率模式。
General mortality patterns in appalachian coal-mining and non-coal-mining counties.
作者信息
Buchanich Jeanine M, Balmert Lauren C, Youk Ada O, Woolley Shannon M, Talbott Evelyn O
机构信息
From the Department of Biostatistics (Dr Buchanich, Ms Balmert, Dr Youk, and Ms Woolley) and Department of Epidemiology (Dr Talbott), Graduate School of Public Health, University of Pittsburgh, Pa.
出版信息
J Occup Environ Med. 2014 Nov;56(11):1169-78. doi: 10.1097/JOM.0000000000000245.
OBJECTIVE
To determine whether mortality disparities in Appalachia are due to coal mining or other factors.
METHODS
Unadjusted and covariate adjusted rate ratio models calculated total, all external, and all cancer mortality rates from 1960 to 2009 for cumulative total, surface, and underground coal production in coal-mining counties compared with non-coal-mining counties.
RESULTS
No coal-related statistically significant elevations in total or all external mortality were found. Control for covariates attenuated rate ratios for all levels of coal mining. All forms of coal were statistically significant in the adjusted rate ratio models for all cancer mortality, with 4% to 6% excesses in the highest quartiles of production.
CONCLUSIONS
Total and all external mortalities do not seem to be related to coal production in Appalachia, but all cancer mortality should be further examined. Additional causes of death should also be considered.
目的
确定阿巴拉契亚地区的死亡率差异是由煤矿开采还是其他因素导致的。
方法
未调整和协变量调整的率比模型计算了1960年至2009年期间，煤矿开采县与非煤矿开采县相比，累计总产量、露天开采和地下开采的煤炭产量对应的总死亡率、所有外部原因导致的死亡率以及所有癌症死亡率。
结果
未发现与煤炭相关的总死亡率或所有外部原因导致的死亡率有统计学意义的升高。协变量控制减弱了各级煤炭开采的率比。在所有癌症死亡率的调整率比模型中，所有形式的煤炭都具有统计学意义，产量最高四分位数的死亡率高出4%至6%。
结论
阿巴拉契亚地区的总死亡率和所有外部原因导致的死亡率似乎与煤炭生产无关，但所有癌症死亡率应进一步研究。还应考虑其他死亡原因。
Zotero 插件