美国国家职业死亡率监测（NOMS）系统概述：1985 - 1999年、2003 - 2004年及2007年美国30个州按行业和职业划分的白血病及急性心肌梗死风险
Overview of the National Occupational Mortality Surveillance (NOMS) system: leukemia and acute myocardial infarction risk by industry and occupation in 30 US states 1985-1999, 2003-2004, and 2007.
作者信息
Robinson Cynthia F, Walker James T, Sweeney Marie H, Shen Rui, Calvert Geoffrey M, Schumacher Pam K, Ju Jun, Nowlin Susan
机构信息
The National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Division of Surveillance, Hazard Evaluation and Field Studies, Cincinnati, Ohio.
出版信息
Am J Ind Med. 2015 Feb;58(2):123-37. doi: 10.1002/ajim.22408.
BACKGROUND
Cancer and chronic disease are leading causes of death in the US with an estimated cost of $46 billion.
METHODS
We analyzed 11 million cause-specific deaths of US workers age 18-64 years in 30 states during 1985-1999, 2003-2004, and 2007 by occupation, industry, race, gender, and Hispanic origin.
RESULTS
The highest significantly elevated proportionate leukemia mortality was observed in engineers, protective service, and advertising sales manager occupations and in banks/savings &loans/credit agencies, public safety, and public administration industries. The highest significantly elevated smoking-adjusted acute myocardial infarction mortality was noted in industrial and refractory machinery mechanics, farmers, mining machine operators, and agricultural worker occupations; and wholesale farm supplies, agricultural chemical, synthetic rubber, and agricultural crop industries.
CONCLUSIONS
Significantly elevated risks for acute myocardial infarction and leukemia were observed across several occupations and industries that confirm existing reports and add new information. Interested investigators can access the NOMS website at http://www.cdc.gov/niosh/topics/NOMS/.
背景
癌症和慢性病是美国的主要死因，估计花费达460亿美元。
方法
我们分析了1985 - 1999年、2003 - 2004年以及2007年期间美国30个州18 - 64岁工人按职业、行业、种族、性别和西班牙裔血统分类的1100万例特定病因死亡病例。
结果
在工程师、防护服务和广告销售经理职业以及银行/储蓄与贷款/信贷机构、公共安全和公共管理行业中，观察到白血病死亡率显著升高的比例最高。在工业和耐火机械机械师、农民、采矿机械操作员和农业工人职业；以及批发农用物资、农用化学品、合成橡胶和农作物行业中，观察到经吸烟调整后急性心肌梗死死亡率显著升高的比例最高。
结论
在多个职业和行业中观察到急性心肌梗死和白血病的风险显著升高，这证实了现有报告并增添了新信息。感兴趣的研究人员可访问NOMS网站：http://www.cdc.gov/niosh/topics/NOMS/ 。
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