新墨西哥州铀矿工人心绞痛发病几率高于非铀矿工人。
Greater Odds for Angina in Uranium Miners Than Nonuranium Miners in New Mexico.
机构信息
Department of Internal Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico (Drs al Rashida, Wang, Myers, Boyce, Kocher, Assad, Cook, Sood); Division of Cardiovascular Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas (Dr al Rashida); and Black Lung Program, Miners' Colfax Medical Center, Raton, New Mexico (Moreno, Karr, Dr Sood).
出版信息
J Occup Environ Med. 2019 Jan;61(1):1-7. doi: 10.1097/JOM.0000000000001482.
OBJECTIVE
The aim of this study was to test the hypothesis that uranium miners in New Mexico (NM) have a greater prevalence of cardiovascular disease than miners who extracted the nonuranium ore.
METHODS
NM-based current and former uranium miners were compared with nonuranium miners by using cross-sectional standardized questionnaire data from the Mining Dust in the United States (MiDUS) study from 1989 to 2016.
RESULTS
Of the 7215 eligible miners, most were men (96.3%). Uranium miners (n = 3151, 43.7%) were older and diabetic, but less likely to currently smoke or use snuff (P ≤ 0.001 for all). After adjustment for covariates, uranium miners were more likely to report angina (odds ratio 1.51, 95% confidence interval 1.23 to 1.85) than nonuranium miners.
CONCLUSION
Our data suggest that along with screening for pulmonary diseases, uranium industry workers should be screened for cardiovascular diseases.
目的
本研究旨在验证这一假设，即在新墨西哥州（NM）的铀矿工比开采非铀矿石的矿工更易患心血管疾病。
方法
利用 1989 年至 2016 年期间“美国采矿粉尘（MiDUS）”研究的横断面标准化问卷数据，将 NM 的当前和前任铀矿工与非铀矿工进行比较。
结果
在 7215 名符合条件的矿工中，大多数是男性（96.3%）。铀矿工（n=3151，43.7%）年龄较大且患有糖尿病，但目前吸烟或使用鼻烟的可能性较小（P≤0.001）。调整协变量后，与非铀矿工相比，铀矿工更有可能报告心绞痛（比值比 1.51，95%置信区间 1.23 至 1.85）。
结论
我们的数据表明，除了对肺部疾病进行筛查外，铀矿业工人还应进行心血管疾病筛查。
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