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美国现职和前矿工的慢性病患病率。

The Prevalence of Chronic Diseases Among Current and Ex-Miners in the United States.

机构信息

Department of Public Health Sciences, the University of North Carolina at Charlotte, Charlotte, North Carolina.

出版信息

J Occup Environ Med. 2020 Mar;62(3):227-231. doi: 10.1097/JOM.0000000000001809.

DOI:10.1097/JOM.0000000000001809
PMID:31895740
Abstract

OBJECTIVE

To determine and compare the prevalence and odds of chronic diseases among ex- and current miners.

METHODS

Fourteen-year pooled data from the National Health Interview Survey between 2004 and 2017 were analyzed. Ex- and current miners ages 18 to 64 years were defined based on employment status at the time of National Health Interview Survey (NHIS) interview. We calculated age-adjusted prevalence rates and odds ratios of association of chronic diseases. The analysis was adjusted for respondent's age, sex, race, marital status, poverty-income ratio, health insurance, and smoking status.

RESULTS

Ex-miners have significantly increased prevalence of most chronic diseases. The age-adjusted prevalence and the adjusted odds of heart disease, cancer, hypertension, diabetes, and psychological stress were significantly higher among ex-miners as compared with current miners.

CONCLUSIONS

Ex-miners have worse health outcomes that may persist for years after leaving the mining industry.

摘要

目的

确定和比较前矿工和现矿工中慢性病的患病率和患病比值。

方法

对 2004 年至 2017 年全国健康访谈调查(National Health Interview Survey)的 14 年汇总数据进行分析。根据全国健康访谈调查(NHIS)访谈时的就业状况,将年龄在 18 至 64 岁之间的前矿工和现矿工定义为前矿工和现矿工。我们计算了慢性病关联的年龄调整患病率和比值比。分析调整了受访者的年龄、性别、种族、婚姻状况、贫困收入比、健康保险和吸烟状况。

结果

前矿工患大多数慢性病的患病率显著增加。与现矿工相比,前矿工的心脏病、癌症、高血压、糖尿病和心理压力的年龄调整患病率和调整比值都显著更高。

结论

前矿工的健康状况更差,这种状况可能会在离开采矿业后持续多年。

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