Miller F D, Reed D M, MacLean C J
Department of Public Health Sciences, School of Public Health, University of Hawaii, Honolulu 96822.
J Occup Med. 1988 Nov;30(11):879-82. doi: 10.1097/00043764-198811000-00015.
The relationship of occupation as a carpenter to the development of definite coronary heart disease, stroke, cancer and total mortality was examined in men of Japanese ancestry participating in the Honolulu Heart Program. After 18 years of follow-up those men who indicated that their present and usual occupation was carpentry had a significantly lower age-adjusted rate of definite coronary heart disease and a significantly lower mortality rate compared to participants who were never occupied as carpenters. There were no significant differences for age-adjusted rates for stroke and cancer nor any differences for those whose usual occupation was carpentry but present occupation was not carpentry. These results were unchanged when controlling for several cardiovascular risk factors and potentially confounding variables. Unlike earlier observations, these findings are not affected by the "healthy worker bias" and support the relationship that carpentry is associated with lower rates of cardiovascular disease.
在参与檀香山心脏项目的日裔男性中，研究了木匠职业与明确的冠心病、中风、癌症及总死亡率之间的关系。经过18年的随访，那些表示其当前及通常职业为木匠的男性，与从未从事过木匠职业的参与者相比，其年龄调整后的明确冠心病发病率显著较低，死亡率也显著较低。中风和癌症的年龄调整发病率没有显著差异，对于那些通常职业是木匠但当前职业不是木匠的人也没有差异。在控制了几个心血管危险因素和潜在的混杂变量后，这些结果没有改变。与早期观察结果不同，这些发现不受“健康工人偏差”的影响，并支持木匠职业与较低心血管疾病发病率之间的关系。
