Department of Occupational and Environmental Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Department of Health Administration, Yonsei University Graduate School, Wonju, Korea.
Yonsei Med J. 2022 Jun;63(6):585-590. doi: 10.3349/ymj.2022.63.6.585.
Police officers and firefighters are exposed to risk factors for cerebro-cardiovascular diseases, and the actual risk is expected to increase compared with other occupational groups. The present study aimed to estimate the risks of cerebro-cardiovascular diseases in police officers and firefighters compared to other occupational groups.
Using the National Health Insurance Service data, we constructed a retrospective cohort of public officers. Three-year consecutive health insurance registration data were used to identify police officers and firefighters. Cerebro-cardiovascular diseases consisted of acute myocardial infarction, other ischemic heart disease, cardiac arrhythmia, and stroke. We compared the incidences of cerebro-cardiovascular diseases between each of the two occupational groups (police officers and firefighters) and other public officers by calculating standardized incidence ratios (SIRs).
SIRs and 95% confidence intervals of all cerebro-cardiovascular diseases for police officers and firefighters were 1.71 (1.66-1.76) and 1.22 (1.12-1.31), respectively, as compared with all public officers. The incidence ratios remained significantly higher compared to general and education officers. Subgroup analyses for myocardial infarction, stroke, and cardiac arrhythmia exhibited significant increases in incidence ratios among police officers and firefighters.
This study suggests that both police officers and firefighters are at high risk of cerebro-cardiovascular diseases. Therefore, medical protection measures for these occupational groups should be improved.
警察和消防员面临着心血管疾病的风险因素，实际风险预计会比其他职业群体更高。本研究旨在评估警察和消防员与其他职业群体相比患心血管疾病的风险。
我们利用国民健康保险服务数据，构建了一个公务员回顾性队列。使用连续三年的健康保险登记数据来确定警察和消防员。心血管疾病包括急性心肌梗死、其他缺血性心脏病、心律失常和中风。我们通过计算标准化发病比（SIR）比较了这两个职业群体（警察和消防员）与其他公务员之间的心血管疾病发病率。
警察和消防员的所有心血管疾病的 SIR 和 95%置信区间分别为 1.71（1.66-1.76）和 1.22（1.12-1.31），与所有公务员相比。与一般和教育官员相比，发病率比值仍然明显更高。亚组分析显示，警察和消防员的心肌梗死、中风和心律失常的发病率比值显著增加。
本研究表明，警察和消防员患心血管疾病的风险都很高。因此，应改善这些职业群体的医疗保护措施。
