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1979年至2015年期间美国兽医的所有死因。

All causes of death among veterinarians in the United States during 1979 through 2015.

作者信息

Tomasi Suzanne E, Fechter-Leggett Ethan D, Edwards Nicole T, Reddish Anna D, Nett Randall J

机构信息

Epidemic Intelligence Service, Center for Surveillance, Epidemiology and Laboratory Services, CDC, Atlanta, GA.

Respiratory Health Division, National Institute for Occupational Safety and Health, CDC, Morgantown, WV.

出版信息

J Am Vet Med Assoc. 2022 Mar 8;260(9):1-10. doi: 10.2460/javma.21.04.0221.

Abstract

OBJECTIVE

To assess proportionate mortality from all causes for male and female US veterinarians during 1979 through 2015.

SAMPLE

Death records for 11,620 veterinarians.

PROCEDURES

For this proportionate mortality ratio (PMR) study, information for veterinarians who died during 1979 through 2015 was obtained from AVMA obituary and life insurance databases and submitted to a centralized database of US death records to obtain underlying causes of death. Decedent data that met records-matching criteria were imported into a software program for calculation of PMRs for all causes stratified by sex and indirectly standardized for age, race, and 5-year calendar period with 95% CIs.

RESULTS

11,620 decedents consisted of 11,049 (95%) males and 571 (5%) females with a median age at death of 77 years. Proportionate mortality for all veterinarian decedents was higher than expected for melanoma (PMRs, 2.1 and 2.2 for males and females, respectively), suicide (PMRs, 2.1 and 3.5 for males and females, respectively), and transportation injuries (PMRs, 1.7 and 1.6 for males and females, respectively). Proportionate mortality for all decedents was lower than expected for respiratory cancers (PMRs, 0.6 and 0.5 for males and females, respectively), diabetes mellitus (PMRs, 0.7 and 0.4 for males and females, respectively), heart disease (PMRs, 0.9 and 0.6 for males and females, respectively), and respiratory disorders (PMRs, 0.7 and 0.6 for males and females, respectively).

CLINICAL RELEVANCE

Results indicated proportionate mortality from malignant melanoma, transportation injuries, and suicide for male and female veterinarians was higher than the general population. These data may help stakeholders improve veterinarian workplace safety and health guidelines.

摘要

目的

评估1979年至2015年期间美国男性和女性兽医各种原因导致的比例死亡率。

样本

11,620名兽医的死亡记录。

程序

在这项比例死亡率(PMR)研究中,1979年至2015年期间死亡的兽医信息从美国兽医协会讣告和人寿保险数据库中获取,并提交到美国死亡记录集中数据库以获取潜在死因。符合记录匹配标准的死者数据被导入一个软件程序,用于计算按性别分层的所有原因的PMR,并按年龄、种族和5年日历期进行间接标准化,置信区间为95%。

结果

11,620名死者中,男性11,049名(95%),女性571名(5%),死亡年龄中位数为77岁。所有兽医死者的比例死亡率高于黑色素瘤(男性和女性的PMR分别为2.1和2.2)、自杀(男性和女性的PMR分别为2.1和3.5)和交通伤(男性和女性的PMR分别为1.7和1.6)的预期值。所有死者的比例死亡率低于呼吸道癌症(男性和女性的PMR分别为0.6和0.5)、糖尿病(男性和女性的PMR分别为0.7和0.4)、心脏病(男性和女性的PMR分别为0.9和0.6)以及呼吸系统疾病(男性和女性的PMR分别为0.7和0.6)的预期值。

临床意义

结果表明,男性和女性兽医因恶性黑色素瘤、交通伤和自杀导致的比例死亡率高于一般人群。这些数据可能有助于利益相关者改善兽医工作场所的安全和健康指南。

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