Violanti John M, Gu Ja K, Charles Luenda E, Fekedulegn Desta, Andrew Michael E
Epidemiology and Environmental Health, State University of NY at Buffalo, Buffalo, New York, USA.
Bioanalytics Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Policing. 2021 Oct;44(6):1168-1187. doi: 10.1108/pijpsm-06-2021-0087.
PURPOSE –: This study is a mortality assessment on police officers (68-years, 1950-2018) and includes all causes of death.
DESIGN/METHODOLOGY/APPROACH –: The authors investigated 1,853 police deaths (1950-2018) using sources of mortality that included the National Death Index, NY State, and available records from the Buffalo NY police department. Standardized Mortality Ratios were calculated. Death codes were obtained from 8th and 9th International Classification of Disease revisions in accordance with the year of death.
FINDINGS –: Compared to the US general population, white male police officers from 1950-2018 had elevated mortality rates for some causes of death, including diseases of the circulatory system, malignant neoplasms, cirrhosis of the liver, and mental disorders. Black and female officers had lower mortality rates for all causes of death compared to the general population.
RESEARCH LIMITATIONS/IMPLICATIONS –: The findings of elevated risk for chronic disease among police need to be studied in relation to stress, lifestyle, and exposure to chemical and physical agents. There is a special need to further study officers from minority populations as larger samples become available.
PRACTICAL IMPLICATIONS –: The results of this study will provide police and occupational health practitioners with objective evidence to determine the health impact of work on law enforcement officers.
ORIGINALITY/VALUE –: This study is longest running mortality assessment on police officers ever conducted (1950-2018) and includes white, black, and female officers.
本研究是对警察(1950 - 2018年,68岁)的死亡率评估,涵盖所有死因。
设计/方法/途径:作者利用包括国家死亡指数、纽约州以及纽约布法罗警察局现有记录在内的死亡率来源,调查了1950 - 2018年间的1853例警察死亡案例。计算了标准化死亡率。根据死亡年份,从第八版和第九版国际疾病分类修订本中获取死亡编码。
与美国普通人群相比,1950 - 2018年间的白人男性警察某些死因的死亡率有所升高,包括循环系统疾病、恶性肿瘤、肝硬化和精神障碍。与普通人群相比,黑人和女性警察所有死因的死亡率较低。
研究局限/影响:警察中慢性病风险升高的研究结果需要结合压力、生活方式以及接触化学和物理因素进行探讨。随着更多样本的获取,特别需要进一步研究少数族裔警察。
本研究结果将为警察和职业健康从业者提供客观证据,以确定工作对执法人员健康的影响。
原创性/价值:本研究是有史以来对警察进行的持续时间最长的死亡率评估(1950 - 2018年),涵盖白人、黑人和女性警察。