Liddell F D
Br J Ind Med. 1973 Jan;30(1):15-24. doi: 10.1136/oem.30.1.15.
15-24. In an earlier enquiry, a sizeable proportion of deaths officially ascribed to coalmining occupations was shown to have been in men who had worked in the industry but not in jobs specific to coalmining, or who had left the mines and taken up other employment. This led to overstatement of mortality among miners, and particularly among face workers. A new coding of occupations was introduced in 1960, and the present investigation was concerned with all 5 362 men aged 20 to 64 who died in 1961 and were recorded as having last worked in a coalmining occupation or for the National Coal Board. The occupation at the time of last employment was determined from colliery records or after special enquiry by medical officers of health, and again was found to be at considerable variance with that on the death certificate. Promotion' into coalmining occupations existed in all coalfields and depended on age at death and year of last appearance at work. Promotion' to the face was particularly marked; however, more men had been working in the industry than were recorded as in specifically coalmining occupations. The effect of retirement from the coalface to other mining work was investigated. In occupied miners underground, mortality was less than in all occupied and retired males, substantially so at the face. Miners generally had high rates of deaths from accidents and pneumoconiosis, and low rates for lung cancer. For most other causes, face workers had very low rates, while other underground workers and surface workers had rates below and above the national rates for occupied and retired males. Death rates were higher in Scotland than in the other British coalfields.
15 - 24. 在早期的一项调查中发现,官方认定归因于煤矿开采职业的死亡中有相当一部分发生在曾在该行业工作但并非从事特定煤矿开采工作的男性身上,或者是那些已离开煤矿并从事其他工作的男性身上。这导致了矿工死亡率的高估,尤其是掌子面工人的死亡率。1960年引入了一种新的职业编码,本次调查涉及1961年死亡且记录显示其最后工作岗位为煤矿开采职业或为国家煤炭委员会工作的所有5362名年龄在20至64岁之间的男性。根据煤矿记录或经卫生医疗官员特别询问后确定其最后就业时的职业,结果再次发现该职业与死亡证明上记录的职业有很大差异。所有煤田都存在“晋升”到煤矿开采职业的情况,且这取决于死亡年龄和最后一次上班的年份。“晋升”到掌子面工作的情况尤为明显;然而,在该行业工作的男性人数多于记录中从事特定煤矿开采职业的人数。研究了从掌子面退休转做其他采矿工作的影响。在井下有工作的矿工中,死亡率低于所有在职和退休男性,在掌子面工作的矿工中这种差异尤为显著。矿工总体上因事故和尘肺病导致的死亡率较高,而因肺癌导致的死亡率较低。对于大多数其他死因,掌子面工人的死亡率非常低,而其他井下工人和地面工人的死亡率分别低于和高于在职和退休男性的全国平均水平。苏格兰的死亡率高于英国其他煤田。