Gilbert E S, Buchanan J A
J Occup Med. 1984 Nov;26(11):822-8. doi: 10.1097/00043764-198411000-00012.
It is widely recognized that analyzing occupational mortality by calculating standardized mortality ratios based on death rates from the general population is subject to a number of limitations. An alternative approach described in this report takes advantage of the fact that comparisons of mortality by subgroups and assessments of trends in mortality are often of equal or greater interest than overall assessments and that such comparisons do not require an external control. A computer program is available for performing the needed calculations for several diseases. This program provides tests for differences and trends among subcategories defined by variables such as length of employment, job category, or exposure measurements and also provides control for age, calendar year, and several other potentially confounding variables.
人们普遍认识到,通过基于一般人群死亡率计算标准化死亡率来分析职业死亡率存在一些局限性。本报告中描述的另一种方法利用了这样一个事实,即按亚组比较死亡率以及评估死亡率趋势往往与总体评估具有同等或更大的意义,而且这种比较不需要外部对照。有一个计算机程序可用于对几种疾病进行所需的计算。该程序提供对由就业时长、工作类别或接触测量等变量定义的子类别之间的差异和趋势的检验,还对年龄、日历年和其他几个潜在的混杂变量进行控制。