哥本哈根城市公交司机缺血性心脏病的发病率和患病率。

Incidence and prevalence of ischaemic heart disease among urban busdrivers in Copenhagen.

作者信息

Netterstrøm B, Laursen P

出版信息

Scand J Soc Med. 1981;9(2):75-9. doi: 10.1177/140349488100900205.

Abstract

A 5-year follow-up study was conducted among all male busdrivers in Copenhagen, Denmark, in addition to the cross-sectional study. In the follow-up study, the SMR for death due to ischaemic heart disease (ICD 410-414) was 144 and SMR for first clinical episode of acute myocardial infarction (ICD 410) was 139, with men in Copenhagen as controls. 80% of the busdrivers (1396 men) participated in the cross-sectional study. The prevalence of questionnaire-positive angina pectoris was 4.9%; in all age groups this was higher than among the controls, locomotive drivers in Denmark. The high health-related selection of busdrivers is assumed to cause an underestimation of the relative occurrence of ischaemic heart disease. Possible explanations for the findings in this study are discussed.

摘要

除了横断面研究外，还对丹麦哥本哈根所有男性公交司机进行了一项为期5年的随访研究。在随访研究中，以哥本哈根男性为对照，因缺血性心脏病（国际疾病分类410 - 414）死亡的标准化死亡比（SMR）为144，急性心肌梗死首次临床发作（国际疾病分类410）的标准化死亡比为139。80%的公交司机（1396名男性）参与了横断面研究。问卷阳性心绞痛的患病率为4.9%；在所有年龄组中，这一患病率均高于丹麦火车司机对照组。公交司机与健康相关的高选择性被认为会导致对缺血性心脏病相对发病率的低估。本文讨论了该研究结果的可能解释。