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1960年至1992年加利福尼亚州兽医的自杀、癌症及其他死因

Suicide, cancer, and other causes of death among California veterinarians, 1960-1992.

作者信息

Miller J M, Beaumont J J

机构信息

School of Veterinary Medicine, Department of Epidemiology and Preventive Medicine, University of California, Davis.

出版信息

Am J Ind Med. 1995 Jan;27(1):37-49. doi: 10.1002/ajim.4700270105.

Abstract

Previous studies reporting on mortality patterns in veterinarians have been restricted to deaths among white male veterinarians. In an effort to examine the mortality of male and female veterinarians of all races, we conducted a standardized proportionate mortality ratio (SPMR) analysis of 450 California veterinarians who died between January 1960 and December 1992. In comparison to State of California general population statistics, white male veterinarians had significantly elevated mortality from malignant melanoma of the skin (SPMR 3.47, 95% CI 1.74, 6.94), cancer of the large intestine (SPMR 1.74, 95% CI 1.04, 2.09), rheumatic heart disease (SPMR 3.50, 95% CI 1.90, 6.43), and suicide (SPMR 2.50, 95% CI 1.84, 3.38). White female veterinarians had significantly elevated mortality from suicide (SPMR 5.89, 95% CI 3.02, 11.48). We also examined veterinary mortality for different lengths of time in the profession. Significantly elevated SPMRs were noted for suicide in veterinarians in the profession for less than 30 years; deaths due to malignant melanoma of the skin and rheumatic heart disease in veterinarians in the profession 20 years or more; and cancer of the large intestine in veterinarians in the profession 30 years or more. Because of significant findings in mortality from suicide among veterinarians of both sexes, it was recommended that future studies and efforts toward suicide prevention include both male and female veterinarians.

摘要

以往关于兽医死亡率模式的研究仅限于白人男性兽医的死亡情况。为了研究所有种族的男性和女性兽医的死亡率,我们对1960年1月至1992年12月期间死亡的450名加利福尼亚州兽医进行了标准化比例死亡率(SPMR)分析。与加利福尼亚州的一般人口统计数据相比,白人男性兽医患皮肤恶性黑色素瘤(SPMR 3.47,95%可信区间1.74,6.94)、大肠癌(SPMR 1.74,95%可信区间1.04,2.09)、风湿性心脏病(SPMR 3.50,95%可信区间1.90,6.43)和自杀(SPMR 2.50,95%可信区间1.84,3.38)的死亡率显著升高。白人女性兽医自杀死亡率显著升高(SPMR 5.89,95%可信区间3.02,11.48)。我们还研究了从事兽医职业不同时长的死亡率情况。从业不到30年的兽医自杀的标准化比例死亡率显著升高;从业20年或更长时间的兽医患皮肤恶性黑色素瘤和风湿性心脏病死亡;从业30年或更长时间的兽医患大肠癌死亡。由于两性兽医自杀死亡率都有显著发现,建议未来关于自杀预防的研究和工作应涵盖男性和女性兽医。

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