Charpentier P, Ostfeld A M, Hadjimichael O C, Hester R
Department of Epidemiology and Public Health, Yale School of Medicine, New Haven, Conn 06510.
J Occup Med. 1993 May;35(5):501-9.
A mortality study of 76,160 men who served on US nuclear submarines is reported. Indirect standardization was used to compare mortality rates to those of the US male population. Multiplicative models were developed to explore patterns of mortality within the cohort. Mortality rates for leukemia, acute myocardial infarction, and for motor vehicle accidents were equivalent to those of US males; rates for other causes were lower, generally consistent with the "healthy worker effect." Motor vehicle accident mortality dropped during the study period, perhaps reflecting efforts to control the problem. Suicide rates were depressed during the period of active duty. There was a suggestion that cancer mortality was associated with submarine type; however, the age distribution casts doubt that the excess was occupationally induced.
报告了一项对76160名曾在美国核潜艇服役男性的死亡率研究。采用间接标准化方法将死亡率与美国男性人口的死亡率进行比较。建立乘法模型以探究队列中的死亡模式。白血病、急性心肌梗死和机动车事故的死亡率与美国男性相当；其他原因导致的死亡率较低，总体上符合“健康工人效应”。在研究期间，机动车事故死亡率有所下降，这可能反映了控制该问题的努力。现役期间自杀率较低。有迹象表明癌症死亡率与潜艇类型有关；然而，年龄分布使人怀疑这种超额是否是职业所致。
