1979 - 1980年、1982 - 1990年英格兰和威尔士农民及农民妻子的死亡率
Mortality of farmers and farmers' wives in England and Wales 1979-80, 1982-90.
作者信息
Inskip H, Coggon D, Winter P, Pannett B
机构信息
MRC Environmental Epidemiology Unit, University of Southampton, Southampton General Hospital.
出版信息
Occup Environ Med. 1996 Nov;53(11):730-5. doi: 10.1136/oem.53.11.730.
OBJECTIVES
To examine the mortality patterns of male and female farmers and farmers' wives in England and Wales.
METHODS
Information on all deaths in England and Wales at ages 20-74 during the periods 1979-80 and 1982-90 was obtained from the Office of Population Censuses and Surveys. Proportional mortality ratios (PMRs) and proportional cancer mortality ratios (PCMRs) were used to compare the mortality of farmers with that of the general working population, and of farmers' wives with wives of all working men.
RESULTS
Farmers and farmers' wives had high mortality from accidents and suicide and from certain respiratory diseases. Mortality from hernia was also raised. Deaths from cancer were generally below expectations, but the PMR for prostatic cancer was 112 (95%CI 106-118). The PMRs and PCMRs for oesophageal cancer were significantly increased in male farmers from two counties where cider is produced.
CONCLUSIONS
The occupational hazards of farming continue to be associated with excess mortality, and most of the risks extend also to farmers' wives. Action is needed to reduce deaths, particularly from accidents and suicide.
目的
研究英格兰和威尔士男性及女性农民以及农民妻子的死亡模式。
方法
从人口普查与调查办公室获取了1979 - 1980年以及1982 - 1990年期间英格兰和威尔士所有20至74岁人群的死亡信息。使用比例死亡率（PMR）和比例癌症死亡率（PCMR）来比较农民与一般劳动人口的死亡率，以及农民妻子与所有在职男性妻子的死亡率。
结果
农民和农民妻子因事故、自杀以及某些呼吸道疾病导致的死亡率较高。疝气导致的死亡率也有所上升。癌症导致的死亡总体低于预期，但前列腺癌的比例死亡率为112（95%置信区间106 - 118）。在两个生产苹果酒的县，男性农民的食管癌比例死亡率和比例癌症死亡率显著升高。
结论
农业的职业危害仍然与过高的死亡率相关，并且大多数风险也延伸至农民妻子。需要采取行动减少死亡，尤其是因事故和自杀导致的死亡。
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