Mortality Attributable to Occupational Exposure in Sweden

Bengt Järvholm ； Christina Reuterwall ； Jennie Bystedt

《Scandinavian Journal of Work, Environment & Health》 39卷1期 (2013/01) Pp. 106-111

並列摘要

Objective The aim of this study was to estimate the mortality from cancer, cardiovascular, and respiratory diseases attributable to occupational exposure in Sweden.Methods Estimates were calculated for men and women separately, and we considered only deaths between 25-74 years of age. We considered cancer exposures/sites classified as 1 or 2a according to the International Agency for Research on Cancer (IARC). Acute myocardial infarction was the only included cardiovascular disease. Respiratory diseases comprised chronic obstructive pulmonary disease (COPD) asthma, pneumoconiosis, and alveolitis. All deaths of pneumoconiosis and alveolitis were considered work-related. Estimates were based on Swedish mortality in 2007.Results In total, we estimate there are about 800 work-related deaths per year in the studied causes. The majority are due to acute myocardial infarction, with 126 deaths among women and 337 deaths among men attributable to job strain, shift work, exhaust gases, combustion products, or environmental tobacco smoke (ETS). There are 99 respiratory disease-related deaths, the vast majority from COPD (N=92). In total, 270 cancer deaths are estimated to be work-related. For men, half of the cases are attributed to asbestos exposure.Conclusions Our results indicate that preventive measures to decrease occupational mortality should consider factors associated with myocardial infarction such as job strain, shift work, and exhaust gases from vehicles and combustion products. Exposures to factors associated with COPD, such as dust, would also appear important to prevent.

並列關鍵字

asthma ； attributable fraction ； cancer ； chronic obstructive pulmonary disease ； etiology ； myocardial infarction ； pneumoconiosis ； work-related