Ischemic heart disease and acute myocardial infarction mortality among police officers.
Dubrow-R; Burnett-CA; Gute-DM; Brockert-JE
J Occup Med 1988 Aug; 30(8):650-654
A case/control was made of the incidence of ischemic heart disease (IHD) and particularly acute myocardial infarction (AMI) among police officers in Rhode Island and Utah, using death certificate records from Rhode Island and Utah for 1968 to 1978. The nonexposed comparison group included craftsmen and kindred workers. An additional case/control analysis was carried out for firemen, to test for the possibility of unanticipated biases. The data indicated an increased risk for IHD among police officers in both states. The results from Rhode Island, in particular, stressed that elevated IHD mortality risk was primarily due to an elevated risk for AMI mortality. In Rhode Island the elevated odds ratios for IHD and AMI were restricted to the under 65 year age group. In Utah the risk for AMI was higher in the under 65 year age group than in the over 65 year age group. The pattern of increased risk for AMI in ages 55 to 64 years followed by decreased risk at older ages suggests a risk factor with effects that increase with length of exposure and decrease at retirement. In Rhode Island the surviving dependent of active and retired police officers and firefighters who died from heart disease automatically received compensation. Such was not the case in Utah, and this may have caused an over reporting of heart related deaths in Rhode Island. Data indicated about the same number of police officers smoked as did craftsmen employed in other types of work.
JOCMA7; NIOSH-Author; Cardiovascular-system-disorders; Job-stress; Physical-exercise; Policemen; Mortality-rates; Mortality-surveys; Epidemiology
Journal of Occupational Medicine