Targeting health promotion using occupationally coded mortality data.
Rubin-CH; Burnett-CA; Halperin-W; Seligman-P
National Conference on State-Based Occupational Health and Safety Activities, September 3-6, 1991, Cincinnati, Ohio. Cincinnati, OH: National Institute for Occupational Safety and Health, 1991 Sep; :38-39
Twenty-three states have contributed to an occupationally coded mortality data set. We evaluated this data in terms of its utility in identifying groups of workers who are at greater risk of nonoccupational diseases and therefore may benefit from targeted prevention. 2.9 million occupationally coded death certificates collected between 1979 and 1987 were used to calculate Proportionate Mortality Ratios (PMRs) for a series of preventable diseases. Ten causes of preventable death e.g., breast cancer, cervical cancer and ischemic heart disease, were analyzed and groups of workers with elevated PMRs described. Each disease exhibited a distinctive pattern of variation by occupational grouping. For example, there is an elevated risk of breast cancer among teachers (PMR= 164), whereas this group exhibits a low risk of cervical cancer (PMR=76). We conclude that prevention of disease in the workplace must have occupationally induced illness as its primary focus but should also use occupation to target and reach populations that will benefit from disease prevention programs.
Mortality-data; Mortality-rates; Risk-analysis; Risk-factors; Disease-prevention; Breast-cancer; Occupational-diseases; Epidemiology; Statistical-analysis
Conference/Symposia Proceedings; Abstract
National Conference on State-Based Occupational Health and Safety Activities, September 3-6, 1991, Cincinnati, Ohio