Police work and subclinical atherosclerosis.
Joseph-PN; Violanti-JM; Donahue-R; Andrew-ME; Trevisan-M; Burchfiel-CM; Dorn-J
J Occup Environ Med 2009 Jun; 51(6):700-707
Objective: Employment as an urban police officer was hypothesized to be associated with increased structural subclinical cardiovascular disease (CVD), measured by carotid artery intima-media thickness (IMT). Methods: The sample of men and women consisted of police officers (n = 312) and the general population (n = 318), free of clinical CVD. Results: Officers had elevated levels of age-adjusted CVD risk factors (blood pressure, total cholesterol, smoking prevalence) compared with the population sample. In age-, gender-, and traditional risk factor-adjusted models, police officers exhibited increased mean common carotid IMT (police = 0.67 mm, population = 0.64 mm; P = 0.03) and mean maximum carotid IMT (police = 0.99 mm, population = 0.95 mm; P = 0.13). Conclusions: Police officers have increased levels of atherosclerosis compared with a general population sample, which was not fully explained by elevated CVD risk factors; thereby potentially implicating other mechanisms whereby law enforcement work may increase CVD risk.
Age-factors; Analytical-processes; Blood-analysis; Blood-pressure; Cardiovascular-system-disorders; Mathematical-models; Men; Physiological-factors; Physiological-measurements; Physiological-response; Physiological-stress; Police-officers; Risk-factors; Smoking; Statistical-analysis; Women; Work-analysis; Work-performance; Work-practices; Emergency-responders
Dr P. Nedra Joseph, NIOSH/CDC, 1095 Willowdale Road M/S 4050, Morgantown, WV, 26505
Services: Public Safety
Journal of Occupational and Environmental Medicine