Challenges for research and prevention in relation to work and cardiovascular diseases

Kristensen, Tage S

doi:10.5271/sjweh.479

Cited by 56 publications

(50 citation statements)

References 56 publications

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“…In the United States, IHD (including heart attack) and cerebrovascular diseases (including stroke) were the cause of death in 75% of the cases within a large workers' compensation data set (153). However, many of the occupational factors linked to heart conditions in the literature are still not well established as causal risk factors (154). Olsen & Kristensen (155) estimated that, in Denmark, the attributable fraction for all occupational risk factors for premature cardiovascular disease mortality, due to both chemical and nonchemical (excluding sedentary work) risk factors, was 16% for men and 22% for women.…”

Section: Circulatory Diseasesmentioning

confidence: 99%

Epidemiologic estimate of the proportion of fatalities related to occupational factors in Finland

Nurminen¹,

Karjalainen²

2001

Scand J Work Environ Health

261

202

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Objectives This study attempts to estimate the proportion of annual deaths related to occupational factors in Finland and considers related methodological issues and associated uncertainties.Methods Statistics on causes of death, numbers of subjects exposed, and risk ratios obtained from the epidemiologic literature were used to estimate the population attributable fraction and disease burden for causes of death from work-related diseases. Gender-, age-and disease-specific numbers of deaths were provided by Statistics Finland for 1996. Information on the size of the population, broken down by gender, age, occupation, and industry, was acquired from population censuses. A Finnish job-exposure matrix supplied data on the prevalence of exposure for specific agents and the level of exposure among exposed workers. ResultsThe attributable fraction of work-related mortality in the relevant disease and age categories was estimated to be 7% (10% for men and 2% for women), and for all diseases and ages the fraction was 4%. For the main cause-of-death categories, the attributable fraction became 12% for circulatory system diseases, 8% for malignant neoplasms, 4% for respiratory system diseases, 4% for mental disorders, 3% for nervous system diseases, and 3% for accidents and violence. The following estimates were obtained for specific important diseases: 24% for lung cancer, 17% for ischemic heart disease, 12% for chronic obstructive pulmonary disease, and 11% for stroke. Based on these fractions, the total number of work-related deaths that occurred in Finland in 1996 was calculated to be on the order of 1800 (employed work force of 2.1 million); 86% involved men.Conclusions High-quality epidemiologic studies and national survey data are essential for obtaining reliable estimates of the proportion of deaths attributable to occupational factors. The magnitude of work-related mortality is an insufficiently recognized contributor to total mortality in Finland, especially from circulatory diseases and other diseases caused by exposure to agents other than asbestos.Key terms attributable fraction, burden of disease, epidemiologic methods, health statistics, occupational exposure. Global estimates of the burden of disease due to occupational factors have been calculated through the application of Finnish rates of registered work-related diseases (1). The approach is subject to the following two fundamental uncertainties: (i) the validity of the data on disease incidence from the national reporting scheme and (ii) the validity of worldwide extrapolations to different regions with different exposure circumstances. With the exception of studies using workers' compensation records, only a few research projects have estimated the magnitude of morbidity or mortality induced by exposure to hazardous agents or stress factors in the work environment at a state or national level. The investigations conducted in this area have covered New York State (2), the whole of the United States (3), Canada (4), and Australia (5). Given the lack of ...

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Section: Circulatory Diseasesmentioning

confidence: 99%

Epidemiologic estimate of the proportion of fatalities related to occupational factors in Finland

Nurminen¹,

Karjalainen²

2001

Scand J Work Environ Health

261

202

View full text Add to dashboard Cite

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“…It is supported by an impressive body of mainly cross-sectional research (5)(6)(7). However, covariation is not causation, and therefore it is fortunate that, over the last decade, several longitudinal studies examining the demand-control model have been published as well, albeit less consistently and, perhaps, less convincingly than earlier cross-sectional studies (8).…”

mentioning

confidence: 89%

Effects of stable and changing demand–control histories on worker health

Lange¹,

Taris²,

Kompier³

et al. 2002

Scand J Work Environ Health

113

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“…The occupational risk factors of CVD comprise chemical and physical hazards and factors dependent on the type of job and working conditions. The chemical factors related to CVD include carbon disulfide, nitroglycol and nitroglycerin, carbon monoxide, lead, dioxin, cobalt, solvents, organophosphates, arsenic, antimony [1][2][3][4]. Among the physical risk factors discussed in the literature are electromagnetic fields, noise, heat, and cold.…”

Section: Study Protocolmentioning

confidence: 99%

Work-related risk factors of myocardial infarction

Bortkiewicz

Gadzicka²,

Siedlecka³

et al. 2010

International Journal of Occupational Medicine and Environmental Health

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Objectives: The aim of the study was to find out which occupational factors account for the risk of the myocardial infarction. Material and Methods: A questionnaire survey was performed during the period of one calendar year in all patients (1053 subjects, 692 men and 361 women) hospitalized at the Medical University of Łódź because of the first myocardial infarction. The questionnaire was prepared especially for the purpose of this study and consisted of two parts. The first part comprised: demographic data, health status at admittance, traditional risk factors for the ischaemic heart disease and was filled-in by physicians. Part II was done by occupational hygiene specialists and referred to education, job title and characteristics, employment data, self assessment of work-related and general stress, fatigue, socio-economic status, physical activity, alcohol intake, tobacco smoking, dietary habits. Results: Mean age in the study group was 59.9±10.4 years (26-85 years), 58.7±10.0 (26-84 years) for men and 62.3±10.7 (32-85 years) for women, employment duration was 32.9±8.8 (4-65 years), for men 34.0±8.6 (5-65 years), for women 30.7±8.8 (4-60 years. Most of myocardial infarction cases both in the group of men and women were noted in the age interval 56-60 years, 22.3% vs. 17.4%, respectively. The majority of examined men were farmers, low and middle management and self-employed workers. Among women prevailed clerks, seamstresses and farmers. The most frequent occupational risk factors were: work-related stress, experienced by 54.2% of the examined subjects, occupational noise (45,5%), dust (41,7%) and various chemical factors (33%). A majority of the study group (76.5% women and 54.4% men) linked the cardiac infarction with stress, while 39.1% men vs. 16.5% women correlated it with physical effort. Conclusion: Our studies indicate that, among a wide spectrum of occupational factors, stress, noise and fine particulate dust are major contributors to the increased risk of myocardial infarction.

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Challenges for research and prevention in relation to work and cardiovascular diseases

Abstract: The following articles refer to this text: 2001;27(3):0; 2002;28(2):0

Cited by 56 publications

References 56 publications

Epidemiologic estimate of the proportion of fatalities related to occupational factors in Finland

Epidemiologic estimate of the proportion of fatalities related to occupational factors in Finland

Effects of stable and changing demand–control histories on worker health

Work-related risk factors of myocardial infarction

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