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首页> 外文期刊>Occupational and environmental medicine >A mortality and morbidity study of refinery and petrochemical employees in Louisiana.
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A mortality and morbidity study of refinery and petrochemical employees in Louisiana.

机译：路易斯安那州一家炼油和石化员工的死亡率和发病率研究。

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摘要

AIMS: To examine the mortality experience of 4221 employees from 1973 to 1999 and the illness absence patterns for 2203 employees from 1990 to 1999 of a chemical and refinery facility in Louisiana. METHODS: Mortality and illness absence data were extracted from the Shell Oil Company's health surveillance system (HSS). The standardised mortality ratio was used as a measure of mortality risk. Morbidity frequency and duration of absence were calculated by age, sex, and four health risk factors (cigarette smoking, high blood pressure, hypercholesterolaemia, and obesity). RESULTS: Male employees experienced a significant deficit in mortality for all causes of death, all cancers, lung cancer, heart disease, and respiratory disease compared with the corresponding US population. Brain cancer was non-significantly increased, with six observed and five expected deaths; mortality from leukaemia was consistently lower than expected. The majority of employees had no illness absences of six days or longer during the10 year study period. The loss of productivity (in terms of days of absence) was greater for employees with health risk factors. Ever smoking male employees had a 79% increase of heart disease and more than 50% higher rates of respiratory disease and musculoskeletal disorders compared to non-smokers. Smokers were absent 2.9 and 1.6 more days than non-smokers and ex-smokers, respectively. CONCLUSIONS: Regardless of the comparison population, significantly fewer deaths were seen for all causes combined, all cancers, lung cancer, heart disease, or non-malignant respiratory disease. Illness absence rates and duration were higher among employees with health risk factors.
机译：目的：研究路易斯安那州一家化学和精炼厂从1973年至1999年的4221名员工的死亡率经验以及从1990年至1999年的2203名员工的疾病消失模式。方法：从壳牌石油公司的健康监测系统（HSS）中提取死亡率和疾病缺失数据。标准化死亡率被用作死亡风险的量度。根据年龄，性别和四个健康危险因素（吸烟，高血压，高胆固醇血症和肥胖）计算发病率和缺勤持续时间。结果：与相应的美国人口相比，男性雇员在所有死亡原因，所有癌症，肺癌，心脏病和呼吸系统疾病的死亡率均显着下降。脑癌无明显增加，观察到六例死亡，五例预期死亡。白血病死亡率始终低于预期。在为期10年的研究期内，大多数员工没有缺病6天或更长时间。具有健康风险因素的员工的生产力损失（以缺勤天数计）更大。与不吸烟者相比，曾经吸烟的男性员工心脏病增加了79％，呼吸系统疾病和肌肉骨骼疾病的发生率高出50％以上。吸烟者缺席的天数分别比不吸烟者和前吸烟者多2.9和1.6天。结论：与比较人群相比，所有原因，所有癌症，肺癌，心脏病或非恶性呼吸系统疾病的死亡人数均显着减少。有健康危险因素的员工的疾病缺席率和病程较高。

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