就业和死亡率部门:基于不同行政档案的队列
Lisa Bauleo1, Stefania Massari2, Claudio Gariazzo2
1Department of Epidemiology-Lazio Regional Health Service, ASL Roma 1, 00147 Rome, Italy.
概括
这项研究使用国家社会保险局数据将职业部门与死亡率联系起来. 在食品生产,金属加工,建筑和男性清洁服务等行业中发现了高死亡风险.
科学领域:
- 职业健康 职业健康 职业健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 行政数据,例如来自国家社会保险局 (INPS),可以整合跨部门的信息.
- 之前的研究并没有广泛利用INPS数据将职业部门与死亡风险联系起来.
研究的目的:
- 通过使用行政数据,调查职业部门之间的关联以及非意外和意外死亡率.
- 确定特定的高风险职业部门和易受影响的人口群体.
主要方法:
- 利用INPS数据对1974-2011年罗马私营部门工作人员 (2011年人口普查队列) 的数据.
- 将职业分为25个类别,并分析了"从未/从未"或"终身流行"的暴露.
- 采用考克斯回归来计算2011-2019年死亡率的危险比率 (HR) 和95%信心区间 (95%CI).
主要成果:
- 分析包括910,559个人,跟踪700万人年,59,200人非意外死亡和2560人意外死亡.
- 在男性中,在食品/烟草生产,金属加工,鞋类/木材,建筑,酒店/餐厅和清洁服务行业观察到较高的非意外死亡风险.
- 在女性中,较高的死亡率与酒店/餐厅和清洁服务有关. 金属加工和建筑业显示,男性意外死亡率增加.
结论:
- 社会保险机构的行政数据可以有效地识别高风险的职业部门.
- 某些特定行业,包括金属加工和建筑业,对意外死亡的风险增加,尤其是男性.
- 这些发现强调了有针对性的公共卫生干预措施的潜力,以减轻职业风险.
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