Objectives-The aim of the present case-referent study was to investigate the incidence of myocardial infarction among male professional drivers, taking the type of vehicles and area of residence into account.
Methods-The study base comprised all men aged 30-74 in five counties in middle Sweden during 1976-81 or 1976-84.
Incident cases of the first episode of myocardial infarction were identified from registers of hospital admissions and causes of deaths.
Referents were selected randomly from the study base.
Information about occupation was obtained from the national censuses in 1970 and 1975.
The possible impact from tobacco smoking and overweight were evaluated by simulations in combination with indirect data on these factors.
The incidence of myocardial infarction was increased among bus drivers in Stockholm (relative risk (RR)=1.53,95% confidence interval (95% CI) 1.15-2.05), and among taxi drivers both in Stockholm (RR1.65,95% CI 1.30-2.11) and in the surrounding rural counties (RR 1.82,95% CI 1.17-2.82).
A smaller increase was found among long distance lorry drivers, whereas the relative risk among short distance lorry drivers was close to unity.
Indirect comparisons make it unlikely that the excess among bus drivers in Stockholm could be explained by uncontrolled confounding from tobacco smoking or overweight.
A very high proportion (more than 80%) of urban bus drivers in Sweden report a combination of high psychological demands and low contr...
Mots-clés Pascal : Infarctus, Myocarde, Exposition professionnelle, Homme, Conducteur véhicule, Autobus, Taxi, Camion, Epidémiologie, Médecine travail, Suède, Europe, Milieu rural, Milieu urbain, Appareil circulatoire pathologie, Cardiopathie coronaire, Myocarde pathologie
Mots-clés Pascal anglais : Infarct, Myocardium, Occupational exposure, Human, Vehicle driver, Bus, Taxi, Lorry, Epidemiology, Occupational medicine, Sweden, Europe, Rural environment, Urban environment, Cardiovascular disease, Coronary heart disease, Myocardial disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0194737
Code Inist : 002B12A03. Création : 199608.