Mortality among Swedish seafarers 1985–2013

IF 2.7 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH American journal of industrial medicine Pub Date : 2024-09-30 DOI:10.1002/ajim.23662

Helena P. Eriksson PhD, Maria Wallin PhD, Eva Andersson PhD

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Abstract

Aim

The aim was to investigate mortality among Swedish seafarers compared to the general population, and differences in mortality between occupational categories and differences over time.

Methods

Longitudinal register-based cohort study of 85,169 Swedish seafarers registered in the Swedish Transport Agency's Seafarers’ Registry (SR) 1985–2013. The cohort was matched with the Swedish Cause of Death Register. Standardized mortality ratios (SMRs) and 95% confidence intervals (CIs) were calculated stratified by gender, job category, start of sea service, and time registered in the SR. Seafarers were followed until 66 years of age. Mortality by diseases was analyzed for seafarers with at least 5 years of sea service and mortality due to external causes was analyzed for all seafarers.

Results

Total mortality was increased among men who started to work before 1985 (SMR: 1.27, 95% CI: 1.21–1.32) and borderline significantly increased among women (SMR: 1.14, 95% CI: 0.99–1.32). Mortality ratios due to lung cancer, accidents, suicides, and mental disorders including substance abuse, were increased among seafarers who started to work before 1985. Mortality risks were particularly increased among the crew. SMRs tended to decrease over time, but mortality due to accidents was still increased among the crew who started to work 1985 or later (SMR: 1.64, 95% CI: 1.02–2.63).

Conclusion

Swedish seafarers had an increased mortality compared to the general population in 1985–2013, particularly the crew. There is still an increased mortality in accidents among crew who started to work 1985 or later.

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1985-2013 年瑞典海员死亡率。

目的：旨在调查瑞典海员与普通人群相比的死亡率，以及不同职业类别之间的死亡率差异和不同时期的差异：对 1985-2013 年瑞典运输署海员登记处 (SR) 登记的 85,169 名瑞典海员进行纵向登记队列研究。该队列与瑞典死因登记册进行了比对。按照性别、工作类别、出海服务起始时间和在 SR 中登记的时间计算标准化死亡率 (SMR) 和 95% 置信区间 (CI)。对海员的跟踪调查一直持续到 66 岁。对在海上服务至少 5 年的海员按疾病分类的死亡率进行了分析，对所有海员因外部原因造成的死亡率进行了分析：结果：1985 年前开始工作的男性总死亡率有所上升（SMR：1.27，95% CI：1.21-1.32），而女性总死亡率则略有上升（SMR：1.14，95% CI：0.99-1.32）。在 1985 年前开始工作的海员中，肺癌、事故、自杀和精神障碍（包括药物滥用）导致的死亡率都有所上升。船员的死亡风险尤其增加。随着时间的推移，SMR 有下降的趋势，但在 1985 年或之后开始工作的船员中，因事故导致的死亡率仍有所上升（SMR：1.64，95% CI：1.02-2.63）：结论：1985 年至 2013 年期间，瑞典海员的死亡率高于普通人群，尤其是船员。1985年或之后开始工作的船员在事故中的死亡率仍然较高。

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来源期刊

American journal of industrial medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.90

自引率

5.70%

发文量

108

审稿时长

4-8 weeks

期刊介绍： American Journal of Industrial Medicine considers for publication reports of original research, review articles, instructive case reports, and analyses of policy in the fields of occupational and environmental health and safety. The Journal also accepts commentaries, book reviews and letters of comment and criticism. The goals of the journal are to advance and disseminate knowledge, promote research and foster the prevention of disease and injury. Specific topics of interest include: occupational disease; environmental disease; pesticides; cancer; occupational epidemiology; environmental epidemiology; disease surveillance systems; ergonomics; dust diseases; lead poisoning; neurotoxicology; endocrine disruptors.