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Do police officers and firefighters have a higher risk of disease than other public officers? A 13-year nationwide cohort study in South Korea

 Minkyung Han  ;  Sohee Park  ;  Jong Heon Park  ;  Seung-sik Hwang  ;  Inah Kim 
 BMJ OPEN, Vol.8(1) : e019987, 2018 
Journal Title
Issue Date
Adult ; Angina Pectoris/epidemiology ; Angina Pectoris/etiology ; Cardiovascular Diseases/epidemiology ; Cardiovascular Diseases/etiology* ; Cerebrovascular Disorders/epidemiology ; Cerebrovascular Disorders/etiology ; Cohort Studies ; Female ; Firefighters* ; Humans ; Incidence ; Male ; Middle Aged ; Myocardial Infarction/epidemiology ; Myocardial Infarction/etiology ; National Health Programs ; Occupational Diseases/epidemiology ; Occupational Diseases/etiology* ; Occupational Exposure/adverse effects* ; Occupations ; Police* ; Proportional Hazards Models ; Republic of Korea/epidemiology ; Risk Factors ; Stress Disorders ; Traumatic/epidemiology ; Stress Disorders ; Traumatic/etiology* ; Surveys and Questionnaires ; Workload ; Workplace Violence
cohort ; firefighter ; hazard ratios ; police officer ; public officer
OBJECTIVES: The work of public officers involves repeated and long-term exposure to heavy workloads ; high job strain and workplace violence ; all of which negatively impact physical and mental health. This study aimed to evaluate and compare the incidences of diseases among different categories of public officers in Korea ; in order to further understand the health risks associated with these occupations. DESIGN: A cohort study using the National Health Insurance data. PARTICIPANTS: We collated claims data between 2002 and 2014 for 860 221 public officers. PRIMARY AND SECONDARY OUTCOME MEASURES: Age-standardised rates were calculated using the direct standardisation method ; and HRs were calculated using the Cox proportional hazard regression models. RESULTS: Overall ; we found that police officers and firefighters had a higher incidence of a range of diseases when compared with national and regional government officers (NRG). The most prominent HRs were observed among police officers for angina pectoris (HR: 1.52 ; 95% CI 1.49 to 1.54) ; acute myocardial infarction (HR: 1.84 ; 95% CI 1.77 to 1.92) and cerebrovascular disease (HR: 1.36 ; 95% CI 1.31 to 1.40). Firefighters were more susceptible to physical ailments and were at a significantly higher risk for traumatic stress disorders (HR: 1.40 ; 95% CI 1.26 to 1.56) than NRGs. CONCLUSION: Compared withNRGs ; police officers had higher HRs for all measured diseases ; except for traumatic stress disorders. While firefighters had higher HRs for almost all diseases examined ; public education officers had a higher HR for traumatic stress disorders ; when compared with NRGs.
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4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Han, Minkyung(한민경) ORCID logo https://orcid.org/0000-0002-5011-5557
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