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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

DC FieldValueLanguage
dc.contributor.author한민경-
dc.date.accessioned2018-11-29T16:56:33Z-
dc.date.available2018-11-29T16:56:33Z-
dc.date.issued2018-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/165931-
dc.description.abstractOBJECTIVES: 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.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisherBMJ Publishing Group Ltd-
dc.relation.isPartOfBMJ OPEN-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAngina Pectoris/epidemiology-
dc.subject.MESHAngina Pectoris/etiology-
dc.subject.MESHCardiovascular Diseases/epidemiology-
dc.subject.MESHCardiovascular Diseases/etiology*-
dc.subject.MESHCerebrovascular Disorders/epidemiology-
dc.subject.MESHCerebrovascular Disorders/etiology-
dc.subject.MESHCohort Studies-
dc.subject.MESHFemale-
dc.subject.MESHFirefighters*-
dc.subject.MESHHumans-
dc.subject.MESHIncidence-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMyocardial Infarction/epidemiology-
dc.subject.MESHMyocardial Infarction/etiology-
dc.subject.MESHNational Health Programs-
dc.subject.MESHOccupational Diseases/epidemiology-
dc.subject.MESHOccupational Diseases/etiology*-
dc.subject.MESHOccupational Exposure/adverse effects*-
dc.subject.MESHOccupations-
dc.subject.MESHPolice*-
dc.subject.MESHProportional Hazards Models-
dc.subject.MESHRepublic of Korea/epidemiology-
dc.subject.MESHRisk Factors-
dc.subject.MESHStress Disorders-
dc.subject.MESHTraumatic/epidemiology-
dc.subject.MESHStress Disorders-
dc.subject.MESHTraumatic/etiology*-
dc.subject.MESHSurveys and Questionnaires-
dc.subject.MESHWorkload-
dc.subject.MESHWorkplace Violence-
dc.titleDo police officers and firefighters have a higher risk of disease than other public officers? A 13-year nationwide cohort study in South Korea-
dc.typeArticle-
dc.contributor.collegeGraduate School of Public Health (보건대학원)-
dc.contributor.departmentGraduate School of Public Health (보건대학원)-
dc.contributor.googleauthorMinkyung Han-
dc.contributor.googleauthorSohee Park-
dc.contributor.googleauthorJong Heon Park-
dc.contributor.googleauthorSeung-sik Hwang-
dc.contributor.googleauthorInah Kim-
dc.identifier.doi10.1136/bmjopen-2017-019987-
dc.contributor.localIdA05436-
dc.relation.journalcodeJ00380-
dc.identifier.eissn2044-6055-
dc.identifier.pmid29391373-
dc.subject.keywordcohort-
dc.subject.keywordfirefighter-
dc.subject.keywordhazard ratios-
dc.subject.keywordpolice officer-
dc.subject.keywordpublic officer-
dc.contributor.alternativeNameHan ; Minkyung-
dc.contributor.affiliatedAuthor한민경-
dc.citation.volume8-
dc.citation.number1-
dc.citation.startPagee019987-
dc.identifier.bibliographicCitationBMJ OPEN, Vol.8(1) : e019987, 2018-
Appears in Collections:
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers

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