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Low mortality and myocardial infarction incidence among flying personnel during working career and beyond.
MedLine Citation:
PMID:  21103803     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: The aim of this study was to evaluate mortality and acute myocardial infarction (AMI) incidence among commercial and military flying personnel in Sweden. METHODS: Flying personnel at the Swedish part of Scandinavian Airlines and the Swedish Armed Forces, employed at some point between 1957-1994, were included. The cohort was followed regarding mortality and AMI incidence using national registers of hospital discharges and deaths. The observed mortality and AMI incidence was compared with the expected rate in the general Swedish population through standardized mortality ratios (SMR) and standardized incidence ratios (SIR) taking age, gender and calendar year into account. RESULTS: Swedish flying personnel, except male cabin crew, had a lower than expected all-cause mortality (SMR from 0.57 among female cabin crew to 0.79 among navigators and mechanics; male cabin crew 0.89) and cardiovascular mortality (SMR from 0.31 among female cabin crew to 0.79 among navigators and mechanics). We observed an elevated mortality in aircraft accidents (SMR ranging from 23.87 among commercial pilots to 165.68 among military pilots). Male cabin attendants had a higher than expected mortality for alcohol-related death causes and acquired immunodeficiency syndrome (AIDS). AMI incidence was reduced in all groups and across the lifespan (SIR between 0.13 among female cabin crew and 0.61 among navigators and mechanics). CONCLUSIONS: Swedish flying personnel have a low all-cause mortality. This is mostly due to a reduced cardiovascular mortality reflecting a low AMI incidence during the working life as well as after retirement.
Authors:
Anette Linnersjö; Lars-Åke Brodin; Carin Andersson; Lars Alfredsson; Niklas Hammar
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2010-11-22
Journal Detail:
Title:  Scandinavian journal of work, environment & health     Volume:  -     ISSN:  1795-990X     ISO Abbreviation:  Scand J Work Environ Health     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7511540     Medline TA:  Scand J Work Environ Health     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Institute of Environmental Medicine, Unit of Cardiovascular Epidemiology, Karolinska Institutet, S-171 77 Stockholm, Sweden. anette.linnersjo@ki.se.
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