Risk of Cerebro-Cardiovascular Diseases among Police Officers and Firefighters: A Nationwide Retrospective Cohort Study
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Purpose: Police officers and firefighters are exposed to risk factors for cerebro-cardiovascular diseases, and the actual risk is expectedto increase compared with other occupational groups. The present study aimed to estimate the risks of cerebro-cardiovasculardiseases in police officers and firefighters compared to other occupational groups. Materials and Methods: Using the National Health Insurance Service data, we constructed a retrospective cohort of public officers. Three-year consecutive health insurance registration data were used to identify police officers and firefighters. Cerebro-cardiovasculardiseases consisted of acute myocardial infarction, other ischemic heart disease, cardiac arrhythmia, and stroke. Wecompared the incidences of cerebro-cardiovascular diseases between each of the two occupational groups (police officers andfirefighters) and other public officers by calculating standardized incidence ratios (SIRs). Results: SIRs and 95% confidence intervals of all cerebro-cardiovascular diseases for police officers and firefighters were 1.71(1.66–1.76) and 1.22 (1.12–1.31), respectively, as compared with all public officers. The incidence ratios remained significantlyhigher compared to general and education officers. Subgroup analyses for myocardial infarction, stroke, and cardiac arrhythmiaexhibited significant increases in incidence ratios among police officers and firefighters. Conclusion: This study suggests that both police officers and firefighters are at high risk of cerebro-cardiovascular diseases. Therefore, medical protection measures for these occupational groups should be improved.
Abstract
Purpose: Police officers and firefighters are exposed to risk factors for cerebro-cardiovascular diseases, and the actual risk is expectedto increase compared with other occupational groups. The present study aimed to estimate the risks of cerebro-cardiovasculardiseases in police officers and firefighters compared to other occupational groups. Materials and Methods: Using the National Health Insurance Service data, we constructed a retrospective cohort of public officers. Three-year consecutive health insurance registration data were used to identify police officers and firefighters. Cerebro-cardiovasculardiseases consisted of acute myocardial infarction, other ischemic heart disease, cardiac arrhythmia, and stroke. Wecompared the incidences of cerebro-cardiovascular diseases between each of the two occupational groups (police officers andfirefighters) and other public officers by calculating standardized incidence ratios (SIRs). Results: SIRs and 95% confidence intervals of all cerebro-cardiovascular diseases for police officers and firefighters were 1.71(1.66–1.76) and 1.22 (1.12–1.31), respectively, as compared with all public officers. The incidence ratios remained significantlyhigher compared to general and education officers. Subgroup analyses for myocardial infarction, stroke, and cardiac arrhythmiaexhibited significant increases in incidence ratios among police officers and firefighters. Conclusion: This study suggests that both police officers and firefighters are at high risk of cerebro-cardiovascular diseases. Therefore, medical protection measures for these occupational groups should be improved.
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