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Tytuł:
Trends in premature mortality rates among the Polish population due to cardiovascular diseases
Autorzy:
Moryson, Wacław
Stawińska-Witoszyńska, Barbara
Powiązania:
https://bibliotekanauki.pl/articles/2085679.pdf
Data publikacji:
2022-02-15
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
Polska
mortality
premature mortality
cardiovascular diseases
tobacco smoke pollution
smoking reduction
Opis:
ObjectivesAt the end of the 20th century, after years of negligence in the prevention of cardiovascular diseases, Poland was struggling with very high premature mortality. The period of 1991–2005 brought significant improvements since the general public introduced beneficial dietary modifications. This paper aims to analyze the changes in the rate of premature mortality due to tobacco-dependent cardiovascular diseases in Poland in 2008–2017.Material and MethodsThe time trends of deaths occurring under the age of 65 years caused by ischemic heart disease, cerebrovascular disease, atherosclerosis and aortic aneurysm were analyzed. Both standardized and crude premature mortality rates were used, as well as mortality rates for patients grouped into 5-year age ranges with a breakdown by gender. The joinpoint model was used to determine these time trends.ResultsPremature mortality due to the analyzed cardiovascular diseases decreased linearly in 2008–2017. In the case of ischemic heart disease and cerebrovascular diseases, the decrease amounted to approx. 5% per year, both in the female and male population. However, in the case of atherosclerosis and aortic aneurysms, the rate of mortality reduction ranged 4–7% per year. The reduction concerned all the examined age groups, but with different dynamics. The most considerable annual decrease was observed in the group of patients aged 40–44 years (7.9% for females and 8.9% for males). Along with the increase in age, the dynamics of reduction decreased.ConclusionsIn 2008–2017, Poland experienced a decline in premature mortality due to tobacco-related cardiovascular diseases, particularly in the age group of 40–44 years. The decline may have been associated, among other things, with a reduction in exposure to tobacco smoke, one of the cardiovascular risk factors.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2022, 35, 1; 27-38
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Letter to the Editor (July 28, 2017) concerning the paper “Mortality for chronic-degenerative diseases in Tuscany: Ecological study comparing neighboring areas with substantial difference in environmental pollution”
Autorzy:
Chellini, Elisabetta
Martini, Andrea
Giovannetti, Lucia
Barchielli, Alessandro
Powiązania:
https://bibliotekanauki.pl/articles/2162008.pdf
Data publikacji:
2018-07-04
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
ecological study
Mortality
environmental health
ischemic heart disease
mesothelioma
standardized mortality rate
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2018, 31, 4; 543-546
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Longevity of Polish top-class athletes compared to other social elites and well-known people in the years 2001–2021
Autorzy:
Śmigielski, Witold
Małek, Łukasz
Kwaśniewska, Magdalena
Gajda, Robert
Pawlak-Sobczak, Katarzyna
Korczak, Karol
Cicha-Mikołajczyk, Alicja
Piwońska, Aleksandra
Piwoński, Jerzy
Śmigielski, Janusz
Drygas, Wojciech
Powiązania:
https://bibliotekanauki.pl/articles/45907870.pdf
Data publikacji:
2024-09-10
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
Polska
lifespan
athletes
longevity
premature mortality
elites
Opis:
Objectives The aim of this work is to initiate or revive a scientific discussion on the impact of professional life on the parameters of human lifespan. Material and Methods Presented analysis is based on 8578 Polish elite or well-known person who died in 2001–2021. Results The results of the conducted analysis indicate that in the case of men the highest values of the median age at death were characteristic of freelancers (median [Me] ± quartile deviation [QD] 85.5±8.5 years), followed by scientists and academic teachers of the biological and medical specialty (Me±QD 84.0±7.5 years) and officers of power structures (Me±QD 83.5±8.5 years). Subsequently, the highest value of the median age at death was recorded for social activists (Me±QD 83.0±9.5 years), clergy (Me±QD 82.0±7.5 years) and scientists and academic teachers of specialties other than biological and medical (Me±QD 82.0±8.0 years). Significantly, at the very end of this list are athletes (Me±QD 77.0±9.0 years). Nevertheless, the results of the analysis confirm that professional athletes are characterized by higher median age at death compared to the general population. Analysis made only within athletes group demonstrated that the parameters of lifespan of athletes of endurance disciplines (Me±QD 78.0±8.0 years) are the most favorable compared to athletes of other disciplines, in particular in compare to team sports athletes (Me±QD 75.0±10.0 years) or combat sports athletes (Me±QD 75.0±7.1 years). Conclusions What is new and innovative in this paper is comparing the lifespan characteristics of athletes in comparison to widely represented group of other professions with higher socio-economic status. Unexpectedly, the lifespan of athletes occurred to be lower than for fast all other analyzed occupational groups, except mainly of entertainment musicians. Finally, the results presented in this paper emphasize the need to analyze the lifespan characteristics of athletes in a broader scope than only in relation to the general population.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2024, 37, 3; 335-350
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Poisoning deaths in Poland: Types and frequencies reported in Łódź, Kraków, Sosnowiec, Gdańsk, Wrocław and Poznań during 2009–2013
Autorzy:
Krakowiak, Anna
Piekarska-Wijatkowska, Anna
Kobza-Sindlewska, Katarzyna
Rogaczewska, Anna
Politański, Piotr
Hydzik, Piotr
Szkolnicka, Beata
Kłopotowski, Tomasz
Picheta, Sebastian
Porębska, Barbara
Antończyk, Andrzej
Waldman, Wojciech
Sein Anand, Jacek
Matuszkiewicz, Eryk
Łukasik-Głębocka, Magdalena
Powiązania:
https://bibliotekanauki.pl/articles/2161844.pdf
Data publikacji:
2017-10-06
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
Polska
epidemiology
Mortality
retrospective study
poisoning death
fatal poisonings
Opis:
Objectives The aim of this study has been to assess the characteristics of acute poisoning deaths in Poland over a period of time 2009–2013. Material and Methods The analysis was based on the data obtained from the patient records stored in toxicology departments in 6 cities – Łódź, Kraków, Sosnowiec, Gdańsk, Wrocław and Poznań. Toxicological analyses were routinely performed in blood and/or urine. Major toxic substances were classified to one of the following categories: pharmaceuticals, alcohol group poisonings (ethanol and other alcohols), gases, solvents, drugs of abuse, pesticides, metals, mushrooms, others. Cases were analyzed according to the following criteria: year, age and gender of analyzed patients, toxic substance category and type of poisoning. The recorded fatal poisonings were classified according to the International Classification of Diseases. Results The record of 261 deaths were retrospectively reviewed. There were 187 males (71.64%) and 74 females (28.36%) and the male to female ratio was 2.52. Alcohol group poisonings were more frequently responsible for deaths in men compared to all poisonings, 91.1% vs. 71.6%, respectively (p < 0.05), and pharmaceutical agents were more frequently responsible for deaths in women, 47.4% vs. 28.4%, (p < 0.05). Methanol was the most common agent in the alcohol group poisonings, accounting for 43.75% (N = 49), followed by ethylene glycol, 39.29% (N = 44), and ethanol, 16.96% (N = 19). Conclusions Epidemiological profile data from investigation of poisoning deaths in Poland may be very useful for the development of preventive programs. Int J Occup Med Environ Health 2017;30(6):897–908
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2017, 30, 6; 897-908
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Lag time structure of cardiovascular deaths attributed to ambient air pollutants in Ahvaz, Iran, 2008–2015
Autorzy:
Dastoorpoor, Maryam
Goudarzi, Gholamreza
Khanjani, Narges
Idani, Esmaeil
Aghababaeian, Hamidreza
Bahrampour, Abbas
Powiązania:
https://bibliotekanauki.pl/articles/2160023.pdf
Data publikacji:
2018-07-04
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
air pollution
cardiovascular diseases
death
Mortality
risk assessment
Iran
Opis:
Objectives: There are few studies about the association between breathing polluted air and increased risk of cardiovascular diseases and cardiac death in the Middle East. This study aimed to investigate the relation between air pollutants and cardiovascular mortality (based on ICD-10) in Ahvaz. Material and methods: In this ecological study, the data about cardiovascular disease mortality and air pollutants from March 2008 until March 2015 was inquired from the Ahvaz City Authority and the Khuzestan Province Environmental Protection Agency. The quasi-Poisson, second degree polynomial constrained, distributed lag model; using single and cumulative lag structures, adjusted by trend, seasonality, temperature, relative humidity, weekdays and holidays was used for the data analysis purposes. Results: Findings indicated a direct significant relation between an interquartile range (IQR) increase in ozone and cardiovascular deaths among men after 3 days’ lag. There was also a significant relation between an IQR increase in particulate matter below 10 μm and cardiovascular deaths for all people, over 60 years old and under 18 years old after 3 and 13 days’ lags. There was a significant relation between an IQR increase in nitrogen dioxide and carbon monoxide, and cardiovascular deaths in the case of under 18-year-olds (in the lag 11) and over 60-year-olds (in the lag 9), respectively. We finally found a significant association between an IQR increase in sulfur dioxide and cardiovascular deaths in the case of men, under 18-year-olds and from 18- to 60-year-olds in the lag 9, 0, and 11, respectively (p-values < 0.05). Conclusions: It appears that air pollution is significantly associated with cardiovascular deaths in Ahvaz City. Int J Occup Med Environ Health 2018;31(4):459–473
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2018, 31, 4; 459-473
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Determinants of premature mortality in a city population: An eight-year observational study concerning subjects aged 18–64
Autorzy:
Maniecka-Bryła, Irena
Dziankowska-Zaborszczyk, Elżbieta
Bryła, Marek
Drygas, Wojciech
Powiązania:
https://bibliotekanauki.pl/articles/2179076.pdf
Data publikacji:
2013-10-01
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
premature mortality
survival analysis
cox proportional hazards model
Polska
Opis:
Background: Premature deaths constitute 31.1% of all deaths in Łódź. Analysis of the causes of premature deaths may be helpful in the evaluation of health risk factors. Moreover, findings of this study may enhance prophylactic measures. Material and Methods: In 2001, 1857 randomly selected citizens, aged 18-64, were included in the Countrywide Integrated Noncommunicable Diseases Intervention (CINDI) Programme. In 2009, a follow-up study was conducted and information on the subjects of the study was collected concerning their health status and if they continued to live in Łódź. The Cox proportional hazards model was used for evaluation of hazard coefficients. We adjusted our calculations for age and sex. The analysis revealed statistically significant associations between the number of premature deaths of the citizens of Łódź and the following variables: a negative self-evaluation of health - HR = 3.096 (95% CI: 1.729-5.543), poor financial situation - HR = 2.811 (95% CI: 1.183‑6.672), occurring in the year preceding the study: coronary pain - HR = 2.754 (95% CI: 1.167-6.494), depression - HR = 2.001 (95% CI: 1.222-3.277) and insomnia - HR = 1.660 (95% CI: 1.029-2.678). Our research study also found a negative influence of smoking on the health status - HR = 2.782 (95% CI: 1.581-4.891). Moreover, we conducted survival analyses according to sex and age with Kaplan-Meier curves. Conclusions: The risk factors leading to premature deaths were found to be highly significant but possible to reduce by modifying lifestyle-related health behaviours. The confirmed determinants of premature mortality indicate a need to spread and intensify prophylactic activities in Poland, which is a post-communist country, in particular, in the field of cardiovascular diseases.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2013, 26, 5; 724-741
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Occupational exposure to asbestos is associated with increased mortality in men recruited for a population-based study in Germany
Autorzy:
Repp, Katja
Lorbeer, Roberto
Ittermann, Till
Gläser, Sven
John, Ulrich
Hoffmann, Wolfgang
Völzke, Henry
Powiązania:
https://bibliotekanauki.pl/articles/2177225.pdf
Data publikacji:
2015-07-27
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
Occupational exposure to asbestos
Mortality
cancer
Population based
epidemiology
asbestos
Opis:
Objectives Occupational exposure to asbestos is associated with increased mortality which, however, has not been thoroughly validated in a general population. We have aimed at exploring whether this association may be confirmed within a population-based setting after adjustment for confounders. Furthermore, the impact of tobacco consumption on the association between occupational exposure to asbestos and mortality is assessed. Material and Methods We used data from 2072 (224 exposed) male participants of the Study of Health in Pomerania. Information on exposure to asbestos is based on a selfreport. Median follow-up time was 11.3 years. All-cause mortality and cause-specific mortality of exposed and non-exposed men were compared using mortality rate ratios, Kaplan-Meier analyses and multivariable Cox regression. Results During the follow-up, 52 (23.2%) exposed and 320 (17.3%) non-exposed participants deceased. Exposed subjects had increased hazard ratios (HR) for all-cause mortality (HR=1.48, 95% CI: 1.1–2), benign lung disease mortality (HR=3, 95% CI: 1.18– 7.62) and stomach cancer mortality (HR=4.59, 95% CI: 1.53–13.76). The duration of exposure (per 10 years) was associated with all-cause (HR=1.21, 95% CI: 1.07–1.36) and benign lung disease mortality (HR=1.68, 95% CI: 1.26–2.22). Smokers occupationally exposed to asbestos had the highest risk for all-cause (HR=3.70, 95% CI: 2.19–6.27) and cancer mortality (HR=4.56, 95% CI: 1.99–10.48) as compared to non-asbestos exposed non-smokers. Conclusions Our results confirm associations of occupational exposure to asbestos with all-cause, benign lung disease, and stomach cancer mortality and underline the impact of joint effects of asbestos and smoking on mortality.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2015, 28, 5; 849-862
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The relationship between physical activity level and selected cardiovascular risk factors and mortality of males ≥ 50 years in Poland – The results of follow-up of participants of National Multicenter Health Survey WOBASZ
Autorzy:
Śmigielski, Janusz
Ruszkowska, Joanna
Piotrowski, Walerian
Polakowska, Maria
Bielecki, Wojciech
Hanke, Wojciech
Drygas, Wojciech
Powiązania:
https://bibliotekanauki.pl/articles/2177425.pdf
Data publikacji:
2016-06-28
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
Health
physical activity
workers
Mortality
cardiovascular disease
place of living
Opis:
Objectives The role of leisure-time physical activity in reducing all-cause and cardiovascular mortality is well explored. The knowledge on occupational and commuting physical activity continues to be ambiguous and misleading. The aim of the study is to assess the influence of different kinds of physical activity on cardiovascular mortality risk in men. Material and Methods Data analysis on physical activity level and other selected cardiovascular risk factors acquired from 3577 men in the age between 50–80 years who participated in the National Multicenter Health Survey WOBASZ (Wieloośrodkowe Ogólnopolskie Badanie Stanu Zdrowia), Poland (2003–2005) was linked with male mortality in 2004–2009. Data about causes of deaths were obtained from the Central Statistical Office and the Population Electronic Register. Results Among males aged 50–59 years, the strongest risk factor was living in large settlements and provincial capitals as a place of residence and the most protective factor was occupational physical activity. In the age group 60–69 years and 70–80 years, the strongest protective effect was observed for leisure-time physical activity. In men aged between 70–80 years (unlike in the 50–59 years age group), the protective effect of large settlements and provincial capitals as a place of residence was noted. Conclusions Occupational physical activity significantly reduced cardiovascular mortality in men aged 50–69 years, while for leisure-time activity the positive effect was observed in age group 60–69 years and 70–80 years. On the other hand, for the inhabitants of large settlements and provincial capitals, significantly higher risk of cardiovascular mortality in the age group 50–69 years and lower risk in the age group ≥ 70 years was noted, both in comparison with smaller places of residence.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2016, 29, 4; 633-648
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Short-term health effects of air quality changes during the COVID‑19 pandemic in the City of Novi Sad, the Republic of Serbia
Autorzy:
Dragic, Natasa
Bijelovic, Sanja
Jevtic, Marija
Velicki, Radmila
Radic, Ivana
Powiązania:
https://bibliotekanauki.pl/articles/2086079.pdf
Data publikacji:
2021-05-27
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
mortality
air pollution
particulate matter
public health
environment
health impact assessment
Opis:
ObjectivesThe objective of this research is to determine the change in outdoor air quality during the COVID‑19 related state of emergency resulting in a lockdown and the potential health benefits for the urban population.Material and MethodsDuring 53 days of the COVID‑19 related state of emergency with a lockdown (March 15–May 6, 2020) in the Republic of Serbia, as well as in the corresponding periods of 2018 and 2019, data on the daily sulfur dioxide (SO2), nitrogen dioxide (NO2), ground-level ozone (O3) and particulate matter (PM10 and PM2.5) concentrations were analyzed. The total mortality data were analyzed to estimate the impact of the COVID‑19 related lockdown measures on the burden of health in a given population, attributed to the outdoor air quality in the City of Novi Sad, using AirQ+ software.ResultsThe average daily concentrations of PM2.5, NO2, PM10 and SO2 were reduced by 35%, 34%, 23% and 18%, respectively. In contrast, the average daily concentration of O3 increased by 8%, even if the primary precursors were reducing, thus representing a challenge for air quality management. In the City of Novi Sad, a reduction in the average daily PM2.5 concentration of 11.23 μg/m³ was significant, which resulted in a quantified number of avoided deaths.ConclusionsAir pollution in the City of Novi Sad had a chance to be improved due to some preventive measures related to the infectious disease (the COVID‑19 related lockdown), which in turn was the mitigation measure to air pollution with positive public health effects. The confirmed positive effects of the improved air quality on public health could also include raising collective resistance to mass non-communicable and infectious diseases such as COVID‑19 and reducing economic costs.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2021, 34, 2; 223-237
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The use of chained two-point clusters for the examination of associations of air pollution with health conditions
Autorzy:
Szyszkowicz, Mieczysław
Burr, Wesley S.
Powiązania:
https://bibliotekanauki.pl/articles/2177423.pdf
Data publikacji:
2016-05-25
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
ambient air pollution
Mortality
case-crossover
cluster
relative risk
odds ratio
Opis:
Objectives There are a few accepted and intensively applied statistical methods used to study associations of ambient air pollution with health conditions. Among the most popular methods applied to assess short term air health effects are case-crossover (using events) and time-series methodologies (using counts). A few other techniques for studying counts of events have been proposed, including the Generalized Linear Mixed Models (GLMM). One suggested GLMM technique uses cluster structures based on natural embedded hierarchies: days are nested in the days of a week (dow), which, in turn, are nested in months and months in years (< dow, month, years >). Material and Methods In this study the authors considered clusters with hierarchical structures in a form of < dow, 14-days, year >, where the 14-days hierarchy determines 7 clusters composed of 2 days (the same days) of a week (2 Mondays, 2 Tuesdays, etc.), in 1 year. In this work the authors proposed hierarchical chained clusters in which 2 days of a week are grouped as follows: (first, second), (second, third), (third, fourth) and so on. Such an approach allows determination of an additional series of the slopes on the clusters (second, third), (fourth, fifth), etc., i.e., estimation of the coefficients for other configurations of air pollutant levels. The authors considered a series of 2 point chained clusters covering a year. In such a construction each cluster has one common data point (day) with another one. Results The authors estimated coefficients (slopes) related to the ambient ozone exposure (mortality) and to 3 selected air pollutants (particulate matter, nitrogen dioxide and ozone) combined into index and considered as health risk exposure (emergency department (ED) visits). The generated results were compared to the estimations obtained from the time-series method and the time-stratified case-crossover method applied to the same data. Conclusions The proposed statistical method, based on the chained hierarchical clusters (< dow, 14-days, year >), generated results with shorter confidence intervals than the other methods.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2016, 29, 4; 613-622
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Ischaemic heart disease among workers in occupations associated with heavy lifting
Autorzy:
Hannerz, Harald
Holtermann, Andreas
Powiązania:
https://bibliotekanauki.pl/articles/2177445.pdf
Data publikacji:
2015-09-15
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
occupational epidemiology
cohort studies
heavy lifting
cardiovascular disease
hospital treatment
Mortality
Opis:
Objectives To investigate a hypothesized positive association between employment in occupations where heavy lifting is likely to occur, and the risk of ischaemic heart disease (IHD). Material and Methods Male blue-collar workers from Denmark (N = 516 180) were monitored with respect to hospital treatment or death due to IHD, through national registers over the years 2001–2010. Poisson regression was used to estimate relative rates of IHD between “workers in occupations which, according to an expert opinion, are likely to involve heavy lifting” and “other blue-collar workers.” Prevalent cases were excluded from the analysis. Results The rate ratio was estimated at 0.97 (95% confidence interval (CI): 0.94–1.00) for deaths or hospitalizations due to IHD and 1.07 (95% CI: 0.94–1.21) for deaths due to IHD. Conclusions The results do not support the hypothesis that occupational heavy lifting is an important risk factor for IHD.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2016, 29, 1; 129-136
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Job stress and mortality in older age
Autorzy:
Tobiasz-Adamczyk, Beata
Brzyski, Piotr
Florek, Marzena
Brzyska, Monika
Powiązania:
https://bibliotekanauki.pl/articles/2179143.pdf
Data publikacji:
2013-06-01
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
job stress
job demand
job control
efforts
rewards
mortality in older age
Opis:
Objectives: This paper aims to assess the relationship between the determinants of the psychosocial work environment, as expressed in terms of JDC or ERI models, and all-cause mortality in older individuals. Materials and Methods: The baseline study was conducted on a cohort comprising a random sample of 65-year-old community-dwelling citizens of Kraków, Poland. All of the 727 participants (410 women, 317 men) were interviewed in their households in the period between 2001 and 2003; a structured questionnaire was used regarding their occupational activity history, which included indexes measuring particular dimensions of their psychosocial work environment based on Karasek's Job Demand-Control model and Siegrist's Effort-Reward Imbalance model, as well as health-related quality of life and demographic data. Mortality was ascertained by monitoring City Vital Records for 7 years. Analyses were conducted separately for men and women, with the multivariate Cox proportional hazard model. Results: During a 7-year follow-up period, 59 participants (8.1%) died, including 21 women (5.1% of total women) and 38 men (12%) (p < 0.05). Significant differences in the number of deaths occurred regarding disproportion between physical demands and control in men: those with low physical demands and low control died three times more often than those with high control, regardless of the level of demands. The multivariate Cox proportional hazard model showed that significantly higher risk of death was observed only in men with low physical demands and low control, compared to those with low physical demands and high control (Exp(B) = 4.65, 95% CI: 1.64-13.2). Conclusions: Observed differences in mortality patterns are similar to the patterns of relationships observed in health-related quality of life (HRQoL) level at the beginning of old age; however, the relationship between efforts and rewards or demands and control and mortality was not fully confirmed.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2013, 26, 3; 349-362
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Hospital medical care and the COVID-19 mortality in METEOR partner countries (the Netherlands, Belgium, Italy, and Poland)
Autorzy:
Kowalska, Małgorzata
de Winter, Peter
Godderis, Lode
Boone, Anke
Szemik, Szymon
Powiązania:
https://bibliotekanauki.pl/articles/21375684.pdf
Data publikacji:
2023-09-07
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
epidemiologic studies
COVID-19
SARS-CoV-2
medical staff
mortality rate
healthcare systems
Opis:
Objectives Healthcare systems in European countries, including METEOR partner countries, are faced with the aging population, an increase in costs for innovative technologies and medication, a shortage of health professionals, and inequality in access to healthcare. Presented paper aimed to recognize and compare the functioning of healthcare systems between METEOR partner countries and simultaneously check if the current epidemiological situation of COVID-19 has some relationship with the number of medical staff, yearly gross domestic product, or documented percentage of fully vaccinated people. Material and Methods In the model of descriptive epidemiological study, available demographic, socioeconomic, and healthcare organizational data in the Netherlands, Belgium, Italy, and Poland were compared to the epidemiological situation of the COVID-19 pandemic (percentage of fully vaccinated people, incidence, and mortality) in all mentioned countries. Results Obtained data confirmed that the lowest number of physicians, as well as the life expectancy and gross domestic product per capita, is in Poland. Simultaneously, the lower number of medical staff and lower gross domestic product (GDP) correspond to higher mortality due to COVID-19. The percentage of fully vaccinated with the last dose of the primary series was also the lowest in Poland. Conclusions Obtained results confirmed that higher mortality due to COVID-19 in METEOR participants’ countries is related to a lower number of medical staff and weaker GDP. The worse situation was noted in Poland, a country with problems in the functioning healthcare system, including hospital care and a serious shortage of practicing medical staff.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2023, 36, 3; 417-427
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Comparison of lung cancer risk in black-coal miners based on mortality and incidence
Autorzy:
Tomášková, Hana
Šplíchalová, Anna
Šlachtová, Hana
Jirák, Zdeněk
Powiązania:
https://bibliotekanauki.pl/articles/2085719.pdf
Data publikacji:
2020-09-24
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
lung cancer
aging
standardized mortality ratio
standardized incidence ratio
misleading results
coal workers’ pneumoconiosis
Opis:
BackgroundCancer risk (especially as regards lung cancer) in black-coal miners is mainly analyzed on the basis of mortality. The risk calculated based on mortality may differ from the values based on incidence. The aim of the study was to compare cancer risk in black-coal miners with and without coal workers’ pneumoconiosis (CWP), based on data on mortality and the incidence of lung cancer in the Czech Republic in 1992–2013.Material and MethodsThe cohort without CWP was composed of 6687 miners, and the cohort with CWP of 3476 miners. Information on the incidence of lung cancer was obtained from the Czech National Oncological Register (NOR), and information on mortality from the National Population Register. The risk of lung cancer incidence was compared with the general male population in the Czech Republic using the standardized incidence ratio (SIR), and the risk of lung cancer mortality using the standardized mortality ratio (SMR), with the 95% CI.ResultsIn miners with CWP, a lower SMR value was found, SMR = 1.70 (95% CI: 1.41–2.04), compared with the SIR value, SIR = 2.01 (95% CI: 1.70–2.36). In miners without CWP, this was opposite, the value of SIR = 0.81 (95% CI: 0.69–0.94) was lower than the value of SMR = 0.83 (95% CI: 0.70–0.98). In miners without CWP, 17 cases of lung cancer (out of 176 cases in total) were not registered in NOR. In miners with CWP, the share of not registered cases was significantly lower (p = 0.018), and it was represented by 3% of not registered lung cancer cases, out of 156 cases with the diagnosis of lung cancer.ConclusionsIn spite of the difference between SIR and SMR, the results of both indicators were consistent with the resulting relationship between the lung cancer risk and CWP.
Źródło:
Medycyna Pracy; 2020, 71, 5; 513-518
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Trendy nadumieralności mężczyzn w wieku produkcyjnym w województwie o najwyższych współczynnikach zgonów w Polsce
Trends in excess male mortality in the working age population in a region with the highest mortality rates in Poland
Autorzy:
Ciabiada-Bryła, Beata
Pikala, Małgorzata
Burzyńska, Monika
Drygas, Wojciech
Maniecka-Bryla, Irena
Powiązania:
https://bibliotekanauki.pl/articles/2085536.pdf
Data publikacji:
2020-05-15
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
trendy czasowe
województwo łódzkie
nadumieralność mężczyzn
umieralność przedwczesna
populacja w wieku produkcyjnym
nierówności w stanie zdrowia
time trends
Łódź region
excess male mortality
premature mortality
working age population
inequalities in health status
Opis:
WstępW 2014 r. natężenie przedwczesnych zgonów w województwie łódzkim wynosiło 40 na 10 000 osób i było najwyższe w kraju (średnia dla Polski: 32). Nadumieralność mężczyzn przed 65 r.ż. pozostaje poważnym problemem medycznym i społecznym. Celem pracy była analiza trendów czasowych nadumieralności mężczyzn w wieku produkcyjnym w województwie łódzkim ogółem i według najważniejszych przyczyn zgonów. Celem pracy jest analiza trendów czasowych nadumieralności mężczyzn w wieku produkcyjnym w województwie łódzkim ogółem i według najważniejszych przyczyn zgonów.Materiał i metodyMateriał badawczy stanowią dane o 144 589 zgonach mieszkańców województwa łódzkiego w wieku 20–64 lat w latach 1999–2014. Obliczono rzeczywiste i standaryzowane współczynniki umieralności, a także wskaźniki nadumieralności mężczyzn ogółem i według przyczyn. Do standaryzacji posłużyła metoda bezpośrednia według standardowej populacji europejskiej. Badanie trendów czasowych przeprowadzono za pomocą analizy regresji joinpoint. Oszacowano średnioroczne procentowe tempa zmian.WynikiW latach 1999–2014 w województwie łódzkim wskaźnik nadumieralności mężczyzn w wieku produkcyjnym zmniejszył się z 2,9 do 2,8. W 2014 r. głównymi przyczynami zgonów mężczyzn w wieku 20–64 lat były choroby układu krążenia (19,1 na 10 000 osób), nowotwory złośliwe (16,6) i przyczyny zewnętrzne (12,3). U kobiet były nimi nowotwory złośliwe (11,1), choroby układu krążenia (5,1) i choroby układu trawiennego (2,1). W badanym okresie wskaźnik nadumieralności mężczyzn w wieku 20–64 lat osiągał najwyższe wartości z powodu zewnętrznych przyczyn zgonu (5,1–7,3) i chorób układu krążenia (3,0–3,7). Największe tempo spadku wskaźnika nadumieralności w latach 1999–2014 odnotowano w przypadku nowotworów złośliwych, średnio 1,4% rocznie (p < 0,05). Najszybszy wzrost dotyczył natomiast zewnętrznych przyczyn zgonu, średnio 1,0% rocznie (p < 0,05).WnioskiMimo redukcji natężenia zgonów w obu grupach płci zwiększyła się nadumieralność mężczyzn z powodu zewnętrznych przyczyn zgonu i chorób układu krążenia.
BackgroundThe intensity of premature deaths in the Łódź region in 2014 amounted to 40 per 10 000, and was the highest in the country (the average rate for Poland was 32). Excess mortality of men aged <65 continues to be a major medical and social problem. The aim of the study is to analyze time trends of excess male mortality in the working age population in the Łódź region, both in general and due to the most important causes of deaths.Material and MethodsThe research material consists of information on 144 589 deaths of the Łódź region inhabitants aged 20–64 in 1999–2014. Crude and standardized mortality rates were calculated, as well as excess male mortality rates both in general and by cause of death. Standardization was carried out using the direct method according to the standard European population. A study of time trends was performed with the use of the joinpoint regression analysis. Average annual percentage rates of changes were estimated.ResultsThe excess mortality rate of men at the productive age decreased from 2.9 to 2.8 in the Łódź region in 1999–2014. The most important causes of death among men aged 20–64 in 2014 were (rates per 10 000): cardiovascular diseases (19.1), malignant neoplasms (16.6) and external causes of death (12.3). Among women, the most significant were malignant neoplasms (11.1), cardiovascular diseases (5.1) and diseases of the digestive system (2.1). The excess mortality rate of men aged 20–64 in the analyzed period reached the highest values due to external causes of death (5.1–7.3) and cardiovascular diseases (3.0–3.7). The highest rate of the decline in excess male mortality in 1999–2014 was recorded due to malignant neoplasms, on average 1.4% per year (p < 0.05). Meanwhile, the fastest growth concerned external causes of death, on average 1.0% per year (p < 0.05).ConclusionsDespite the decline in the mortality rates among both sexes, excess male mortality due to external causes of death and cardiovascular diseases increased.
Źródło:
Medycyna Pracy; 2020, 71, 3; 325-335
0465-5893
2353-1339
Pojawia się w:
Medycyna Pracy
Dostawca treści:
Biblioteka Nauki
Artykuł
Wyświetlanie 1-15 z 18

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