학술논문
Self-reported Cardiovascular Disease in Career Firefighters With and Without World Trade Center Exposure.
Document Type
Article
Author
Source
Subject
*MYOCARDIAL infarction risk factors
*CARDIOVASCULAR disease diagnosis
*TERRORISM
*CARDIOVASCULAR diseases risk factors
*STROKE
*SELF-evaluation
*OCCUPATIONAL exposure
*ANGINA pectoris
*RISK assessment
*QUESTIONNAIRES
*CORONARY artery disease
*INDUSTRIAL hygiene
*DISEASE risk factors
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Language
ISSN
1076-2752
Abstract
Objective: To assess the effect of World Trade Center (WTC) exposure on cardiovascular disease (CVD) in career firefighters. Methods: Firefighters from four US cities completed health questionnaires that provide information about demographics, CVD diagnoses, and CVD risk factors. Firefighters were also compared with respondents of the 2019 National Health Interview Survey. Results: Greater WTC exposure was positively associated with combined coronary artery disease, myocardial infarction, and angina (termed “CAD”) when comparing WTC-exposed with non-WTC–exposed firefighters. Compared with the National Health Interview Survey population, firefighters had lower odds of CAD and stroke. Conclusions: An occupationally appropriate comparison is important to mitigate potential bias from the healthy worker effect. While the risk of CVD in WTC-exposed and non-WTC–exposed firefighters was significantly lower than a general US population, we observed an exposure gradient where greater WTC exposure was associated with greater odds of CVD. [ABSTRACT FROM AUTHOR]