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Cardiovascular Disease, Digestive Diseases, Traffic Accidents, and Suicides

Leading Causes of Death Responsible for Excess Mortality in Farmers in Spain

Zhao, Guanlan, MD; Regidor, Enrique, PhD; Astasio, Paloma, PhD; Ortega, Paloma, PhD; Barrio, Gregorio, PhD; Ronda, Elena, PhD

Journal of Occupational and Environmental Medicine: May 2019 - Volume 61 - Issue 5 - p e212–e216
doi: 10.1097/JOM.0000000000001571
ORIGINAL ARTICLES
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Objective: The aim of this study was to compare mortality from the leading causes of death in farmers and in all other workers.

Methods: Mortality by cause of death was calculated from a longitudinal study in which 9.5 million men were followed up for 10 years. We estimated the contribution of the causes of death to the difference in all-cause mortality.

Results: Most of the excess in all-cause mortality in farmers was due to cardiovascular diseases, digestive diseases, and external causes, which contributed 22.3%, 17.2%, and 53.3% to the difference in all-cause mortality, respectively. Traffic accidents and suicide were the main contributors to the excess mortality from external causes.

Conclusion: Farmers are a vulnerable group in terms of health, thus there is a need to identify the factors that influence excess mortality from cardiovascular diseases, digestive diseases, traffic accidents, and suicide.

Department of Community Nursing, Preventive Medicine and Public Health and History of Science, Universidad de Alicante, Alicante, Spain (Drs Zhao, Ronda); Department of Public Health and Maternal & Child Health, Faculty of Medicine, Universidad Complutense de Madrid, Madrid, Spain (Drs Regidor, Astasio, Ortega); Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain (Drs Regidor, Astasio, Ortega); CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain (Drs Regidor, Ronda); and National School of Public Health, Instituto de Salud Carlos III, Madrid, Spain (Dr Barrio).

Address correspondence to: Enrique Regidor, PhD, Department of Public Health and Maternal & Child Health, Faculty of Medicine, Universidad Complutense de Madrid, Ciudad Universitaria, 28040 Madrid, Spain (enriqueregidor@hotmail.com).

Guanlan Zhao, Enrique Regidor, and Elena Ronda originated and designed the study and coordinated the writing of the article. Enrique Regidor contributed to obtaining the data. Guanlan Zhao and Elena Ronda contributed to the analysis of the data and to the drafting of the paper. Paloma Astasio y Paloma Ortega contributed to the interpretation of the results and to the drafting of the paper. Gregorio Barrio contributed to the design of the study and to the drafting of the paper. All authors contributed to the final version of the article.

The study was approved by the Ethics Committee of University of Alicante.

Most of the excess in all-cause mortality in farmers was due to external causes (traffic accidents and suicide), cardiovascular diseases, and digestive diseases. There is a need to identify the factors that influence excess mortality from these causes of death.

The authors have no conflicts of interest.

Copyright © 2019 by the American College of Occupational and Environmental Medicine