Sa. Hwang et al., MORTALITY AMONG NEW-YORK-STATE HIGHWAY MAINTENANCE WORKERS - 1958-1980, International archives of occupational and environmental health, 67(4), 1995, pp. 225-235
The mortality profile of 9585 male New York State Department of Transp
ortation (NYSDOT) highway maintenance workers was examined by calculat
ing age-era standard mortality ratios (SMRs), using the general male p
opulation of upstate New York as a reference group, for the period 195
8-1980. The SMR for all workers was 1.14 (95% CI = 1.09, 1.18), with t
he greatest all-cause mortality among laborers (SMR = 1.23, 95% CI = 1
.16, 1.29). The major contributors to this increase among laborers wer
e circulatory system diseases (SMR = 1.18, 95% CI = 1.10; 1.27), disea
ses of the respiratory system (SMR = 1.34, 95% CI = 1.09, 1.64), diges
tive system diseases (SMR = 1.57, 95% CI = 1.26, 1.94), genitourinary
system diseases (SMR = 1.61, 95% CI = 1.02, 2.41) and accidents, poiso
n, and violence (SMR = 1.44, 95% CI = 1.19, 1.74). Some of the elevate
d risks observed may be attributed to cigarette smoking and other life
style factors that could not be assessed with the data available. Howe
ver, the mortality risks for laborers increased with length of employm
ent and latency, suggesting that occupational exposures may be contrib
uting to the elevated risk in this cohort. Further studies should incl
ude information on life-style variables and other confounders as well
as more detail on specific occupational exposures.