Mortality from cancer and other causes among male airline cockpit crew in Europe
Abstract Airline pilots and flight engineers are exposed to ionizing radiation of cosmic origin and other occupational and life‐style factors that may influence their health status and mortality. In a cohort study in 9 European countries we studied the mortality of this occupational group. Cockpit c...
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crwiley:10.1002/ijc.11328 2024-10-13T14:08:29+00:00 Mortality from cancer and other causes among male airline cockpit crew in Europe Blettner, Maria Zeeb, Hajo Auvinen, Anssi Ballard, Terri J. Caldora, Massimiliano Eliasch, Harald Gundestrup, Maryanne Haldorsen, Tor Hammar, Niklas Hammer, Gaël P. Irvine, David Langner, Ingo Paridou, Alexandra Pukkala, Eero Rafnsson, Vilhjálmur Storm, Hans Tulinius, Hrafn Tveten, Ulf Tzonou, Anastasia 2003 http://dx.doi.org/10.1002/ijc.11328 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1002%2Fijc.11328 https://onlinelibrary.wiley.com/doi/pdf/10.1002/ijc.11328 en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor International Journal of Cancer volume 106, issue 6, page 946-952 ISSN 0020-7136 1097-0215 journal-article 2003 crwiley https://doi.org/10.1002/ijc.11328 2024-09-19T04:18:03Z Abstract Airline pilots and flight engineers are exposed to ionizing radiation of cosmic origin and other occupational and life‐style factors that may influence their health status and mortality. In a cohort study in 9 European countries we studied the mortality of this occupational group. Cockpit crew cohorts were identified and followed‐up in Denmark, Finland, Germany, Great Britain, Greece, Iceland, Italy, Norway and Sweden, including a total of 28,000 persons. Observed and expected deaths for the period 1960–97 were compared based on national mortality rates. The influence of period and duration of employment was analyzed in stratified and Poisson regression analyses. The study comprised 547,564 person‐years at risk, and 2,244 deaths were recorded in male cockpit crew (standardized mortality ratio [SMR] = 0.64, 95% confidence interval [CI] = 0.61–0.67). Overall cancer mortality was decreased (SMR = 0.68; 95% CI = 0.63–0.74). We found an increased mortality from malignant melanoma (SMR = 1.78, 95% CI = 1.15–2.67) and a reduced mortality from lung cancer (SMR = 0.53, 95% CI = 0.44–0.62). No consistent association between employment period or duration and cancer mortality was observed. A low cardiovascular mortality and an increased mortality caused by aviation accidents were noted. Our study shows that cockpit crew have a low overall mortality. The results are consistent with previous reports of an increased risk of malignant melanoma in airline pilots. Occupational risk factors apart from aircraft accidents seem to be of limited influence with regard to the mortality of cockpit crew in Europe. © 2003 Wiley‐Liss, Inc. Article in Journal/Newspaper Iceland Wiley Online Library Norway International Journal of Cancer 106 6 946 952 |
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Abstract Airline pilots and flight engineers are exposed to ionizing radiation of cosmic origin and other occupational and life‐style factors that may influence their health status and mortality. In a cohort study in 9 European countries we studied the mortality of this occupational group. Cockpit crew cohorts were identified and followed‐up in Denmark, Finland, Germany, Great Britain, Greece, Iceland, Italy, Norway and Sweden, including a total of 28,000 persons. Observed and expected deaths for the period 1960–97 were compared based on national mortality rates. The influence of period and duration of employment was analyzed in stratified and Poisson regression analyses. The study comprised 547,564 person‐years at risk, and 2,244 deaths were recorded in male cockpit crew (standardized mortality ratio [SMR] = 0.64, 95% confidence interval [CI] = 0.61–0.67). Overall cancer mortality was decreased (SMR = 0.68; 95% CI = 0.63–0.74). We found an increased mortality from malignant melanoma (SMR = 1.78, 95% CI = 1.15–2.67) and a reduced mortality from lung cancer (SMR = 0.53, 95% CI = 0.44–0.62). No consistent association between employment period or duration and cancer mortality was observed. A low cardiovascular mortality and an increased mortality caused by aviation accidents were noted. Our study shows that cockpit crew have a low overall mortality. The results are consistent with previous reports of an increased risk of malignant melanoma in airline pilots. Occupational risk factors apart from aircraft accidents seem to be of limited influence with regard to the mortality of cockpit crew in Europe. © 2003 Wiley‐Liss, Inc. |
format |
Article in Journal/Newspaper |
author |
Blettner, Maria Zeeb, Hajo Auvinen, Anssi Ballard, Terri J. Caldora, Massimiliano Eliasch, Harald Gundestrup, Maryanne Haldorsen, Tor Hammar, Niklas Hammer, Gaël P. Irvine, David Langner, Ingo Paridou, Alexandra Pukkala, Eero Rafnsson, Vilhjálmur Storm, Hans Tulinius, Hrafn Tveten, Ulf Tzonou, Anastasia |
spellingShingle |
Blettner, Maria Zeeb, Hajo Auvinen, Anssi Ballard, Terri J. Caldora, Massimiliano Eliasch, Harald Gundestrup, Maryanne Haldorsen, Tor Hammar, Niklas Hammer, Gaël P. Irvine, David Langner, Ingo Paridou, Alexandra Pukkala, Eero Rafnsson, Vilhjálmur Storm, Hans Tulinius, Hrafn Tveten, Ulf Tzonou, Anastasia Mortality from cancer and other causes among male airline cockpit crew in Europe |
author_facet |
Blettner, Maria Zeeb, Hajo Auvinen, Anssi Ballard, Terri J. Caldora, Massimiliano Eliasch, Harald Gundestrup, Maryanne Haldorsen, Tor Hammar, Niklas Hammer, Gaël P. Irvine, David Langner, Ingo Paridou, Alexandra Pukkala, Eero Rafnsson, Vilhjálmur Storm, Hans Tulinius, Hrafn Tveten, Ulf Tzonou, Anastasia |
author_sort |
Blettner, Maria |
title |
Mortality from cancer and other causes among male airline cockpit crew in Europe |
title_short |
Mortality from cancer and other causes among male airline cockpit crew in Europe |
title_full |
Mortality from cancer and other causes among male airline cockpit crew in Europe |
title_fullStr |
Mortality from cancer and other causes among male airline cockpit crew in Europe |
title_full_unstemmed |
Mortality from cancer and other causes among male airline cockpit crew in Europe |
title_sort |
mortality from cancer and other causes among male airline cockpit crew in europe |
publisher |
Wiley |
publishDate |
2003 |
url |
http://dx.doi.org/10.1002/ijc.11328 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1002%2Fijc.11328 https://onlinelibrary.wiley.com/doi/pdf/10.1002/ijc.11328 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
International Journal of Cancer volume 106, issue 6, page 946-952 ISSN 0020-7136 1097-0215 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1002/ijc.11328 |
container_title |
International Journal of Cancer |
container_volume |
106 |
container_issue |
6 |
container_start_page |
946 |
op_container_end_page |
952 |
_version_ |
1812815171592126464 |