Age-period-cohort and occupational effects on causes ofdeath and cancer mortality in Taiwan 1987-2007

• Main Authors: Sheng-fong Wang, 王聖豐
• Other Authors: Pei-fen Wu
• Format: Others
• Language: zh-TW
• Published: 2012
• Online Access: http://ndltd.ncl.edu.tw/handle/22799371300708966539

碩士 === 大仁科技大學 === 環境管理研究所 === 100 === In recent years, occupational-related disease and died incidents and the issue itself has been getting more and more attention in Taiwan. Recent studies show that the number of occupational diseases seems to be underestimated. Mortality data for the years 1987 through 2007 were retrieved from Taiwan’s National Mortality Registry, Department of Health. The International Classification of Disease-9th Revision-Clinical Modification(ICD-9-CM) code was used to identify deaths in which the underlying-cause-of-death. The occupational types were derived from the Directorate General of Budget, Accounting and Statistics, Executive Yuan, R.O.C.. To investigate the birth cohort effect on occupational disease mortality in Taiwanese between 1987 and 2007, an age-period-cohort (APC) model analysis is employed to study the effects of age, time periods, birth cohorts and occupational types of disease and cancer and suicide and accident. In these studies, we have the following findings：（1）The Agricultural was higher than service workers and shop and market sales workers in all causes of mortality trends. The occupational LRS（deviance=215374.44, df=9）：the service workers and shop and market sales workers had the highest RR,5.06 in age-period-cohort (APC) model.The age LRS（deviance=531492.07, df=9）：the older had the higest RR.（2）the higher death of disease species were heart and cerebrovascular disease for executives , professionals , agricultural etc., service workers and shop and market sales workers. The Relative risk estimate were very similar of the occupational, but the second highest disease at diabetes mellitus of agricultural etc..（3）the men and women of lung and liver cancers were the higher at agricultural etc., service workers and shop and market sales workers.（4）The men accidents ratio were the higher than women 4-7 times, and all mortality trends a gradual fall was evident.