Evidence map›Paper›PMID 29391373›Full record

ArticleBMJ open2018

Do police officers and firefighters have a higher risk of disease than other public officers? A 13-year nationwide cohort study in South Korea.

Minkyung Han, Sohee Park, Jong Heon Park, Seung-Sik Hwang, Inah Kim

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
13.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Incidence of and risk factors for lumbar disc herniation with radiculopathy in adults: a systematic review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Pooled it
  2. Pooled it
  3. Measurement of Socioeconomic Position in Research on Cardiovascular Health Disparities in Korea: A Systematic Review.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2019
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Minkyung HanDepartment of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea.
Sohee ParkDepartment of Biostatistics, Graduate School of Public Health, Yonsei University, Seoul, Republic of Korea.
Jong Heon ParkBig Data Steering Department, National Health Insurance Service, Gangwon-do, Republic of Korea.
Seung-Sik HwangDepartment of Public Health Science, Seoul National University Graduate School of Public Health, Seoul, Republic of Korea.
Inah KimDepartment of Occupational and Environmental Medicine, College of Medicine, Hanyang University, Seoul, Republic of Korea.ORCID 0000-0001-9221-5831
Yonsei University · KRHanyang University · KRNational Health Insurance Service · KRSeoul National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe work of public officers involves repeated and long-term exposure to heavy workloads, high job strain and workplace violence, all of which negatively impact physical and mental health. This study aimed to evaluate and compare the incidences of diseases among different categories of public officers in Korea, in order to further understand the health risks associated with these occupations.

designA cohort study using the National Health Insurance data.

participantsWe collated claims data between 2002 and 2014 for 860 221 public officers. PRIMARY AND SECONDARY OUTCOME MEASURES: Age-standardised rates were calculated using the direct standardisation method, and HRs were calculated using the Cox proportional hazard regression models.

resultsOverall, we found that police officers and firefighters had a higher incidence of a range of diseases when compared with national and regional government officers (NRG). The most prominent HRs were observed among police officers for angina pectoris (HR: 1.52, 95% CI 1.49 to 1.54), acute myocardial infarction (HR: 1.84, 95% CI 1.77 to 1.92) and cerebrovascular disease (HR: 1.36, 95% CI 1.31 to 1.40). Firefighters were more susceptible to physical ailments and were at a significantly higher risk for traumatic stress disorders (HR: 1.40, 95% CI 1.26 to 1.56) than NRGs.

conclusionCompared withNRGs, police officers had higher HRs for all measured diseases, except for traumatic stress disorders. While firefighters had higher HRs for almost all diseases examined, public education officers had a higher HR for traumatic stress disorders, when compared with NRGs.

Indexed as

FirefightersPoliceAdultAngina PectorisCardiovascular DiseasesCerebrovascular DisordersCohort StudiesFemaleHumansIncidenceMaleMiddle AgedMyocardial InfarctionNational Health ProgramsOccupational DiseasesOccupational Exposurecohortfirefighterhazard ratiospolice officerpublic officer

Identifiers

PMID29391373
PMCPMC5878257
OpenAlexW2788003116

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.