Evidence map›Paper›PMID 39612966›Full record

ArticleAmerican journal of preventive medicine2025

Mortality Risks of U.S. Healthcare Workers.

Mark Olfson, Candace M Cosgrove, Melanie M Wall, Carlos Blanco

Abstract read
In one paragraph

Article in American journal of preventive medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Occupational radiation exposure and cause-specific mortality in a cohort of Canadian medical workers.International archives of occupational and environmental health · 2026
    Article
  2. Article
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

4 authors.

Mark OlfsonDepartment of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, New York. Electronic address: mo49@cumc.columbia.edu.
Candace M CosgroveUnited States Census Bureau, Mortality Research Group, Suitland, Maryland.
Melanie M WallDepartment of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, New York.
Carlos BlancoNational Institute on Drug Abuse, Division of Epidemiology, Services, and Prevention Research, Rockville, Maryland.

Funding

Mechanisms of Bisphenol A Effects on Female MeiosisF32ES026010 · NIEHS · WASHINGTON STATE UNIVERSITY · PI SARTAIN, CAROLINE · 2015 to 2016
$92k
Intramural NIH HHS Z99 DA999999NIEHS NIH HHS F32 ES026010
6 · The paper itself

Abstract

introductionPhysicians and nurses have lower annual mortality rates than the general population. One explanation for the low mortality rates of these healthcare workers emphasizes their specialized medical knowledge and greater access to healthcare while a second emphasizes their generally higher level of education. This study evaluated the extent to which general educational level accounts for the lower all-cause mortality rates of U.S. healthcare than non-healthcare workers. It also compared cause-specific mortality risks of healthcare and non-healthcare workers.

methodsA nationally representative sample of healthcare workers (n=176,000) and non-healthcare workers (n=1,662,000) from the 2008 American Community Survey (n=3,310,000) was followed through 2019 for mortality. Cox models estimated hazard ratios of all-cause and cause-specific mortality for 6 healthcare worker groups. Analyses were performed in 2024.

resultsAge- and sex-standardized all-cause death rates per 100,000 were lower for healthcare (370.7; 95% CI=361.5, 379.9) than non-healthcare (442.2; 95% CI=439.2, 445.2) workers (p<0.001). However, this difference was not evident after additionally adjusting for level of education (aHR=1.00; 0.97, 1.02). In fully adjusted models, hazards of mortality were lower for healthcare than non-healthcare workers for cardiovascular disease (aHR=0.94; 0.89, 0.99) and lung cancer (aHR=0.89; 0.81, 0.98), but higher for pancreatic cancer (aHR=1.21; 1.05, 1.39) and external causes of death (aHR=1.20; 1.10, 1.30).

conclusionsHigher educational attainment accounted for the longer life expectancy of U.S. healthcare workers than other workers. Nevertheless, healthcare work relative to non-healthcare work was associated with lower hazards of deaths due to cardiovascular diseases and lung cancer, but higher hazards of deaths due to external causes.

Indexed as

Health PersonnelMortalityAdultAgedCause of DeathEducational StatusFemaleHumansMaleMiddle AgedProportional Hazards ModelsRisk FactorsUnited States

Identifiers

PMID39612966
PMCPMC12092202

What OpenQuestion holds

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Registered trials

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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.