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Abstract：
BACKGROUND: Police officers face an increased risk of developing cerebro-cardiovascular diseases (CVD). However, current literature lacks population-based cohort studies specifically focusing on this association. This study aimed to investigate the association between police officers and the risk of developing CVD compared with education officers, while accounting for socioeconomic and demographic factors.
METHODS: We used the Korean National Health Insurance Service data spanning from 2009 to 2020. In this population-based retrospective matched cohort study, we identified age, sex, and calendar years of job-enrollment-matched education officers for each police officer. This study evaluated the CVD occurrence, including acute myocardial infarction, ischemic stroke, and hemorrhagic stroke. Using multivariable Cox regression analysis, we determined the risk of developing CVD, expressed as a hazard ratio (HR) and 95% confidence interval (CI).
RESULTS: Among 104,134 police officers and 104,134 education officers, 4,391(42.2%) cases and 3,631(34.9%) cases of CVD occurred, respectively. The mean ± standard deviation age was 38.4 ± 9.4 years in police officers and 38.6 ± 9.5 years in education officers. The proportion of men was 84.8 % in both groups. Police officers were significantly associated with a higher risk of developing CVD compared with education officers, with an adjusted HR of 1.15 (95% CI, 1.09-1.22). In addition, police officers had significantly higher risks for acute myocardial infarction (adjusted HR, 1.16; 95% CI, 1.06-1.26) and ischemic stroke (adjusted HR, 1.17; 95% CI, 1.09-1.25).
CONCLUSIONS: The findings of our study highlight a significant increase in the risk of developing CVD among police officers, particularly among those aged 45 years and older and those with uncontrolled blood pressure compared to their education officer counterparts. Future cohort studies are required to confirm this association.
METHODS: We used the Korean National Health Insurance Service data spanning from 2009 to 2020. In this population-based retrospective matched cohort study, we identified age, sex, and calendar years of job-enrollment-matched education officers for each police officer. This study evaluated the CVD occurrence, including acute myocardial infarction, ischemic stroke, and hemorrhagic stroke. Using multivariable Cox regression analysis, we determined the risk of developing CVD, expressed as a hazard ratio (HR) and 95% confidence interval (CI).
RESULTS: Among 104,134 police officers and 104,134 education officers, 4,391(42.2%) cases and 3,631(34.9%) cases of CVD occurred, respectively. The mean ± standard deviation age was 38.4 ± 9.4 years in police officers and 38.6 ± 9.5 years in education officers. The proportion of men was 84.8 % in both groups. Police officers were significantly associated with a higher risk of developing CVD compared with education officers, with an adjusted HR of 1.15 (95% CI, 1.09-1.22). In addition, police officers had significantly higher risks for acute myocardial infarction (adjusted HR, 1.16; 95% CI, 1.06-1.26) and ischemic stroke (adjusted HR, 1.17; 95% CI, 1.09-1.25).
CONCLUSIONS: The findings of our study highlight a significant increase in the risk of developing CVD among police officers, particularly among those aged 45 years and older and those with uncontrolled blood pressure compared to their education officer counterparts. Future cohort studies are required to confirm this association.
摘要：
背景：警务人员患心血管疾病（CVD）的风险增加。然而,目前的文献缺乏专门针对这种关联的基于人群的队列研究.这项研究旨在调查警务人员与教育官员相比，患心血管疾病的风险之间的关系。同时考虑社会经济和人口因素。
方法：我们使用了2009年至2020年的韩国国民健康保险服务数据。在这项基于人群的回顾性配对队列研究中，我们确定了年龄，性别,以及每个警察的日历年与工作入学匹配的教育官员。这项研究评估了CVD的发生，包括急性心肌梗塞,缺血性卒中,出血性中风.使用多变量Cox回归分析，我们确定了发展为CVD的风险，表示为风险比(HR)和95%置信区间(CI)。
结果：在104,134名警察和104,134名教育官员中，发生了4,391例（42.2％）和3,631例（34.9％）CVD，分别。警察的平均±标准差年龄为38.4±9.4岁，教育官员为38.6±9.5岁。两组的男性比例为84.8%。与教育官员相比，警察与患心血管疾病的风险更高，调整后的HR为1.15（95%CI，1.09-1.22）。此外,警务人员患急性心肌梗死的风险明显较高(调整后的HR，1.16；95%CI，1.06-1.26）和缺血性卒中（调整后的HR，1.17；95%CI，1.09-1.25）。
结论：我们的研究结果强调了警务人员患心血管疾病的风险显着增加，特别是在45岁及以上的人群中，以及与教育官员相比，血压不受控制的人群。未来的队列研究需要证实这种关联。
方法：我们使用了2009年至2020年的韩国国民健康保险服务数据。在这项基于人群的回顾性配对队列研究中，我们确定了年龄，性别,以及每个警察的日历年与工作入学匹配的教育官员。这项研究评估了CVD的发生，包括急性心肌梗塞,缺血性卒中,出血性中风.使用多变量Cox回归分析，我们确定了发展为CVD的风险，表示为风险比(HR)和95%置信区间(CI)。
结果：在104,134名警察和104,134名教育官员中，发生了4,391例（42.2％）和3,631例（34.9％）CVD，分别。警察的平均±标准差年龄为38.4±9.4岁，教育官员为38.6±9.5岁。两组的男性比例为84.8%。与教育官员相比，警察与患心血管疾病的风险更高，调整后的HR为1.15（95%CI，1.09-1.22）。此外,警务人员患急性心肌梗死的风险明显较高(调整后的HR，1.16；95%CI，1.06-1.26）和缺血性卒中（调整后的HR，1.17；95%CI，1.09-1.25）。
结论：我们的研究结果强调了警务人员患心血管疾病的风险显着增加，特别是在45岁及以上的人群中，以及与教育官员相比，血压不受控制的人群。未来的队列研究需要证实这种关联。
