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Occupational Medicine 1996;46:281-284
© 1996 Society of Occupational Medicine

Mortality among Finnish Sea Pilots 1956–85: A Retrospective Cohort Study

H. Saarni*, L. Niemi*, R.-S. Koskela{dagger}, J. Pentti{ddagger} and A. Kuusela*

* Turku Regional Institute of Occupational Health Hämeenkatu 10, FIN-20500 Turku, Finland
{dagger} Finnish Institute of Occupational Health, Department of Epidemiology and Biostatistics Topeliuksenkatu 41 a A, FIN-00250 Helsinki, Finland
{ddagger} National Board of Navigation Vuorimiehenkatu 1, FIN-00140 Helsinki, Finland

The National Board of Navigation in Finland employed 942 sea pilots in 1956–85, during which time 262 of them died (SMR = 77, 95% Cl = 68–86). The male population in southwest Finland served as control. The causes of deaths were collected from death certificates. The mortality rate for all cardiovascular diseases and lung cancer was lower among sea pilots than in the comparison population (SMR = 83, 95% = Cl 69–97 and SMR = 67, 95% Cl 37–97) while for ischaemic heart diseases, it was similar to that of the population as a whole (SMR = 96, 95% Cl = 77–115). Health selection due to ischaemic heart disease was seen in the lower mortality rates among young pilots who started work in 1956–85. Otherwise, the slightly higher rates may indicate a possibility of adverse health effects of sea piloting.

Keywords      Finland; ischaemic heart disease; mortality; sea pilots

Received       28 November 1995
Accepted        7 June 1996

Correspondence and reprint requests to: H. Saarni, Turku Regional Institute of Occupational Health, Hämeenkatu 10, FIN-20500 Turku, Finland


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