ZHANG Wei,WANG Ji xian,ZHANO Yongcheng.Risk factors of coronary heart disease among medical diagnostic X-ray workers[J].Chinese Journal of Radiological Medicine and Protection,2002,22(1):55-57
Risk factors of coronary heart disease among medical diagnostic X-ray workers
Received:June 14, 2001  
DOI:
KeyWords:Medical diagnostic X-ray worker  Coronary heart disease  Risk factors  Case-control study  Ionizing Radiation  
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Author NameAffiliation
ZHANG Wei Institute of Radiation Medicine, Chinese Academy of Medical Sciences, Peking Union Medical College, Tianjin 300192, China 
WANG Ji xian Institute of Radiation Medicine, Chinese Academy of Medical Sciences, Peking Union Medical College, Tianjin 300192, China 
ZHANO Yongcheng Institute of Radiation Medicine, Chinese Academy of Medical Sciences, Peking Union Medical College, Tianjin 300192, China 
李本孝 Institute of Radiation Medicine, Chinese Academy of Medical Sciences, Peking Union Medical College, Tianjin 300192, China 
樊体强 Institute of Radiation Medicine, Chinese Academy of Medical Sciences, Peking Union Medical College, Tianjin 300192, China 
赵志刚 Institute of Radiation Medicine, Chinese Academy of Medical Sciences, Peking Union Medical College, Tianjin 300192, China 
林治栋 Institute of Radiation Medicine, Chinese Academy of Medical Sciences, Peking Union Medical College, Tianjin 300192, China 
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Abstract::
      Objective To investigate risk factors of coronary heart disease (CHD) in medical diagnostic X-ray workers in China, especially the relationship of CHD with occupational irradiation. Methods A 1∶2 matched case-control study was carried out. The study subjects consisted of 112 pair-matched cases and controls coming from different hospitals in China. Information about occupational and non-occupational risk factors obtained by interviewing every subjects personally. Individual doses were estimated by normalized work load method. SAS 6.12 software conditional Logistic regression method was applied to data analysis. Results Variables such as family history of CHD (OR= 17.298,P=0.0001), history of hypertension (OR=6.172,P=0.0003), overweight (OR=2.679,P=0.0150), physical exercises (OR=0.421,P=0.0333),diabetes (OR= 7.823,P=0.0200), radiation protection condition(OR=3.992,P=0.0027),and accumulated radiation dose(OR=1.612, P=0.0454) were included in the last model. Conclusions For the medical diagnostic X-ray workers, family history of coronary heart disease ,history of hypertension, diabetes, etc. are the main risk factors of CHD, and occupational exposure may be a potential risk factor. As for the mechanism, further studies are needed.
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