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 8 Police work and subclinical atherosclerosis
Authors Joseph-PN; Violanti-JM; Donahue-R; Andrew-ME; Trevisan-M; Burchfiel-CM; Dorn-J 
Source J Occup Environ Med 2009 Jun; 51(6):700-707 
Link http://dx.doi.org/10.1097/JOM.0b013e3181a02252 
NIOSHTIC No. 20035459 
AbstractObjective: Employment as an urban police officer was hypothesized to be associated with increased structural subclinical cardiovascular disease (CVD), measured by carotid artery intima-media thickness (IMT). Methods: The sample of men and women consisted of police officers (n = 312) and the general population (n = 318), free of clinical CVD. Results: Officers had elevated levels of age-adjusted CVD risk factors (blood pressure, total cholesterol, smoking prevalence) compared with the population sample. In age-, gender-, and traditional risk factor-adjusted models, police officers exhibited increased mean common carotid IMT (police = 0.67 mm, population = 0.64 mm; P = 0.03) and mean maximum carotid IMT (police = 0.99 mm, population = 0.95 mm; P = 0.13). Conclusions: Police officers have increased levels of atherosclerosis compared with a general population sample, which was not fully explained by elevated CVD risk factors; thereby potentially implicating other mechanisms whereby law enforcement work may increase CVD risk. 
KeywordsAge-factors; Analytical-processes; Blood-analysis; Blood-pressure; Cardiovascular-system-disorders; Mathematical-models; Men; Physiological-factors; Physiological-measurements; Physiological-response; Physiological-stress; Police-officers; Risk-factors; Smoking; Statistical-analysis; Women; Work-analysis; Work-performance; Work-practices; Emergency-responders 
ContactDr P. Nedra Joseph, NIOSH/CDC, 1095 Willowdale Road M/S 4050, Morgantown, WV, 26505 
CODENJOEMFM 
Publication Date20090601 
Document TypeJournal Article 
Email AddressPNJoseph@cdc.gov 
Editors  
Fiscal Year2009 
NTIS Accession No. 
NTIS Price 
Issue of Publication
ISSN1076-2752 
NIOSH DivisionHELD 
Source NameJournal of Occupational and Environmental Medicine 
StateWV 
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