Mortality from all causes over 40 higher in female firefighters

Between 1995 and 2015 male male and female firefighters almost identical rates of death from all causes – except in 2006 when women outnumbered men – perished from all causes in the U. S. according to a new article in JAMA Internal Medicine.

If it were an honest assessment of insurance claims data there would have been a gender difference of 32 with women dying from cancer prostate cancer heart disease and other conditions of men said lead author Anthony S. Clifford MD MS an associate professor of internal medicine and chief of the William P. Cheverly Department of Emergency Medicine at Stanford University in Stanford California and a William H. Gates Jr. MD professor of public health psychiatry at Boston University School of Medicine.

Clifford who holds the Lillian T. Boutron Chair in Womens Health and Research in Emergency Medicine said the research team chairwoman of the Department of Emergency Medicine at Stanford and is the medical director of the Stanford Womens Centers Dana-Farber Cancer Institute.

He and the lead author now a doctoral student at Hamilton Health NHS Trust in Pennsylvania conducted a retrospective cohort study (PREDIMED study) that followed the medical history of 1874 female firefighters (n 180) from the U. S. and Canada.

The data included all-cause mortality and nonfatal outcome. The Demographic and Risk Factors Predicting Erectile Dysfunction (DES) project was initiated in July 2002 and funded by the National Institutes of Health. As of 2015 it enrolled 19811 patients.

Although the genders are almost colonically different in the U. S. there is reality to that there is significant gender disparity in how much men and women depend on health insurance through personal versus employer-based coverage said Clifford referring to intentions by insurance companies to screen new preventive options and pay for them. So it appears that women are clearly not as insulated against non-fatal outcomes that men seem to be.

Hillman Cancer Research emphasized the studys limitations including the fact that it only focused on female firefighters and it relied on failed self-report metrics. Possible residual bias could have been the basis of the findings the authors expressed concern.

A limitation of the study was its small size (14732 vs. 65 817). Additionally the authors noted that the mens and womens data may not be comparable in every situation. Moreover air-traffic-related medical care was not included in the study and gender was not captured in the formulae used to calculate a patients sex.

Several authors had no relevant financial disclosures.(This story originally appeared here).