Skip to main content
Public Health Reports logoLink to Public Health Reports
. 1992 Mar-Apr;107(2):160–166.

Deaths among members of the Public Health Service Commissioned Corps, 1965-89.

W R Lange 1, D L Frankenfield 1, J Carico 1, M B Pfeiffer 1, F R Snyder 1, J Van Der Decker 1
PMCID: PMC1403625  PMID: 1561297

Abstract

The U.S. Public Health Service Commissioned Corps performs health promotion and disease prevention activities and provides clinical care. The authors examined the epidemiology of deaths among active duty personnel and the hypothesis that, based on the mission, mortality would be less than in the general population, and that deaths would reflect nonpreventable causes. A retrospective record review for the period 1965-89 showed 118 active duty deaths, 26 percent of the number anticipated in a general population group adjusted for age, sex, and race or ethnicity. The five major causes of death were coronary heart disease, suicide, motor vehicle crash, malignant neoplasm, and drowning. Beginning with the mid-1980s, infectious disease became a principal cause of death, the only cause for which the rate trended upward. Among professionals, death rates were highest among sanitarians and veterinarians, and lowest among pharmacists. The only causes for which deaths exceeded the expected number involved suicides and possibly deaths related to acquired immunodeficiency syndrome. Active duty status in the Commissioned Corps was associated with a death rate less than that of comparable groups in the general population. Many of the premature deaths were attributable to preventable causes.

Full text

PDF
160

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Arnetz B. B., Hörte L. G., Hedberg A., Theorell T., Allander E., Malker H. Suicide patterns among physicians related to other academics as well as to the general population. Results from a national long-term prospective study and a retrospective study. Acta Psychiatr Scand. 1987 Feb;75(2):139–143. doi: 10.1111/j.1600-0447.1987.tb02765.x. [DOI] [PubMed] [Google Scholar]
  2. BLACHLY P. H., OSTERUD H. T., JOSSLIN R. Suicide in professional groups. N Engl J Med. 1963 Jun 6;268:1278–1282. doi: 10.1056/NEJM196306062682307. [DOI] [PubMed] [Google Scholar]
  3. Beary J. F., 3rd, Walter L. J., Jr, Johns J. H. Leading causes of death for active duty military personnel. Mil Med. 1984 Jun;149(6):316–317. [PubMed] [Google Scholar]
  4. Buehler J. W., Devine O. J., Berkelman R. L., Chevarley F. M. Impact of the human immunodeficiency virus epidemic on mortality trends in young men, United States. Am J Public Health. 1990 Sep;80(9):1080–1086. doi: 10.2105/ajph.80.9.1080. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Dietz P. E., Baker S. P. Drowning: epidemiology and prevention. Am J Public Health. 1974 Apr;64(4):303–312. doi: 10.2105/ajph.64.4.303. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Hargarten S. W., Baker S. P. Fatalities in the Peace Corps. A retrospective study: 1962 through 1983. JAMA. 1985 Sep 13;254(10):1326–1329. [PubMed] [Google Scholar]
  7. Helmkamp J. C. A descriptive summary of active-duty deaths in the U.S. Navy in 1986. Mil Med. 1988 Dec;153(12):621–625. [PubMed] [Google Scholar]
  8. Herbold J. R. Smoking habits of U.S. military personnel. Mil Med. 1987 Apr;152(4):194–195. [PubMed] [Google Scholar]
  9. Jenkins C. D. Low education: a risk factor for death. N Engl J Med. 1978 Jul 13;299(2):95–97. doi: 10.1056/NEJM197807132990210. [DOI] [PubMed] [Google Scholar]
  10. Katz R. M. Causes of death among registered nurses. J Occup Med. 1983 Oct;25(10):760–762. doi: 10.1097/00043764-198310000-00017. [DOI] [PubMed] [Google Scholar]
  11. Rothberg J. M., Bartone P. T., Holloway H. C., Marlowe D. H. Life and death in the US Army. In Corpore sano. JAMA. 1990 Nov 7;264(17):2241–2244. [PubMed] [Google Scholar]
  12. Roy A. Suicide in doctors. Psychiatr Clin North Am. 1985 Jun;8(2):377–387. [PubMed] [Google Scholar]
  13. States B., Segal S. Levels of gamma-glutamyltranspeptidase in cultured skin fibroblasts from cystinotics and normals. Life Sci. 1980 Nov 24;27(21):1985–1990. doi: 10.1016/0024-3205(80)90419-1. [DOI] [PubMed] [Google Scholar]
  14. Syme S. L., Berkman L. F. Social class, susceptibility and sickness. Am J Epidemiol. 1976 Jul;104(1):1–8. doi: 10.1093/oxfordjournals.aje.a112268. [DOI] [PubMed] [Google Scholar]
  15. Weinblatt E., Ruberman W., Goldberg J. D., Frank C. W., Shapiro S., Chaudhary B. S. Relation of education to sudden death after myocardial infarction. N Engl J Med. 1978 Jul 13;299(2):60–65. doi: 10.1056/NEJM197807132990202. [DOI] [PubMed] [Google Scholar]
  16. Williams S. V., Munford R. S., Colton T., Murphy D. A., Poskanzer D. C. MOrtality among physicians: a cohort study. J Chronic Dis. 1971 Aug;24(6):393–401. doi: 10.1016/0021-9681(71)90139-1. [DOI] [PubMed] [Google Scholar]

Articles from Public Health Reports are provided here courtesy of SAGE Publications

RESOURCES