@article{ref1,
title="Mortality risk in a birth cohort of commuter air carrier and air taxi pilots",
journal="Journal of Occupational and Environmental Medicine",
year="2003",
author="Li, Guohua and McCarthy, Melissa L. and Rebok, George W. and Baker, Susan Pardee and Qiang, Yandong",
volume="45",
number="12",
pages="1297-1302",
abstract="Commuter and air taxi pilots have higher work-related death rates than most other occupational groups. In this longitudinal study, the authors examined the mortality in a cohort of 3263 commuter and air taxi pilots. With adjustment for age, proportional hazards modeling revealed that termination or downgrading of medical certificates during the 11-year follow-up was associated with a significantly increased risk of overall mortality (relative risk, 2.32; 95% confidence interval [CI] = 1.43-3.77). Relative to the general population with similar demographic characteristics, commuter air carrier and air taxi pilots had significantly lower overall mortality (standard mortality ratio [SMR], 0.36; 95% CI = 0.32-0.41) and mortality from cardiovascular diseases (SMR, 0.18, 95% CI = 0.15-0.22), but considerably higher mortality from aviation crashes (SMR, 128.88; 95% CI = 6.35-2624.36). The results indicate that the current medical certification system is effective in maintaining a healthy pilot workforce.",
language="",
issn="1076-2752",
doi="10.1097/01.jom.0000099985.06466.fc",
url="http://dx.doi.org/10.1097/01.jom.0000099985.06466.fc"
}