Comparison of the Risk for Peripheral Vertigo between Physicians and the General Population
-
Wei-Ta HUANG
,
Hung-Jung LIN
,
I-Jung FENG
,
Chien-Chin HSU
,
Jhi-Joung WANG
,
Chien-Cheng HUANG
,
Shih-Bin SU
Abstract
Background: Because of the limited information available regarding peripheral vertigo (PV) in physicians, we conducted this study to clarify this issue.
Methods: We used Taiwan National Health Insurance Research Database to identify 26,309 physicians and an identical number of general population matched by age and sex. All the participants who had PV before 2007 and residents were excluded. By tracing their medical histories between 2007 and 2013, comparisons of PV risk between physicians and general population and among physicians were performed.
Results: Physicians had a significantly lower PV risk than the general population (adjusted odds ratio [AOR]: 0.811; 95% confidence interval [CI]: 0.662–0.994). In comparison among physicians, otolaryngologists had a significantly higher PV risk than other specialties. Physicians who were older or served in local hospitals or clinics had a significantly higher PV risk than physicians in medical centers.
Conclusion: Physicians had a significantly lower PV risk than the general population. Better medical knowledge in physicians than in the general population may explain the findings; however, further studies are warranted for elucidating the detailed mechanisms.
Swartz R, Longwell P. Treatment of vertigo. Am Fam Physician 2005;71:1115-1122.
Neuhauser HK, von Brevern M, Radtke A, et al. Epidemiology of vestibular vertigo: a neurotologic survey of the general population. Neurology 2005;65:898-904.
Lai YT, Wang TC, Chuang LJ, et al. Epidemiology of vertigo: a National Survey. Otolaryngol Head Neck Surg 2011;145:110-116.
Monzani D, Genovese E, Rovatti V, et al. Life events and benign paroxysmal positional vertigo: a case-controlled study. Acta Otolaryngol 2006;126:987-992.
Labuguen RH. Initial evaluation of vertigo. Am Fam Physician 2006;73:244-251.
Lindfors PM, Nurmi KE, Meretoja OA, et al. On-call stress among Finnish anaesthetists. Anaesthesia. 2006;61:856-866.
Chen YT, Huang CC, Weng SF, et al. Acute myocardial infarction: a comparison of the risk between physicians and the general population. Biomed Res Int 2015;2015:904328.
Lin HY, Weng SF, Lin HJ, et al. Peptic Ulcer Disease in Healthcare Workers: A Nationwide Population-Based Cohort Study. PLoS One 2015;10(8):e0135456.
Chen MH, Weng SF, Hsu CC, et al. Urolithiasis risk: a comparison between healthcare providers and the general population. BMC Health Serv Res 2016;16:273.
National Health Insurance Administration, Ministry of Health and Welfare, Taiwan, R.O.C. National Health Insurance Annual Report 2014-2015. (2014).
Lee YS, Hsu CC, Weng SF, et al. Cancer Incidence in Physicians: A Taiwan National Population-based Cohort Study. Medicine (Baltimore) 2015;94:e2079.
Montgomery AJ, Bradley C, Rochfort A, et al. A review of self-medication in physicians and medical students. Occup Med (Lond) 2011;61:490-497.
Davidson SK, Schattner PL. Doctors' health-seeking behaviour: a questionnaire survey. Med J Aust 2003;179:302-305.
Cohen HS, Kimball KT, Stewart MG. Benign paroxysmal positional vertigo and comorbid conditions. ORL J Otorhinolaryngol Relat Spec 2004;66:11-15.
De Stefano A, Dispenza F, Suarez H, et al. A multicenter observational study on the role of comorbidities in the recurrent episodes of benign paroxysmal positional vertigo. Auris Nasus Larynx 2014;41:31-36.
| Files | ||
| Issue | Vol 50 No 1 (2021) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v50i1.5085 | |
| Keywords | ||
| Benign paroxysmal positional vertigo Peripheral vertigo Physician | ||
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