Zhao, Guanlan, Regidor Poyatos, Enrique, Astasio, Paloma, Ortega, Paloma, Barrio, Gregorio, Ronda-PĂ©rez, Elena Cardiovascular Disease, Digestive Diseases, Traffic Accidents, and Suicides. Leading Causes of Death Responsible for Excess Mortality in Farmers in Spain Journal of Occupational and Environmental Medicine. 2019, 61(5): e212-e216. doi:10.1097/JOM.0000000000001571 URI: http://hdl.handle.net/10045/97769 DOI: 10.1097/JOM.0000000000001571 ISSN: 1076-2752 (Print) Abstract: Objective: The aim of this study was to compare mortality from the leading causes of death in farmers and in all other workers. Methods: Mortality by cause of death was calculated from a longitudinal study in which 9.5 million men were followed up for 10 years. We estimated the contribution of the causes of death to the difference in all-cause mortality. Results: Most of the excess in all-cause mortality in farmers was due to cardiovascular diseases, digestive diseases, and external causes, which contributed 22.3%, 17.2%, and 53.3% to the difference in all-cause mortality, respectively. Traffic accidents and suicide were the main contributors to the excess mortality from external causes. Conclusion: Farmers are a vulnerable group in terms of health, thus there is a need to identify the factors that influence excess mortality from cardiovascular diseases, digestive diseases, traffic accidents, and suicide. Keywords:Chronic diseases, Farmers, Mortality, Suicide, Traffic accident Wolters Kluwer info:eu-repo/semantics/article