Occupational inequalities in mortality from cardiovascular disease, 2020–2021

IF 2.7 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American journal of industrial medicine Pub Date : 2024-08-06 DOI:10.1002/ajim.23643

Devan Hawkins, Karina Thomas, Paul Landsbergis

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引用次数: 0

Abstract

Background

In recent years previous declines in cardiovascular disease (CVD) have stalled. There are occupational risk factors for CVD mortality. This study seeks to examine inequalities in CVD mortality for working-age adults in the United States by occupation.

Methods

Death certificate data for CVD deaths were obtained from the National Center for Health Statistics. Occupation data from these death certificates were coded to major occupation groups. Using information about the number of workers employed in these occupations obtained from the American Community Survey, we calculated mortality rates and rate ratios (RRs), adjusted for covariates associated with CVD mortality.

Results

After adjusting for age, sex, race/ethnicity, and educational attainment, workers in 11 occupations had significantly elevated RRs: food preparation and serving; construction and extraction; arts, design, entertainment, sports, and media; life, physical, and social science; farming, fishing, and forestry; legal; protective services; building and grounds cleaning and maintenance; healthcare practitioners and technical; personal care and service; and community and social services.

Conclusions

Occupation appears to be a significant predictor of CVD mortality. Further research is needed to assess how occupational risk factors contribute to changing trends for CVD mortality. Interventions are needed to address workplace risk factors for CVD.

查看原文本刊更多论文

2020-2021 年心血管疾病死亡率的职业不平等。

背景：近年来，心血管疾病（CVD）的下降趋势已经停滞。心血管疾病死亡率存在职业风险因素。本研究旨在探讨美国劳动适龄成年人心血管疾病死亡率因职业而存在的不平等现象：方法：从美国国家卫生统计中心获得心血管疾病死亡的死亡证明数据。这些死亡证明中的职业数据被编码为主要职业组。利用从美国社区调查（American Community Survey）中获得的这些职业的就业人数信息，我们计算了死亡率和比率比（RRs），并对与心血管疾病死亡率相关的协变量进行了调整：在对年龄、性别、种族/族裔和教育程度进行调整后，11 个职业的工人的死亡率比明显升高：食品准备和服务；建筑和采掘；艺术、设计、娱乐、体育和媒体；生活、体育和社会科学；农业、渔业和林业；法律；保护服务；建筑和地面清洁与维护；医疗保健从业人员和技术人员；个人护理和服务；社区和社会服务：结论：职业似乎是预测心血管疾病死亡率的一个重要因素。需要进一步开展研究，以评估职业风险因素如何导致心血管疾病死亡率趋势的变化。需要采取干预措施来解决工作场所的心血管疾病风险因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of industrial medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.90

自引率

5.70%

发文量

108

审稿时长

4-8 weeks

期刊介绍： American Journal of Industrial Medicine considers for publication reports of original research, review articles, instructive case reports, and analyses of policy in the fields of occupational and environmental health and safety. The Journal also accepts commentaries, book reviews and letters of comment and criticism. The goals of the journal are to advance and disseminate knowledge, promote research and foster the prevention of disease and injury. Specific topics of interest include: occupational disease; environmental disease; pesticides; cancer; occupational epidemiology; environmental epidemiology; disease surveillance systems; ergonomics; dust diseases; lead poisoning; neurotoxicology; endocrine disruptors.