Occupational class and ischemic heart disease mortality in the United States and 11 European countries
OBJECTIVES: Twelve countries were compared with respect to occupational class differences in ischemic heart disease mortality in order to identify factors that are associated with smaller or larger mortality differences. METHODS: Data on mortality by occupational class among men aged 30 to 64 years were obtained from national longitudinal or cross-sectional studies for the 1980s. A common occupational class scheme was applied to most countries. Potential effects of the main data problems were evaluated quantitatively. RESULTS: A north-south contrast existed within Europe. In England and Wales, Ireland, and Nordic countries, manual classes had higher mortality rates than nonmanual classes. In France, Switzerland, and Mediterranean countries, manual classes had mortality rates as low as, or lower than, those among nonmanual classes. Compared with Northern Europe, mortality differences in the United States were smaller (among men aged 30-44 years) or about as large (among men aged 45-64 years). CONCLUSIONS: The results underline the highly variable nature of socioeconomic inequalities in ischemic heart disease mortality. These inequalities appear to be highly sensitive to social gradients in behavioral risk factors. These risk factor gradients are determined by cultural as well as socioeconomic developments.
|Adult, Age Distribution, Comparative Study, Cross-Sectional Studies, Cultural Characteristics, Europe/epidemiology, Humans, Longitudinal Studies, Male, Middle aged, Myocardial Ischemia/etiology/*mortality, Occupations/*classification, Population Surveillance, Research Support, Non-U.S. Gov't, Risk Factors, Socioeconomic Factors, United States/epidemiology|
|American Journal of Public Health|
|Organisation||Erasmus MC: University Medical Center Rotterdam|
Kunst, A.E, Pagnanelli, F, Costa, G, Desplanques, G, Filakti, H, Nolan, B, … Borgan, J.K. (1999). Occupational class and ischemic heart disease mortality in the United States and 11 European countries. American Journal of Public Health. Retrieved from http://hdl.handle.net/1765/9017