Changes of occupational class differences in physical functioning: a panel study among employees (2000-2007)
Background Panel studies on changes of occupational class differences in health have given varying results. The aim of this study was to examine changes of occupational class differences in physical functioning and the factors that explain these changes. Methods A cohort of middle-aged employees of...
| Publicado en: | Journal of Epidemiology & Community Health Vol. 66; no. 3; pp. 265 - 271 |
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| Autores principales: | , , , , |
| Formato: | equations & formulas research tables/charts Journal Article |
| Publicado: |
BMJ Publishing Group
Mar2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104525927&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104525927 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0143005X C0H jtl: Journal of Epidemiology & Community Health issn: 0143005X maglogo: N pubinfo: dt: Mar2012 vid: 66 iid: 3 pid: 8280 pub: BMJ Publishing Group artinfo: ui: 104525927 104525927 2011468120 10.1136/jech.2010.110270 NLM20924055 104525927 ppf: 265 ppct: 6 formats: tig: atl: Changes of occupational class differences in physical functioning: a panel study among employees (2000-2007) aug: au: Pietiläinen, Olli Laaksonen, Mikko Pitkäniemi, Janne Rahkonen, Ossi Lahelma, Eero affil: Hjelt Institute, Department of Public Health, University of Helsinki, Finland sug: subj: Occupations and Professions Classification Functional Status Human Prospective Studies Finland Middle Age Surveys Short Form-36 Health Survey (SF-36) Questionnaires Male Female Work Environment Health Behavior Models, Statistical Data Analysis Software Descriptive Statistics Funding Source Middle Aged: 45-64 years Male Female ab: Background Panel studies on changes of occupational class differences in health have given varying results. The aim of this study was to examine changes of occupational class differences in physical functioning and the factors that explain these changes. Methods A cohort of middle-aged employees of the City of Helsinki was followed up for an average of 6 years in two surveys from 2000-2002 and 2007. Hierarchical linear random effects models were fitted to analyse the changes of occupational class differences in SF-36 physical functioning, as well as the contribution of physical and psychosocial working conditions, material conditions, health behaviours and employment status to these changes. Results Lower occupational classes had worse physical functioning at baseline: among women, the SF-36 scores ranged from 50.5 in the highest class to 47.1 in the lowest one, and among men from 52.2 to 48.9, with higher scores indicating better health. Occupational class differences widened during the follow-up due to stronger decline of physical functioning in the lower occupational classes than in the higher occupational classes. The largest difference in the decline of functioning between classes was 1.2 scores among women and 1.5 scores among men. Among women the widening of the class differences could be explained partly by health behaviours and employment status and among men by material conditions. Conclusion Occupational class differences in physical functioning widened due to a faster decline of physical functioning in the lower occupational classes. Health behaviours, employment status and material conditions explained the widening class differences in physical functioning. pubtype: Academic Journal doctype: equations & formulas research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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