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...
| Published in: | American Journal of Public Health Vol. 89; no. 1; pp. 47 - 54 |
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| Main Authors: | , , |
| Format: | Article |
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American Public Health Association
January 1999
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=507601350&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 507601350 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: January 1999 vid: 89 iid: 1 pid: 44 pub: American Public Health Association artinfo: ui: 507601350 ppf: 47 ppct: 7 formats: tig: atl: Occupational class and ischemic heart disease mortality in the United States and 11 European countries. aug: au: Kunst, Anton E. Groenhof, Feikje Andersen, Otto su: Health & social status Occupational prestige Heart disease related mortality Public health OECD countries sug: subj: OECD countries Health & social status Occupational prestige Heart disease related mortality Public health ab: 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. Reprinted by permission of the publisher. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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