Journal article
Abstract 11410: Occupations Associated With Poor Cardiovascular Health in Women
Circulation (New York, N.Y.), v 140(Suppl_1 Suppl 1), pp A11410-A11410
19 Nov 2019
Abstract
IntroductionWomen’s participation in the workforce grew substantially since 1950. Among women, older women have been projected to have the largest percentage increase in labor force participation. However, research on the effect of occupation on cardiovascular health among older women is limited.MethodsThe American Heart Association introduced the Cardiovascular Health (CVH) Score in 2010. We examined the association between occupation and poor CVH in the Women’s Health Initiative (WHI) observational study. Our analysis included 65,249 post-menopausal women with complete data on occupation and CVH metrics (mean age = 63.1). Major occupations held since age 18 were classified using the standard occupation classification broad group (5-digit) and we focused on the 20 most common occupations in our sample. CVH score was computed by summing scores for each of the 7 CVH behavioral and clinical risk factors, with a numerical value of 1 for ideal and 0 as non-ideal (range 0 - 7, representing the least to most ideal CVH score). Women with total CVH score of 0, 1 or 2 were classified as having ‘poor CVH’. Multivariable logistic regression was used to examine the association between each of the top 20 occupation categories and poor CVH, adjusting for age, marital status, education and race. We used the Benjamini and Hochberg correction to account for multiple comparisons.ResultsIn our study population, 8,300 (12.7%) of women had poor CVH. After adjustment for confounders, we observed an increased risk of poor CVH among social workers (OR:1.36, 95%CI1.18 - 1.57), cashiers (OR:1.33, 95% C.I1.16 - 1.53), nursing, psychiatric, and home health aides (OR1.16, 95%CI1.01 - 1.35) and Registered Nurses (OR:1.14, 95%CI1.04 - 1.25). We also noted a reduced risk of poor CVH among real estate brokers and sales agents (OR:0.76, 95%CI0.67 - 0.92) and secretaries and administrative assistants (OR:0.89, 95%CI0.84 -0.95).ConclusionsWe identified several common occupations associated with poor CVH among women. Results could be used to support future research to examine CHD risks in women using biomarkers of occupational exposure and intermediate markers of effect.
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Details
- Title
- Abstract 11410: Occupations Associated With Poor Cardiovascular Health in Women
- Creators
- Bede Nriagu - Dept of Env & Occ Health, Drexel Univ, Philadelphia, PAAdams Ako - Dept of Epidemiology, Drexel Univ, Philadelphia, PAConglong Wang - Dept of Epidemiology, Drexel Univ, Philadelphia, PAAnneclaire De Roos - Drexel UniversityRobert Wallace - Univ Iowa, Iowa City, IAMatthew Allison - Univ of California San Diego, La Jolla, CARebecca Seguin - Div of Nutritional Sciences, Cornell Univ, New York, NYRami Nassir - Dept of Biochemistry and Molecular Medicine, Univ of California Davis, Davis, CAYvonne Michael - Drexel University
- Publication Details
- Circulation (New York, N.Y.), v 140(Suppl_1 Suppl 1), pp A11410-A11410
- Publisher
- by the American College of Cardiology Foundation and the American Heart Association, Inc
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics; Environmental and Occupational Health
- Other Identifier
- 991019205696804721