Journal article
Gender and sex differences in job status and hypertension
Occupational and environmental medicine (London, England), v 68(1)
Jan 2011
PMID: 20864467
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Studies have shown greater health risks associated with blue-collar manufacturing employment for women than men. It remains challenging, however, to distinguish gendered job status (affected by family composition and other personal characteristics) from sex-linked biological differences influencing physiological response to workplace physical hazards.
We examined the effects of hourly (blue-collar) status on incident hypertension among men and women, using health claims data for 14, 618 white- and blue-collar aluminium manufacturing employees in eight US states. To explore gender differences in job status, we developed sex-stratified propensity score models identifying key socioeconomic predictors of hourly status for men and women. To examine the effects of hourly employment on hypertension risk, after adjusting for gender differences in job status, we applied time-weighted logistic regression models, stratified by propensity score, with additional adjustment for socioeconomic confounders.
Family structure (partnership, parity) influenced job status for both sexes; single mothers were more likely to hold hourly jobs (OR 2.02; 95% CI 1.37 to 2.97) and partnered men with children less likely (OR 0.68; 95% CI 0.56 to 0.83). Education, age at hire and race influenced job status for both sexes. The effect of hourly status on hypertension was significant only among women predicted to be hourly (OR 1.78; 95% CI 1.34 to 2.35).
Our results indicate significant risks of hypertension associated with hourly status for women, possibly exacerbated by sociodemographic factors predicting hourly status (eg, single parenthood, low education). Greater attention to gender differences in job status, and finer exploration of sex-linked biological differences influencing responsivity to workplace exposures, is warranted.
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Details
- Title
- Gender and sex differences in job status and hypertension
- Creators
- Jane E Clougherty - Harvard School of Public Health, Department of Environmental Health, Boston, MA 02115, USA. jcloughe@hsph.harvard.eduEllen A EisenMartin D SladeIchiro KawachiMark R Cullen
- Publication Details
- Occupational and environmental medicine (London, England), v 68(1)
- Publisher
- British Medical Journal (BMJ)
- Grant note
- R01 AG026291 / NIA NIH HHS 1R01AG026291 / NIA NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Dana and David Dornsife School of Public Health; Drexel University; Environmental and Occupational Health
- Web of Science ID
- WOS:000285182900005
- Scopus ID
- 2-s2.0-78651387407
- Other Identifier
- 991020099251904721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health