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Socioprofessional trajectories and mortality in France, 1976-2002: a longitudinal follow-up of administrative data

机译:1976-2002年法国的社会职业轨迹和死亡率:行政数据的纵向跟踪

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Background Occupying a low socioeconomic position is associated with increased mortality risk. To disentangle this association, previous studies considered various dimensions of socioeconomic trajectories across the life course. However, they used a limited number of stages. We simultaneously examined various dimensions of the whole professional trajectory and its association with mortality. Methods We used a large sample (337 706 men and 275 378 women) of the data obtained by linking individuals' annual occupation (collected in 1976-2002 from a representative panel of the French salaried population in the semipublic and private sectors) with causes of death obtained from registries. All-cause and cause-specific HRs were estimated using Cox's regression models adjusted for the occupational class at the beginning of the follow-up, the current occupational class, the transition rates between occupational categories and the duration of time spent in occupational categories. Results An increase in the time spent in the clerk class increased men and women's cardiovascular mortality risk compared with that in the upper class (HRs=1.59 (1.14 to 2.20) and 2.65 (1.14 to 6.13) for 10 years increase, respectively, for men and women). Men with a high rate of transitions had about a 1.2-fold increased risk of all-cause and external-cause mortality compared with those without transitions during their professional life. This association was also observed for women's all-cause mortality. Conclusions Strong associations between professional trajectories and mortality from different causes of death were found. Long exposure to lower socioeconomic conditions was associated with increased mortality risk from various causes of death. The results also suggest gradual associations between transition rates and mortality.
机译:背景技术社会经济地位低下会增加死亡风险。为了消除这种联系,以前的研究考虑了整个生命过程中社会经济轨迹的各个方面。但是,他们使用了数量有限的阶段。我们同时检查了整个专业轨迹的各个方面及其与死亡率的关系。方法我们使用了大量样本(337 706名男性和275 378名女性),这些数据是通过将个人的年职业(1976年至2002年从法国半公共和私营部门的有薪工资代表小组收集)与以下原因联系起来而获得的:从注册表中获得的死亡。在随访开始时,使用针对职业类别进行了调整的Cox回归模型,当前职业类别,职业类别之间的转换率以及职业类别所花费的持续时间,对所有原因和特定原因的HR进行了估算。结果与上层阶级(HRs = 1.59(1.14至2.20)和2.65(1.14至6.13))相比,在职员级别花费的时间增加使男女心血管死亡风险增加了10年和女性)。与那些在职业生涯中没有发生过过渡的人相比,具有较高过渡速度的男人的全因和外因死亡风险增加了约1.2倍。还观察到妇女全因死亡率的这种关联。结论发现职业轨迹与不同死亡原因的死亡率之间存在强关联。长期处于较低的社会经济条件下与各种死亡原因导致的死亡风险增加相关。结果还表明,过渡率和死亡率之间存在逐步的联系。

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  • 来源
    《Journal of Epidemiology & Community Health》 |2015年第4期|339-346|共8页
  • 作者单位

    Inserm-CepiDc, 80, Rue du General Leclerc, Le Kremlin-Bicetre,Cedex 94270, France;

    Departement Sante-Travail,Institut de Veille Sanitaire,Saint-Maurice, France;

    Departement Sante-Travail,Institut de Veille Sanitaire,Saint-Maurice, France;

    Conservatoire national des arts et metiers, Paris, France;

    Inserm-CepiDc, Le Kremlin- Bicetre, France;

  • 收录信息 美国《科学引文索引》(SCI);美国《化学文摘》(CA);
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

  • 入库时间 2022-08-18 01:07:51

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