Dataset Information

Workplace socioeconomic characteristics and coronary heart disease: a nationwide follow-up study.

ABSTRACT:

Objectives

Important gaps in previous research include a lack of studies on the association between socioeconomic characteristics of the workplace and coronary heart disease (CHD).We aimed to examine two contextual factors in association with individuals' risk of CHD: the mean educational level of all employees at each individual's workplace (education_work) and the neighbourhood socioeconomic characteristics of each individual's workplace (neighbourhood SES_work).

Design

Nationwide follow-up/cohort study.

Setting

Nationwide data from Sweden.

Participants

All individuals born in Sweden from 1943 to 1957 were included (n=1 547 818). We excluded individuals with a CHD diagnosis prior to 2008 (n=67 619), individuals without workplace information (n=576 663), individuals lacking residential address (n=4139) and individuals who had unknown parents (n=7076). A total of 892 321 individuals were thus included in the study (426 440 men and 465 881 women).

Primary and secondary outcome measures

The outcome variable was incident CHD during follow-up between 2008 and 2012. The association between education_work and neighbourhood SES_work and the outcome was explored using multilevel and cross-classified logistic regression models to determine ORs and 95% CIs, with individuals nested within workplaces and neighbourhoods. All models were conducted in both men and women and were adjusted for age, income, marital status, educational attainment and neighbourhood SES_residence.

Results

Low (vs high) education_work was significantly associated with increased CHD incidence for both men (OR 1.29, 95% CI 1.23 to 1.34) and women (OR 1.38, 95% CI 1.29 to 1.47) and remained significant after adjusting for potential confounders. These findings were not replicable for the variable neighbourhood SES_work.

Conclusions

Workplace socioeconomic characteristics, that is, the educational attainment of an individual's colleagues, may influence CHD risk, which represents new knowledge relevant to occupational health management at workplaces.

SUBMITTER: Forsberg PO

PROVIDER: S-EPMC10357674 | biostudies-literature | 2023 Jul

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Workplace socioeconomic characteristics and coronary heart disease: a nationwide follow-up study.

Forsberg Per-Ola PO Ohlsson Henrik H Sundquist Kristina K

BMJ open 20230718 7

<h4>Objectives</h4>Important gaps in previous research include a lack of studies on the association between socioeconomic characteristics of the workplace and coronary heart disease (CHD).We aimed to examine two contextual factors in association with individuals' risk of CHD: the mean educational level of all employees at each individual's workplace (education<sub>work</sub>) and the neighbourhood socioeconomic characteristics of each individual's workplace (neighbourhood SES<sub>work</sub>).<h4 ...[more]

PMID: 37463808

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Dataset Information

Workplace socioeconomic characteristics and coronary heart disease: a nationwide follow-up study.

Objectives

Design

Setting

Participants

Primary and secondary outcome measures

Results

Conclusions

Publications

Workplace socioeconomic characteristics and coronary heart disease: a nationwide follow-up study.

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