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At least 19 recordsLinked to original sources
PubMed2003

[Educational status and occupational training, occupational status and ischemic heart diseases: a prospective study with data from statutory health insurance in Germany].

OBJECTIVES: To study associations between education, occupational position, and incidence of ischemic heart disease (ICD-9 410-414). METHODS: A cohort of 151,471 male and female members of a German statutory health insurance company aged between 25 and 65 years was investigated. The cohort comprised all members between 1987 and 1996. Information on ischemic heart disease was derived from clinical diagnosis. Education, training, and occupational position according to the British Registrar General defined the indicators of social status. RESULTS: After adjustment for age and length of observation period, education and training as well as occupational position were associated with the incidence of ischemic heart disease in both men and women. Whereas a gradient was observed in men regarding education and training (odds ratios (OR): 3.41-6.02) men with lower occupational position had higher risk estimates as compared to the highest occupational status group (OR: 1.73-3.05). Among women a gradient was observed concerning education and training (OR: 1.75-3.78). With regard to occupational status position female members of the highest group showed the lowest risk as compared to the lower status groups (OR: 1.58-2.19). CONCLUSIONS: Social inequality in ischemic heart disease morbidity was observed among male and female members of a German statutory health insurance. Findings are of importance for health policy and call for preventive action.

Adult↗
PubMed1984

Occupational status and suicide.

The relationship between occupational status and suicide was examined using data from Sacramento County, California. Data were obtained from coroner's records filed routinely on all cases of sudden, violent, or unexpected death since 1925. Occupation- and age-specific suicide rates were calculated for males and age-adjusted for overall comparison for the decades 1945-1954, 1955-1964, and 1965-1974. Findings show an inverse relationship between occupational status and suicide for all age groups over the past 30 years. Over time, male suicide rates have increased particularly for employed males over 65, employed males aged 14 to 24, and males in low-status occupations. General economic insecurity among workers of low socioeconomic status (SES), particularly the elderly, is suggested as a contributing factor to these trends.

Adolescent↗
PubMed1980

Neuropsychological factors related to employability and occupational status in persons with epilepsy.

The relationship between neuropsychological abilities and employment and occupational status was examined in 108 epilepsy patients. The performances of each subject on a wide range of neuropsychological measures were grouped into six conceptually meaningful ability categories. Highly significant differences were obtained between groups of patients with epilepsy differing in employment status and occupational status across both the range of individual measures and the composite neuropsychological ability areas utilized. The relative importance of the six ability scores was then examined with respect to employment status and occupational status. The results suggest that generalized neuropsychological dysfunction characterizes groups of persons who are unemployed and/or who have held low occupational level jobs. Within this context of general impairment, however, memory and alertness and flexibility in thinking appear to be relatively important abilities with respect to these general employment variables. Implications of the results for vocational and rehabilitation efforts were discussed.

Adult↗
PubMed2002

Effects of educational attainment and occupational status on cognitive and functional decline in persons with Alzheimer-type dementia.

Researchers have suggested that educational attainment and occupational status--indicators of cognitive and/or neurologic "reserve"--can help persons compensate for clinical manifestations of Alzheimer's disease (AD), such as the rates of cognitive and functional decline. The effects of educational attainment on rates of decline could be "direct" independent of occupational status), "indirect" (working through occupational status), or both. We used multilevel analysis for repeated measures to study the effects of educational attainment and occupational status on rates of decline in cognition (Mini-Mental State Examination, MMSE) and function (Cleveland Scale for Activities of Daily Living). Subjects included persons with "probable" or "possible" AD, drawn from our Alzheimer's Disease Research Center registry (N = 482 in the analysis of cognitive decline, and N = 450 in the analysis of functional decline). When controlling for year of birth, gender, ethnicity, and duration of illness, we found that there was an inverse relationship between number of years of education and rate of decline in MMSE, but effects of occupational status were not significant. This implies a "direct" effect of education on decline in MMSE, but no "indirect" effect through occupational status. Neither educational attainment nor occupational status affected rate of decline in functional ability. We conclude that education slows the rate of cognitive decline in persons with AD, but not through its impact on occupational status. Thus, the protective effects of reserve may be established early in life, before people enter the workforce.

Activities of Daily Living↗
PubMed1996

[Occupational status and prevalence of cardiovascular risk indicators in employed men in German-speaking Switzerland].

Based on a sample of 623 employed men from the Berne Workplace Health Project ("Härz-As-Project") we studied the relationship between the occupational status and prevalence of cardiovascular risk indicators. Besides "biological" risk indicators, like high total cholesterol, low HDL-cholesterol, hypertension, and overweight, we also studied two behavioral risk indicators (current smoking, physical inactivity in leisure time) and a summary risk score. Odds ratios for several risk indicators controlled for age, were markedly different among different occupational status groups. High cholesterol/HDL-cholesterol ratios were more common in lower occupational status groups, while the likelihood for hypertension and high total cholesterol was highest among qualified workers. There was a strong association between occupational status and the behavioral risk indicators smoking and physical inactivity in leasure time. Similarly, 1 or more risk indicators, and more than 2 risk indicators, respectively, were also found to be strongly related to occupational status. Our results confirm former findings of unequal distribution of cardiovascular disease risk indicators among groups of different occupational status. Future studies will have to focus upon the underlying causes for these inequities.

Adult↗
PubMed1998

Lifestyle, gender and occupational status as determinants of dental health behavior.

The aim was to compare how general lifestyle, gender and occupational status determine dental health behavior. All the 1012 55-year-old citizens of Oulu (a medium-sized Finnish town) were invited to participate in this study. 780 of them did so. Information about frequency of toothbrushing, use of extra cleaning methods, use of sugar in coffee or tea, and time of the last dental visit, lifestyle, occupational status and gender was gathered from the 533 dentate subjects. Lifestyle was measured by means of questions about physical activity, tobacco smoking, alcohol consumption and dietary habits. Females and people with a healthy lifestyle brushed their teeth more often. Extra cleaning methods were used more often by people with a healthy lifestyle, whereas gender and occupational status had a weaker association. Males and people with a lower occupational status used sugar in coffee or tea more often. The time from the last dental visit was longer among workers and men; lifestyle had no significant association. At the population level oral cleaning habits are a matter of a health-oriented lifestyle and gender-related behavior. The dental visiting habit has a weaker association with general lifestyle.

Alcohol Drinking↗
PubMed2000

Occupational status, educational level, and the prevalence of carotid atherosclerosis in a general population sample of middle-aged Swedish men and women: results from the Malmö Diet and Cancer Study.

The associations among educational level, occupational status, and atherosclerosis were investigated during 1992-1994 in a general population sample of 4,176 Swedish men and women. Carotid artery intima-media thickness (IMT) and carotid stenosis were determined by B-mode ultrasound. Socioeconomic differences in mean carotid IMT and odds ratios for carotid stenosis prevalence were estimated. In women, the associations among educational level, occupational status, and IMT were weak. In men, there was no association between education and IMT, while low occupational status was associated with a thicker IMT. Women with low education had an increased odds of carotid stenosis compared with women with high education (odds ratio (OR) = 2.04, 95% confidence interval (CI): 1.53, 2.73), while this pattern was weaker among men. Women in manual occupations had an increased odds of carotid stenosis compared with women in high- or medium-level nonmanual occupations (OR = 1.75, 95% CI: 1.29, 2.36), which could not be seen among men. After adjustment for risk factors, the association between IMT and occupational status in men disappeared, while the associations among educational level, occupational status, and carotid stenosis in women persisted. The results imply that the atherosclerotic process is associated with socioeconomic status in both sexes, and they also indicate the possibility of sex differences in the mechanisms connecting socioeconomic status to atherosclerosis.

Aged↗
PubMed1999

Predisposing factors and consequences of occupational status for long-term unemployed youth: a longitudinal examination.

In a longitudinal study, long-term unemployed youth were assessed at T1 on measures of psychological health (self-esteem and psychological distress), general ability and literacy levels. At T2, three occupational groups were established (those employed at T2, those continuously unemployed between T1-T2 and those unemployed at T2 who had been in the paid work force between T1-T2). These three groups were examined, first in relation to predisposing factors for occupational status, and second in relation to psychological health consequences of occupational status. Psychological health was not identified as a predictor of occupational status. Reductions in psychological distress occurred at T2 for the employed group only. No changes occurred in self-esteem for any group. General ability, literacy levels and length of unemployment were identified as predisposing factors for occupational status. Those with higher general ability, better literacy and shorter periods of unemployment at T1 were more likely to be employed at T2.

Adaptation, Psychological↗
PubMed1996

Racial differences in occupational status and income in South Africa, 1980 and 1991.

Using data on employed men from the 1980 and 1991 South African Censuses, we analyze the determinants of occupational status and income. Whites are found to have much higher occupational status, and especially income, than members of other racial groups. Most of the racial differentials in occupational status con be explained by racial differences in the personal assets that determine occupational attainment (especially education), but only a much smaller fraction of the White/non-White income differential can be so explained. Despite a modest reduction between 1980 and 1991 in the role of race in socioeconomic attainment, the overall picture shows more stability than change.

Adult↗
PubMed1985

Risk of fatal alcohol poisoning by marital and occupational status.

Mortality from alcohol poisoning was studied by age, sex, marital status and occupation in Finland in 1978-1982. Of 1204 fatal alcohol poisonings, 76 were due to methanol, isopropanol, ethylene glycol, or combinations of these, the rest being due to ethanol. Males predominated: the percentage of females was 11%. Mortality was highest among persons aged 45-54 years. The risk of fatal poisoning differed by marital status and was inversely related to socio-economic level. Thus, among males aged 30-59 years, the age-adjusted risk of death among divorced pensioners was 15 times that of married men in upper-stratum occupations. If all males were at risk equal to that for married upper-stratum men, the annual number of fatal alcohol poisonings among males would decrease by 67%.

1-Propanol↗
PubMed1994

International variation in the size of mortality differences associated with occupational status.

BACKGROUND: Previous international comparisons on the size of mortality differences associated with occupational status have relied on inequality indices with one or more limitations. This study reassesses the international pattern of inequalities in mortality using an inequality index devised recently. METHODS: Data on mortality by social class were obtained from longitudinal studies from seven countries. The data referred to men aged 35-64 years. The follow-up period was approximately 1971-1981. The size of mortality differences associated with occupational status was measured using a modification of the Relative Index of Inequality. RESULTS: The smallest inequalities in mortality are observed for Norway and Denmark. Larger inequalities are observed for Sweden (compared to Norway circa 1.5 times as large), England and Wales (2 times), Finland (4-5 times) and France (6-8 times). Inequalities in a Dutch city, Rotterdam, are as large as in Danish and Swedish cities, and smaller than in Finnish and French cities. Results of sensitivity analyses suggest that probably only a small part of this international pattern can be attributed to differences between countries with respect to occupational classification. CONCLUSIONS: The results of most previous international comparisons agree with the general pattern observed here. This simultaneous comparison of various countries shows that the frequently cited difference between Sweden, and England and Wales is small when viewed in a wider international context.

Adult↗
PubMed1978

Occupational status scores: changes introduced by the inclusion of women.

This paper examines the impact of women's labor force participation on occupational scores by comparing occupational status scores based on the characteristics of the 1970 male labor force with a set of occupational status scores based on the characteristics of the total 1970 labor force. Although the two sets of scores are highly correlated, important differences are found in the scores for specific occupations as well as for major occupational groups. Using the tradional list of 12 major occupational categories, we find that the positions of clerical workers and craftsmen are reversed when status scores are derived from data on all incumbents in the labor force rather than on male incubents alone. The paper suggests that, with the increased participation of women in the labor force and the concomitant change in the sex composition of the work force, the traditional approaches to the measurement of occupational status based solely on male incumbents may no longer be valid for examining the occupational hierarchy of contemporary American society.

Female↗
PubMed1989

Genetic and environmental contributions to the covariance between occupational status, educational attainment, and IQ: a study of twins.

Scores of occupational status, educational attainment, and IQ were obtained for 507 monozygotic and 575 dizygotic male twin pairs born 1931-1935 and 1944-1960. A multivariate genetic analysis with statistics from different cohorts showed heterogeneity between cohorts, and analyses were performed in four separate cohorts. The only set of results which departed clearly from the rest was found for the group born 1931-1935, where the ratio of environmental to genetic effects exceeded those of the other groups. Typical heritability values in the three youngest groups (weighted means) were .43, .51, and .66 for occupation, education, and IQ, respectively. The values in the oldest group were .16, .10, and .37, but this sample is small and the estimates are unstable. Genetic variance influencing educational attainment also contributed approximately one-fourth of the genetic variance for occupational status and nearly half the genetic variance for IQ. The values for the between-families variances (reflecting family environment and assortative mating) varied from 2 to 35% in the three youngest groups but were higher for education (62%) and IQ (45%) in the oldest groups. All the between-families variance was common to all three variables. For educational attainment and IQ, the bulk of this between-families variance is probably genetic variance due to assortative mating. The common-factor environmental within-family variances were generally small, and the specific estimates seemed to contain mainly measurement error.

Achievement↗
PubMed1992

Cigarette smoking and occupational status: 1977 to 1990.

OBJECTIVES: In this study we examined the relationship between occupational status and smoking habits in men and women during the period from 1977 to 1990. METHODS: Cigarette smoking and occupational history were obtained from 8045 men and women who served as controls for a hospital-based study of tobacco-related diseases. RESULTS: There was an association between increasing occupational status and tobacco exposure in men, but not in women. The quit rate increased over time in all sex-occupational groups except for male laborers, whose quit rate remained constant. Nicotine-dependent smokers are likely to find it difficult to quit. Male nicotine-dependent smokers were consistently found in greater numbers among blue collar workers throughout the study period. Initially, female nicotine-dependent smokers were more often found among blue collar workers, but in recent years became more frequent among white collar workers. CONCLUSION: These trends provide clues to the future epidemiological distribution of lung cancer and other tobacco-related diseases. An understanding of gender differences in the occupational profile of cigarette smokers can provide guidelines for effective antismoking interventions.

Adult↗
PubMed1989

[Congenital malformations and socio-occupational status].

A case-control study was conducted in a maternity hospital, in order to look for the relationships between the occurrence of birthdefects and the socio-occupational status of the parents. Cases were 189 new-born children with one or several congenital malformations diagnosed at birth or within the first 8 days of the life. Birthdefects were listed according to the British Paediatric Association classification of diseases. Controls were 5,896 new-born children without any congenital malformation detected within the first 8 days of life. Cases and controls were all children born in the same maternity hospital, between 1980 and 1983. The socio-occupational status (INSEE classification) of the parents of cases and controls was ascertained within the first trimester of the pregnancy, before a possible congenital malformation was known. In order to look for the relationships between the socio-occupational status of the parents and the occurrence of birthdefects, we compared the proportions, in each of the socio-occupational classes, of the fathers and of the mothers of cases and controls. These comparisons (for all birthdefects together and for the most frequent ones) were tested using the chi-square test, when the expected number was greater than 5, and the Fischer's test, when it was equal to, or lower than 5. The incidence rate of birthdefects in this sample was 3,1%. Their distribution according to the types of malformations did not differ from that observed in 1982 among the new-borns in Paris. There was no significant difference between the parents of cases and controls, for: age, degree of instruction, ethnic origin, marital status.(ABSTRACT TRUNCATED AT 250 WORDS)

Age Factors↗
PubMedDate not supplied

Does genetic variance for cognitive abilities account for genetic variance in educational achievement and occupational status? A study of twins reared apart and twins reared together.

Studies of brothers and twins have shown that about 50 per cent of the variance in educational achievement and 40 per cent of the variance in occupational status reflects between-family variance. About half of the between-family variance for educational achievement and even more for occupational status is due to genetic effects and the remainder is due to sharing the same environment. With data on 35 pairs of male twins reared apart and 56 pairs reared together we investigated the extent to which genetic variance in SES can be attributed to genetic variance for cognitive abilities. For both educational achievement and occupational status there was significant genetic variance both in common with and independent of genetic variance for cognitive abilities. Thus, there are genetic effects contributing to familial similarity for SES that are not the same as those of importance for cognitive abilities. Candidate traits that may account for this remaining genetic variance in SES are personality, interests, or talents not represented in standard cognitive tests.

Achievement↗
PubMed2001

Testing the modernization hypothesis and the socialist ideology hypothesis: a comparative sibling analysis of educational attainment and occupational status.

In this study, we present a comparative sibling analysis. This enables us to test two major social mobility hypotheses, i.e. the modernization hypothesis and the socialist ideology hypothesis. We employ survey data on brothers in England, Hungary, the Netherlands, Scotland, Spain, and the USA, covering a historical period from 1916 till 1990. Results show that the effects of parental social class on educational attainment are smaller in technologically advanced societies, and that the effects of parental social class on occupational status are smaller in social-democratic and communist societies. In addition, the total family impact on occupational status declines with modernization. But overall, we observe that the family of origin has not lost its importance for its sons' educational attainment and occupational status yet.

Achievement↗
PubMed1997

Practitioner provision of preventive care in general practice consultations: association with patient educational and occupational status.

Socio-economically disadvantaged individuals experience significantly greater mortality and morbidity relative to advantaged individuals. General practitioners have been suggested to occupy a position which has the capacity to ameliorate the health consequences of socio-economic disadvantage. Community studies of preventive care status suggest, however, that socio-economically disadvantaged individuals are less likely to receive appropriate preventive care. Using a convenience sample of 22 general practitioners, 579 consultations were audiotaped to determine whether practitioner provision of preventive care was associated with the educational and occupational status of patients. Practitioner provision of preventive care was assessed in terms of: the proportion of consultations in which discussion of at least one preventive care topic occurred; the number of preventive care topics discussed; and the proportion of consultations in which each of six specific preventive care topic were discussed. Practitioners were significantly less likely to discuss at least one preventive care topic with patients of high occupational status. No significant differences were observed between patient groups in the number of preventive care topics, discussed, and in the likelihood of receiving preventive care discussion concerning each of six preventive topics. However, a consistent trend of practitioners being less likely to discuss preventive care topics with patients of high educational or occupational status was evident for all outcome variables. The pattern of results suggests that previously reported findings of socio-economically disadvantaged individuals having a poorer preventive care status may not be attributable to differentials in practitioner's provision of preventive care. Greater attention should therefore be given to identifying and resolving barriers other than practitioner-based barriers to preventive care provision if these differentials in preventive care status are to be reduced.

Adult↗