Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai (Dr Tannis); Division of Epidemiology (Ms Chernov, Ms Perlman); and Bureau of Environmental Disease and Injury Prevention (Dr McKelvey, Dr Toprani), NYC Department of Health and Mental Hygiene, New York, New York.
J Occup Environ Med. 2020 Sep;62(9):757-763. doi: 10.1097/JOM.0000000000001960.
We explored associations between occupation and cardiovascular disease (CVD) risk behaviors including: attempted weight loss, physical activity, smoking, and restaurant meal and sugary beverage consumption.
We used NYC Health and Nutrition Examination Survey 2013 to 2014 data, and coded free-text, occupational question responses using 2010 US Census Bureau Classification. CVD risk behaviors were compared across occupational categories, using regression to adjust for demographics.
There were health behavior differences across occupational categories. Construction/transportation/maintenance workers smoked more and were less likely than management to attempt weight loss, service workers were less likely to eat restaurant-prepared meals, sales/office workers were less likely to be physically active (all P < 0.05). Adjusting for demographics, differences in health behaviors were reduced, but remained present.
Knowledge of occupational disparities may aid chronic disease prevention by identifying populations for targeted interventions.
我们探讨了职业与心血管疾病(CVD)风险行为之间的关联,包括:减肥尝试、身体活动、吸烟以及外出就餐和含糖饮料的摄入。
我们使用了 2013 年至 2014 年的纽约市健康与营养调查数据,并使用 2010 年美国人口普查局的分类对自由文本、职业问题的回答进行编码。使用回归调整人口统计学因素后,比较了不同职业类别的 CVD 风险行为。
不同职业类别的健康行为存在差异。建筑/运输/维修工人吸烟更多,且比管理人员更不容易尝试减肥;服务行业工人外出就餐的可能性较小,销售人员/办公室人员的身体活动量较低(均 P<0.05)。调整人口统计学因素后,健康行为的差异虽有所减少,但仍然存在。
了解职业差异可能有助于通过确定目标干预人群来预防慢性病。