UCLA David Geffen School of Medicine, University of California, Los Angeles, 10833 Le Conte Ave, Los Angeles, CA, 90095, USA.
Division of General Internal Medicine and Health Services Research (GIM/HSR), Department of Medicine, University of California, Los Angeles, 1100 Glendon Ave., Suite 850, Los Angeles, CA, 90024, USA.
BMC Womens Health. 2022 Jul 23;22(1):307. doi: 10.1186/s12905-022-01893-w.
Compared with wage and salary work, self-employment has been linked to more favorable cardiovascular health outcomes within the general population. Women comprise a significant proportion of the self-employed workforce and are disproportionately affected by cardiovascular disease. Self-employed women represent a unique population in that their cardiovascular health outcomes may be related to gender-specific advantages of non-traditional employment. To date, no studies have comprehensively explored the association between self-employment and risk factors for cardiovascular disease among women.
We conducted a weighted cross-sectional analysis using data from the University of Michigan Health and Retirement Study (HRS). Our study sample consisted of 4624 working women (employed for wages and self-employed) enrolled in the 2016 HRS cohort. Multivariable linear and logistic regression were used to examine the relationship between self-employment and several self-reported physical and mental health risk factors for cardiovascular disease, controlling for healthcare access.
Among working women, self-employment was associated with a 34% decrease in the odds of reporting obesity, a 43% decrease in the odds of reporting hypertension, a 30% decrease in the odds of reporting diabetes, and a 68% increase in the odds of reporting participation in at least twice-weekly physical activity (p < 0.05). BMI for self-employed women was on average 1.79 units lower than it was for women working for wages (p < 0.01).
Employment structure may have important implications for cardiovascular health among women, and future studies should explore the causal relationship between self-employment and cardiovascular health outcomes in this population.
Not applicable.
与工资和薪金工作相比，自营职业与普通人群中更有利的心血管健康结果有关。女性在自营职业劳动力中占很大比例，她们受心血管疾病的影响不成比例。自营职业女性是一个独特的群体，她们的心血管健康结果可能与非传统就业的性别特定优势有关。迄今为止，尚无研究全面探讨自营职业与女性心血管疾病风险因素之间的关系。
我们使用密歇根大学健康与退休研究（HRS）的数据进行了加权横断面分析。我们的研究样本包括参加 2016 年 HRS 队列的 4624 名从事工资和自营职业的女性工作者。多变量线性和逻辑回归用于检查自营职业与几种自我报告的心血管疾病物理和心理健康风险因素之间的关系，同时控制医疗保健的可及性。
在女性工作者中，自营职业与肥胖报告的几率降低 34%、高血压报告的几率降低 43%、糖尿病报告的几率降低 30%、每周至少两次体育活动报告的几率增加 68%（p<0.05）相关。自营职业女性的 BMI 平均比受薪女性低 1.79 个单位（p<0.01）。
就业结构可能对女性的心血管健康有重要影响，未来的研究应该探讨自营职业与该人群心血管健康结果之间的因果关系。
不适用。
