Cardiovascular Health Status by Occupational Group — 21 States, 2013

Shockey, Taylor M.; Sussell, Aaron; Odom, Erika

doi:10.15585/mmwr.mm6531a1

Cited by 34 publications

(39 citation statements)

References 9 publications

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“…This concept has been used in a limited number of studies involving US working populations. These studies confirmed the relationship between occupation and cardiovascular health (MacDonald et al 2017;Shockey et al 2016). However, there are limited data on CVD risk factors in European working populations.…”

Section: Introductionsupporting

confidence: 57%

“…In this CDC study, responses for each of the seven cardiovascular health metrics were scored "not ideal" or "ideal". In addition, they found workers in transportation and material moving had the second highest prevalence of 3, 4, 5, 6, or 7 "not ideal" cardiovascular health metrics (Shockey et al 2016). A Spanish study using data from the Surveillance System for Nontransmissible Diseases Risk Factors (SIV-FRENT) for the Madrid region found that drivers accumulated more than two cardiovascular risk factors more often than other occupations (Zimmermann Verdejo et al 2010).…”

Section: Discussionmentioning

confidence: 99%

“…Shiftwork, passive smoking, and job strain, among others, are well documented in this respect (Kristensen 1989a, b;Nyberg 2013;Olsen and Kristensen 1991). Therefore, it is not surprising that the prevalence of CVD and cardiovascular risk factors differs between professions and economic sectors (Kelsall et al 2018;MacDonald et al 2017;Shockey et al 2016;Zimmermann Verdejo et al 2010). An economic sector includes a particular range of occupations, which may involve a higher risk for CVD or for some cardiovascular risk factors because of the associated working conditions or the socio-economic background of the workers which they attract.…”

Section: Introductionmentioning

confidence: 98%

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Prevalence of high cardiovascular risk by economic sector

Vandersmissen

Schouteden

Verbeek

et al. 2019

Int Arch Occup Environ Health

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Purpose The aim of this study was to assess the prevalence of high cardiovascular risk and the trend of cardiovascular risk factors in a large sample of Belgian workers. Methods A cross-sectional study was performed on the data of workers under medical surveillance by the non-profit occupational health service IDEWE in 2018. The prevalence of poor health for smoking, physical activity, body mass index (BMI), and blood pressure according to the American Heart Association (AHA) definition was investigated. The presence of three or more poor cardiovascular health metrics was considered high cardiovascular risk. A log-binomial regression model was used to compare the prevalence of high cardiovascular risk between economic sectors taking into account age and gender and to calculate predicted probabilities of high cardiovascular risk. Results Data about 212,792 workers were available. In 2018, overall, 7% of workers had high cardiovascular risk. Transport and construction had the highest prevalence of high cardiovascular risk, 14% and 12%, respectively. The lowest prevalence, 3%, was observed in education. Differences between sectors remained statistically significant after adjustment for age and gender. In men, workers in transport and storage and in construction had the highest predicted probability of high cardiovascular risk that increased with age. In women, highest predicted probability was observed in transport and storage. Conclusions When implementing health promotion initiatives, priority should be given to sectors and professions where risk factors are most prevalent or are increasing rapidly. Measures should be tailored to the special needs of the occupational groups at high risk.

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Section: Introductionsupporting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

See 1 more Smart Citation

Prevalence of high cardiovascular risk by economic sector

Vandersmissen

Schouteden

Verbeek

et al. 2019

Int Arch Occup Environ Health

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“…These results are consistent with other investigations evaluating the prevalence of cardiovascular risk factors among U.S. workers. 7,23 The findings additionally showed that the national prevalence of CHD/stroke is 11.6% among workers aged ≥45 years, representing >10.6 million workers. Study findings underscore the need for effective primary and secondary prevention in high-risk segments of the working population.…”

Section: Discussionmentioning

confidence: 88%

“…The prevalence of cardiovascular risk factors among workers employed across diverse sectors of the U.S. economy has been previously reported from national population surveys, such as the National Health and Nutrition Examination Survey, National Health Interview Survey, and Behavioral Risk Factor Surveillance System, 5–7 but non-comparability of clinical definitions, reliance on self-reported clinical risk factor data (National Health Interview Survey, Behavioral Risk Factor Surveillance System), or focus on only a subset of risk factors yield an incomplete understanding of the CVH profile of the U.S. workforce. The American Heart Association’s (AHA’s) criteria for defining CVH 8 was applied to an existing cohort of 6,282 employed older (aged ≥45 years) men and women within the REasons for Geographic And Racial Differences in Stroke (REGARDS) study to generate national estimates of the CVH profile of middle aged and older workers—the fastest-growing segment of the U.S. workforce.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Cardiovascular Health by Occupation: A Cross-Sectional Analysis Among U.S. Workers Aged ≥45 Years

MacDonald

Bertke

Hein

et al. 2017

American Journal of Preventive Medicine

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Introduction Identification of groups with poor cardiovascular health (CVH) can inform where and how to target public health efforts. National prevalence estimates of CVH were derived for clinical (blood glucose, total cholesterol, blood pressure) and behavioral (BMI, diet quality, physical activity, smoking) factors among U.S. workers aged ≥45 years. Methods This cross-sectional analysis included 6,282 employed black and white men and women aged ≥45 years enrolled in the national population-based REasons for Geographic And Racial Differences in Stroke study from 2003 to 2007. Each CVH factor was scored as ideal (2), intermediate (1), or poor (0) according to American Heart Association criteria, and summed to define optimal composite scores: CVH (sum, 10–14), clinical (sum, 5–6), and behavioral (sum, 6–8) health. Occupational data were collected 2011–2013. Analyses were conducted in 2016. Results Only 14% met ideal criteria for all three clinical health factors, and none met ideal criteria for all four behavioral health factors. Sales and low status office workers had a low prevalence of optimal CVH. Service workers in protective services and the food preparation and serving occupations had a low prevalence of optimal clinical health; computer and healthcare support workers had a low prevalence of optimal behavioral health. Conclusions The prevalence of optimal CVH among middle-aged and older workers in the U.S. is low, but considerable differences exist by occupation. Targeted public health interventions may improve the CVH of at-risk older workers with different clinical and behavioral risk factor profiles employed in diverse occupational settings.

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