ArticleBMC public health2007
Health disparities by occupation, modified by education: a cross-sectional population study.
Article in BMC public health, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Co-twin Control Analyses Reveal Genetic Contributions to SES Influences in Mean Level and Longitudinal Change in Physical Aging.Behavior genetics · 2026Article
- Benign anorectal conditions in a rural referral Sudanese hospital: a four-year retrospective review of patients' characteristics in a low-resource setting.BMC surgery · 2026Article
- Occupational status and health disparities among workers-An empirical study based on China health and nutrition survey data.PloS one · 2025Article
- Examining the effects of upward social mobility on women's workplace experiences in China.Frontiers in psychology · 2025Article
- Midlife and late-life environmental exposures on dementia risk in the Wisconsin Longitudinal Study: The modifying effects of ApoE.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024Article
- The mental health of first- and second-generation migrant vs. native healthcare workers during the COVID-19 pandemic: The VOICE survey of 7,187 employees in the German healthcare sector.Transcultural psychiatry · 2024Article
- Spinal pain prevalence and associated determinants: A population-based study using the National Survey for Wales.Physiological reports · 2024Article
- Hazardous alcohol consumption across different industries in Sweden: a pooled cross-sectional study.Alcohol and alcoholism (Oxford, Oxfordshire) · 2024Article
- Quantifying Adverse Childhood Experiences in Oklahoma With the Oklahoma Adversity Surveillance Index System (OASIS): Development and Cross-Sectional Study.JMIR public health and surveillance · 2023Article
- Differences in Cancer Mortality Rate Depending on Occupational Class among Japanese Women, 1995-2015.Asian Pacific journal of cancer prevention : APJCP · 2022Article
- Socioeconomic status and breastfeeding in China: an analysis of data from a longitudinal nationwide household survey.BMC pediatrics · 2019Article
- Factors associated with chronic and acute back pain in Wales, a cross-sectional study.BMC musculoskeletal disorders · 2019Article
- Leadership position and physician visits - results of a nationally representative longitudinal study in Germany.Journal of occupational medicine and toxicology (London, England) · 2018Article
- Chronic Pain and Chronic Stress: Two Sides of the Same Coin?Chronic stress (Thousand Oaks, Calif.) · 2017Article
- Joint effect of education and main lifetime occupation on late life health: a cross-sectional study of older adults in Xiamen, China.PloS one · 2015Article
- Violence and self-reported health: does individual socioeconomic position matter?Journal of injury & violence research · 2012Article
- Occupational outcomes of adult childhood cancer survivors: A report from the childhood cancer survivor study.Cancer · 2011Article
- Independent and combined influence of homeownership, occupation, education, income, and community poverty on physical health in persons with arthritis.Arthritis care & research · 2011Article
- Depressive symptoms and past lifestyle among Japanese elderly people.Community mental health journal · 2011Article
- Disparidad en Salud: Un Fenómeno Multidimensional.Hispanic health care international : the official journal of the National Association of Hispanic Nurses · 2010Article
Corrections and comments
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3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundSocio-economic disparities in health status are frequently reported in research. By comparison with education and income, occupational status has been less extensively studied in relation to health status or the occurrence of specific chronic diseases. The aim of this study was to investigate health disparities in the working population based on occupational position and how they were modified by education.
methodsOur data were derived from the National Survey of General Practice that comprised 104 practices in the Netherlands. 136,189 working people aged 25-64 participated in the study. Occupational position was assessed by the International Socio-Economic Index of occupational position (ISEI). Health outcomes were self-perceived health status and physician-diagnosed diseases. Odds ratios were estimated using multivariate logistic regression analysis.
resultsThe lowest occupational position was observed to be associated with poor health in men (OR = 1.6, 95% CI 1,5 to 1.7) and women (OR = 1.3, 95% CI 1.2 to 1.4). The risk of poor health gradually decreased in relation to higher occupational positions. People with the lowest occupational positions were more likely to suffer from depression, diabetes, ischaemic heart disease, arthritis, muscle pain, neck and back pain and tension headache, in comparison to people with the highest occupational position (OR 1.2 to 1.6). A lower educational level induced an additional risk of poor health and disease. We found that gender modified the effects on poor health when both occupational position and education were combined in the analysis.
conclusionA low occupational position was consistently associated working people with poor health and physician-diagnosed morbidity. However a low educational level was not. Occupational position and education had a combined effect on self-perceived health, which supports the recent call to improve the conceptual framework of health disparities.
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