ArticleBMJ open2020
Mortality inequalities by occupational status and type of job in men and women: results from the Rome Longitudinal Study.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
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- Associations of cardiovascular-kidney-metabolic syndrome stages with premature mortality and the role of social determinants of health.The journal of nutrition, health & aging · 2025Article
- Cancer mortality and sectors of employment: a cohort study in Italy.BMC public health · 2025Article
- Prevalence of mortality caused by injuries at Livingstone University Hospital, Zambia. A retrospective cross-sectional study.PloS one · 2025Article
- Mortality from non-communicable diseases and associated risk factors in Zambia; analysis of the sample vital registration with verbal autopsy 2015/2016.BMC public health · 2024Article
- Rural and urban differences in lifetime occupation and its influence on mortality among Mexican adults.Salud publica de Mexico · 2023Article
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- Determination of the Level of Cardiovascular Risk in 172,282 Spanish Working Women.Diagnostics (Basel, Switzerland) · 2023Article
- Sector of Employment and Mortality: A Cohort Based on Different Administrative Archives.International journal of environmental research and public health · 2023Article
- Article
- Differences in mortality between temporary and permanent workers: results from the Rome Longitudinal Study.BMJ open · 2022Article
- Inequalities in External-Cause Mortality in 2018 across Industries in Republic of Korea.Safety and health at work · 2022Article
- Educational Inequalities in COVID-19 Vaccination: A Cross-Sectional Study of the Adult Population in the Lazio Region, Italy.Vaccines · 2022Article
- Differences in Cancer Mortality Rate Depending on Occupational Class among Japanese Women, 1995-2015.Asian Pacific journal of cancer prevention : APJCP · 2022Article
- Differences in cardiovascular risk levels between cleaning staff and hotel housekeepers.Journal of occupational health · 2022Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesSocioeconomic inequalities have a strong impact on population health all over the world. Occupational status is a powerful determinant of health in rich societies. We aimed at investigating the association between occupation and mortality in a large metropolitan study.
designCohort study.
settingRome, capital of Italy.
participantsWe used the Rome Longitudinal Study, the administrative cohort of residents in Rome at the 2001 general census, followed until 2015. We selected residents aged 15-65 years at baseline. For each subject, we had information on sex, age and occupation (occupational status and type of job) according to the Italian General Census recognition.
main outcome measuresWe investigated all-cause, cancer, cardiovascular and accidental mortality, major causes of death in the working-age population. We used Cox proportional hazards models to investigate the association between occupation and all-cause and cause-specific mortality in men and women.
resultsWe selected 1 466 726 subjects (52.1% women). 42 715 men and 29 915 women died during the follow-up. In men, 47.8% of deaths were due to cancer, 26.7% to cardiovascular causes and 6.4% to accidents, whereas in women 57.8% of deaths were due to cancer, 19.3% to cardiovascular causes and 3.5% to accidents. We found an association between occupational variables and mortality, more evident in men than in women. Compared with employed, unemployed had a higher risk of mortality for all causes with an HR=1.99 (95% CI 1.92 to 2.06) in men and an HR=1.49 (95% CI 1.39 to 1.60) in women. Compared with high-qualified non-manual workers, non-specialised manual workers had a higher mortality risk (HR=1.68, 95% CI 1.59 to 1.77 and HR=1.30, 95% CI 1.20 to 1.40, for men and women, respectively).
conclusionsThis study shows the importance of occupational variables as social health determinants and provides evidence for policy-makers on the necessity of integrated and preventive policies aimed at improving the safety of the living and the working environment.
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