0
ARTICLE |

Occupation and Risk of Death From Coronary Heart Disease FREE

Julie E. Buring, ScD; Denis A. Evans, MD; Michael Fiore, MD; Bernard Rosner, PhD; Charles H. Hennekens, MD
[+] Author Affiliations

Reprint requests to 55 Pond Ave, Brookline, MA 02146 (Dr Buring).


JAMA. 1987;258(6):791-792. doi:10.1001/jama.1987.03400060067031
Text Size: A A A
Published online

Conflicting data have been reported regarding the association between occupation and coronary heart disease. We evaluated data on a series of 568 married men who died of coronary heart disease and an equal number of controls matched for age, sex, and neighborhood of residence. Information was collected from the wives of both cases and controls on a large number of variables, including usual occupation, job-related and leisure-time physical activity, medical history, and life-style. Usual occupation was dichotomized into blue-collar and white-collar work according to the Edwards classification. White-collar workers had a statistically significant 30% decreased risk of fatal coronary heart disease compared with blue-collar workers once the effects of reported coronary risk factors were considered (relative risk, 0.70; 95% confidence limits, 0.5 to 0.96). These data suggest that occupation is significantly associated with fatal coronary heart disease, and that this increased risk is not explained by a large number of known coronary risk factors. It still remains unclear, however, whether other uncontrolled variables explain the observed association.

(JAMA 1987;258:791-792)

REFERENCES

Keys A:  Coronary heart disease—the global picture . Atherosclerosis 1975;;22:149-192.
Havlik RJ, Feinleib M (eds): Proceedings of the Conference on the Decline in Coronary Heart Disease Mortality , publication 79-1610. Bethesda, Md, National Institutes of Health, 1979;.
Stamler J, Lindberg HA, Berkson DM, et al:  Prevalence and incidence of coronary heart disease in strata of the labor force of a Chicago industrial corporation . J Chronic Dis 1960;;11:405-420.
Antonovsky A:  Social class and the major cardiovascular disease . J Chronic Dis 1968;;21:65-106.
Marmot MG, Rose G, Shipley M, et al:  Employment grade and coronary heart disease in British civil servants . J Epidemiol Community Health 1978;;32:244-249.
Rose G, Marmot MG:  Social class and coronary heart disease . Br Heart J 1981;;45:13-19.
Hennekens CH, Drolette ME, Jesse MJ, et al:  Coffee drinking and death due to coronary heart disease . N Engl J Med 1976;;294:633-636.
Hennekens CH, Rosner B, Jesse MJ, et al:  A retrospective study of physical activity and coronary deaths . Int J Epidemiol 1977;;6:243-248.
Edwards AM: U.S. Census of Population, 1940: Comparative Occupation Statistics, 1870-1940. US Government Printing Office, 1943.
Prentice R:  Use of the logistic model in retrospective studies . Biometrics 1976;;32:599-606.
Rosner B, Hennekens CH:  Analytic methods in matched pair epidemiologic studies . Int J Epidemiol 1978;;7:367-372.
Shurtleff D: Some characteristics related to the incidence of cardiovascular disease and death: Framingham Study, 16-year follow-up, in Kennel WB, Gordon T (eds): The Framingham Study: An Epidemiological Investigation of Cardiovascular Disease. US Government Printing Office, 1970.
Shapiro S, Weinblatt E, Frank CW, et al:  Incidence of coronary heart disease in a population insured for medical care (HIP): Myocardial infarction, angina pectoris, and possible myocardial infarction . Am J Public Health 1969;;59( (suppl 2) ):1-101.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Keys A:  Coronary heart disease—the global picture . Atherosclerosis 1975;;22:149-192.
Havlik RJ, Feinleib M (eds): Proceedings of the Conference on the Decline in Coronary Heart Disease Mortality , publication 79-1610. Bethesda, Md, National Institutes of Health, 1979;.
Stamler J, Lindberg HA, Berkson DM, et al:  Prevalence and incidence of coronary heart disease in strata of the labor force of a Chicago industrial corporation . J Chronic Dis 1960;;11:405-420.
Antonovsky A:  Social class and the major cardiovascular disease . J Chronic Dis 1968;;21:65-106.
Marmot MG, Rose G, Shipley M, et al:  Employment grade and coronary heart disease in British civil servants . J Epidemiol Community Health 1978;;32:244-249.
Rose G, Marmot MG:  Social class and coronary heart disease . Br Heart J 1981;;45:13-19.
Hennekens CH, Drolette ME, Jesse MJ, et al:  Coffee drinking and death due to coronary heart disease . N Engl J Med 1976;;294:633-636.
Hennekens CH, Rosner B, Jesse MJ, et al:  A retrospective study of physical activity and coronary deaths . Int J Epidemiol 1977;;6:243-248.
Edwards AM: U.S. Census of Population, 1940: Comparative Occupation Statistics, 1870-1940. US Government Printing Office, 1943.
Prentice R:  Use of the logistic model in retrospective studies . Biometrics 1976;;32:599-606.
Rosner B, Hennekens CH:  Analytic methods in matched pair epidemiologic studies . Int J Epidemiol 1978;;7:367-372.
Shurtleff D: Some characteristics related to the incidence of cardiovascular disease and death: Framingham Study, 16-year follow-up, in Kennel WB, Gordon T (eds): The Framingham Study: An Epidemiological Investigation of Cardiovascular Disease. US Government Printing Office, 1970.
Shapiro S, Weinblatt E, Frank CW, et al:  Incidence of coronary heart disease in a population insured for medical care (HIP): Myocardial infarction, angina pectoris, and possible myocardial infarction . Am J Public Health 1969;;59( (suppl 2) ):1-101.
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.