Work economic sectors and cardiovascular risk factors: cross-sectional analysis based on the RECORD Study

Autor: Bruno Pannier, Antoine Lewin, Frédérique Thomas, Basile Chaix
Přispěvatelé: Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP), Université Pierre et Marie Curie - Paris 6 (UPMC)-Institut National de la Santé et de la Recherche Médicale (INSERM), Centre d'Investigations Préventives et Cliniques (CIPC), Centres Médico-sociaux, This work was supported by a doctoral grant of Région Île-de-France (CORDDIM) attributed to Antoine Lewin. The RECORD study is funded by the Institute for Public Health Research (IReSP, Institut de Recherche en Santé Publique), the National Institute for Prevention and Health Education (INPES, Institut National de Prévention et d ' Education pour la Santé), the National Institute of Public Health Surveillance (InVS, Institut de Veille Sanitaire), the French Ministries of Research and Health (Epidemiologic Cohorts Grant 2008), the National Health Insurance Office for Salaried Workers (CNAM-TS, Caisse Nationale d ' Assurance Maladie des Travailleurs Salariés), the Ile-de-France Regional Health Agency (ARS, Agence Régionale de Santé), the National Research Agency (ANR, Agence Nationale de la Recherche), the City of Paris (Ville de Paris), and the Ile-de-France Youth, Sports, and Social Cohesion Regional Direction (DRJSCS, Direction Régionale de la Jeunesse, des Sports et de la Cohésion Sociale)., Autard, Delphine, Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Pierre et Marie Curie - Paris 6 (UPMC)
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: BMC Public Health
BMC Public Health, BioMed Central, 2014, 14, pp.750. ⟨10.1186/1471-2458-14-750⟩
BMC Public Health, 2014, 14, pp.750. ⟨10.1186/1471-2458-14-750⟩
ISSN: 1471-2458
Popis: Background Little is known on the comparative effect of work economic sectors on multiple cardiovascular risk factors. Such information may be useful to target Public health interventions, e.g., through the occupational medicine. We investigated whether and how a large panel of cardiovascular risk factors varied between 11 work economic sectors. Methods Data on 4360 participants from the French RECORD Study geolocated at their residence were analyzed. Ten outcomes were assessed: body mass index (BMI), waist circumference, systolic and diastolic blood pressure (BP), pulse pressure, total cholesterol, glycaemia, high-density lipoprotein (HDL) cholesterol, low-density lipoprotein (LDL) cholesterol, and resting heart rate. Multilevel linear regression models stratified by sex and adjusted for individual and neighborhood sociodemographic characteristics were estimated. Results Among men, the Health and social work sector was found to be the most protective sector for BMI, waist circumference, and glycaemia (while the Construction sector and the Transport and communications sector tended to be unfavorable for these outcomes). The Health and social work sector was also associated with higher HDL cholesterol among men. However, men working in the Health and social work sector showed the highest systolic BP and pulse pressure. Women working in the Health and social work sector had the highest BMI, the largest waist circumference, and the most elevated systolic and diastolic BP. The Commercial and repair of vehicles sector, the Transport and communication sector, and the Collective, social, and personal services sector were associated with a more favorable profile for these risk factors among women. Conclusion Work economic sectors contribute to shape metabolic and cardiovascular parameters after adjustment for individual/neighborhood sociodemographic characteristics. However, patterns of associations varied strikingly according to the risk factor examined and between men and women. Such findings may be useful to target interventions for reducing cardiovascular risk, e.g., through the occupational medicine. Electronic supplementary material The online version of this article (doi:10.1186/1471-2458-14-750) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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