title: Ischemic heart disease mortality and occupation among 16- to 60-year-old males.
abstract: Cardiovascular disease is the leading cause of death, and the role of occupation continues to generate interest. Using the National Occupational Mortality Surveillance system, proportionate mortality ratio (PMR) analyses were used to examine the association between occupation and ischemic heart disease among 16- to 60-year-old males. We used data from 1982-1992 from 27 states. Separate analyses were conducted for blue-collar and white-collar occupations. Among the blue-collar occupations with the highest PMRs for ischemic heart disease mortality were sheriffs, correctional institution officers, policemen, firefighters, and machine operators. Physicians (blacks only) and clergy (both races) were among the white-collar occupations with the highest PMRs for ischemic heart disease. Although more study is needed, consideration should be made for targeting high-PMR occupations, with improvement in work organization to reduce occupational stress and promotion of healthy lifestyles through cardiovascular disease prevention programs.
authors.affiliation: Surveillance Branch, National Institute for Occupational Safety & Health, Centers for Disease Control and Prevention, Cincinnati, Ohio 45226, USA.
authors.forename: G M
authors.initials: GM
authors.lastname: Calvert
authors.forename: J W
authors.initials: JW
authors.lastname: Merling
authors.forename: C A
authors.initials: CA
authors.lastname: Burnett
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American; D017677:Age Distribution; D002423:Cause of Death; D016001:Confidence Intervals; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000175:diagnosis / Q000401:mortality*; D009790:Occupations / Q000706:statistics & numerical data*; D011159:Population Surveillance; D012042:Registries; D012307:Risk Factors; D016019:Survival Analysis; D014481:United States / Q000453:epidemiology; D044465:White People