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Occupational vs. industry sector classification of the US workforce: which approach is more strongly associated with worker health outcomes?

Authors
Arheart-KL; Fleming-LE; Lee-DJ; Leblanc-WG; Caban-Martinez-AJ; Ocasio-MA; McCollister-KE; Christ-SL; Clarke-T; Kachan-D; Davila-EP; Fernandez-CA
Source
Am J Ind Med 2011 Oct; 54(10):748-757
NIOSHTIC No.
20040185
Abstract
OBJECTIVES: Through use of a nationally representative database, we examined the variability in both self-rated health and overall mortality risk within occupations across the National Occupational Research Agenda (NORA) Industry Sectors, as well as between the occupations within the NORA Industry sectors. METHODS: Using multiple waves of the National Health Interview Survey (NHIS) representing an estimated 119,343,749 US workers per year from 1986 to 2004, age-adjusted self-rated health and overall mortality rates were examined by occupation and by NORA Industry Sector. RESULTS: There was considerable variability in the prevalence rate of age-adjusted self-rated poor/fair health and overall mortality rates for all US workers. The variability was greatest when examining these data by the Industry Sectors. In addition, we identified an overall pattern of increased poor/fair self-reported health and increased mortality rates concentrated among particular occupations and particular Industry Sectors. CONCLUSIONS: This study suggests that using occupational categories within and across Industry Sectors would improve the characterization of the health status and health disparities of many subpopulations of workers within these Industry Sectors.
Keywords
Occupations; Work-organization; Job-analysis; Health-surveys; Age-factors; Mortality-data; Mortality-rates; Worker-health; Industrial-environment; Work-environment; Humans; Statistical-analysis; Information-retrieval-systems; Author Keywords: National Occupational Research Agenda (NORA); National Institute for Occupational Safety and Health (NIOSH)
Contact
Lora E. Fleming, MD, PhD, Department of Epidemiology & Public Health, Clinical Research Building,Miller School ofMedicine,University of Miami,Room1049, 10th Floor (R-669),1120 N.W.14th Street, Miami, FL 33136
CODEN
AJIMD8
Publication Date
20111001
Document Type
Journal Article
Email Address
lfleming@med.miami.edu
Funding Type
Grant
Fiscal Year
2012
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-003915
Issue of Publication
10
ISSN
0271-3586
Source Name
American Journal of Industrial Medicine
State
FL
Performing Organization
University of Miami School of Medicine, Miami, Florida
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