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Construction of life-course occupational trajectories: evidence for work as a mediator of racial disparities in hypertension.

Authors
Meyer-JD; Mutambudzi-M
Source
J Occup Environ Med 2012 Oct; 54(10):1201-1207
NIOSHTIC No.
20042401
Abstract
OBJECTIVE: To determine whether a life-course model of work may explain racial or ethnic differentials in health. Occupational characteristics are relevant socioeconomic indicators of health disparities and essential determinants of health. METHODS: Growth mixture modeling (GMM) was used to construct longitudinal trajectories of work characteristics from the ages of 20 to 32 years. Path analyses were used to evaluate the association of race, ethnicity, education, and work trajectory on incident hypertension. RESULTS: Growth mixture modeling yielded three latent class trajectories. Black subjects with postsecondary education were 2.5 times more likely to be found in the lowest occupational trajectory. The three-class trajectory model mediated 43.6% of the direct effect of race on incident hypertension. CONCLUSIONS: Latent class trajectories of work demonstrated a stronger association with incident hypertension than did measures of current work, and clearly mediated the effects of race on hypertension.
Keywords
Humans; Men; Women; Age-groups; Models; Sociological-factors; Analytical-processes; Hypertension; Education; Biological-factors; Risk-factors; Racial-factors
Contact
John D. Meyer, MD, MPH, Department of Environmental and Occupational Health Sciences, SUNY-Downstate School of Public Health, 450 Clarkson Avenue, Box 43 Brooklyn, NY 11203
CODEN
JOEMFM
Publication Date
20121001
Document Type
Journal Article
Email Address
john.meyer@downstate.edu
Funding Type
Grant
Fiscal Year
2013
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R03-OH-009666
Issue of Publication
10
ISSN
1076-2752
Source Name
Journal of Occupational and Environmental Medicine
State
NY; CT
Performing Organization
University of Connecticut, Schools of Medicine, Internal Medicine/Medicine - Farmington
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