Current practices in the collection and use of occupational measures in population-based cardiovascular studies in the United States.
MacDonald-L; Cohen-A; Baron-S; Burchfiel-C
Am J Epidemiol 2006 Jun; 163(11)(Suppl):S214
Research on determinants of the social gradient in health promises to enhance prevention for outcomes such as cardiovascular disease (CVD). While many CVD studies contain measures on a broad array of determinants, progress in distinguishing their effects may be impeded by inadequate consideration of the relationship between socioeconomic status (SES) and working conditions. A systematic review was conducted to examine current practices in the collection and use of occupational measures in population-based CVD studies. Thirty-three studies were identified for review from the National Heart, Lung, and Blood Institute online list of epidemiology studies with public use datasets and the Computer Retrieval of Information on Scientific Projects biomedical database. Search criteria included funding dates (2000 or after), outcomes (CVD), and study design (prospective population-based epidemiology study). Data collection instruments and study publication lists were retrieved and reviewed for 30 studies (91%). Occupational measures were identified and cataloged. Five studies (17%) collected no occupational data. Although 19 studies (68%) collected data on occupational exposure (physical or psychosocial job stressors, chemical hazards), only half (53%) of the studies published analytic findings using those measures (28 articles). Occupational data were most often used as an SES indicator. These findings show that data exist that could improve our empirical understanding of the contribution of working conditions to the social gradient in cardiovascular health. Collaboration and targeted funding are suggested to enhance existing research investments.
Cardiovascular-system; Cardiovascular-disease; Cardiovascular-system-disease; Cardiovascular-system-disorders; Occupational-diseases; Occupational-health; Occupational-hazards; Epidemiology; Occupational-exposure; Diseases
American Journal of Epidemiology. Abstracts of the 2nd North American Congress of Epidemiology, June 21-24, 2006, Seattle, Washington