Occupational vs. industry sector classification of the US workforce: which approach is more strongly associated with worker health outcomes?
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
Am J Ind Med 2011 Oct; 54(10):748-757
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.
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)
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
American Journal of Industrial Medicine
University of Miami School of Medicine, Miami, Florida