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© 1985 Oxford University Press

research-article

Type of Occupation and Near-Future Hospitalization for Myocardial Infarction and Some Other Diagnoses

LARS ALFREDSSON*, CURT-LENNART SPETZ** and TÖRES THEORELL{dagger}

*Department of Social Medicine, Karolinska Institutet, Huddinge University Hospital S-141 86 Huddinge, Sweden
**The National Board of Health and Welfare Stockholm, Sweden
{dagger}The National institute for Psychosocial Factors and Health Stockholm, Sweden

Using three different registers a cohort study was undertaken to describe the relationship between type of occupation and hospitalization. A total of 958096 subjects aged 20–64 years were followed-up for one year regarding inpatient care. Several significant associations between type of occupation and incidence of hospitalization for different diagnoses were observed. Male subjects employed in occupations where a high proportion reported a combination of hectic work and few possibilities to learn new things were more frequently hospitalized for myocardial infarction than other working men. The relative ‘hospitalization’ ratio for men 20–54 years of age in these strenuous occupations was estimated as 1.6 with a 95% confidence interval of 1.3–1.9. For women, the relative ‘hospitalization’ ratio in the ages 20–64 in occupations where a high proportion reported a combination of hectic and monotonous work was estimated as 1.6 with a 95% confidence interval of 1.1–2.3. Both these associations were statistically significant even after controlling for 12 possible confounding factors.

Received 1 August 1984


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