PMID- 17267523
OWN - NLM
STAT- MEDLINE
DCOM- 20080311
LR  - 20220129
IS  - 1101-1262 (Print)
IS  - 1101-1262 (Linking)
VI  - 17
IP  - 5
DP  - 2007 Oct
TI  - Health inequalities with the National Statistics-Socioeconomic classification: 
      disease risk factors and health in the 1958 British birth cohort.
PG  - 486-91
AB  - BACKGROUND: Health inequalities using the new National Statistics socioeconomic 
      classification (NS-SEC) have so far been assessed using only general measures of 
      health, with little known about inequality for specific health outcomes. 
      Preliminary analyses show that self-employed workers, distinguished for the first 
      time by NS-SEC, show increased mortality risk in the last 5 years of working 
      life. We examined health inequalities for multiple disease risk factors and 
      health outcomes, with particular reference to cardiorespiratory risk in the 
      self-employed. METHODS: 8952 participants in the 1958 British birth cohort with 
      information on adult occupation and disease risk factors at 45 years. Systolic 
      and diastolic blood pressure, body mass index, glycosylated haemoglobin, total 
      and high density lipoprotein (HDL) cholesterol, triglycerides, fibrinogen, 
      C-reactive protein, tissue plasminogen activator (t-PA), von Willebrand factor, 
      total immunoglobulin E (IgE), one-second forced expiratory volume, 4 kHz hearing 
      threshold, visual impairment, depressive symptoms, anxiety, chronic widespread 
      pain and self-rated health were measured. RESULTS: Routine workers had poorer 
      health than professional workers for most outcomes examined, except HDL 
      cholesterol, triglycerides, t-PA and IgE in men; total cholesterol and IgE in 
      women. Patterns of inequality varied depending on the outcome but rarely showed 
      linear trend across the classes. Relative to professionals, own account workers 
      (self-employed) did not show consistently increased levels of cardiorespiratory 
      risk markers. CONCLUSIONS: Health inequalities are seen with NS-SEC across 
      diverse outcomes for men and women. In mid-life, self-employed workers do not 
      have an adverse cardiorespiratory risk profile.
FAU - Atherton, Kate
AU  - Atherton K
AD  - Centre for Paediatric Epidemiology and Biostatistics, Institute of Child Health, 
      30 Guilford Street, London, WC1N 1EH, UK. k.atherton@ich.ucl.ac.uk
FAU - Power, Chris
AU  - Power C
LA  - eng
GR  - G0000934/MRC_/Medical Research Council/United Kingdom
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20070131
PL  - England
TA  - Eur J Public Health
JT  - European journal of public health
JID - 9204966
SB  - IM
MH  - Adult
MH  - Cardiovascular Diseases/epidemiology
MH  - Cohort Studies
MH  - Employment/*classification/statistics & numerical data
MH  - Female
MH  - *Health Status Disparities
MH  - Health Status Indicators
MH  - Humans
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Occupational Health/*statistics & numerical data
MH  - Occupations/*classification/statistics & numerical data
MH  - Physical Examination
MH  - Respiration Disorders/epidemiology
MH  - Risk Assessment
MH  - Risk Factors
MH  - Sex Factors
MH  - *Social Class
MH  - United Kingdom/epidemiology
EDAT- 2007/02/03 09:00
MHDA- 2008/03/12 09:00
CRDT- 2007/02/03 09:00
PHST- 2007/02/03 09:00 [pubmed]
PHST- 2008/03/12 09:00 [medline]
PHST- 2007/02/03 09:00 [entrez]
AID - ckl269 [pii]
AID - 10.1093/eurpub/ckl269 [doi]
PST - ppublish
SO  - Eur J Public Health. 2007 Oct;17(5):486-91. doi: 10.1093/eurpub/ckl269. Epub 2007 
      Jan 31.