Employment Status, Coronary Heart Disease, and Stroke Among Women

Academic Article


  • Purpose: To investigate the association of employment status with coronary heart disease (CHD) and ischemic stroke among middle-aged women. Methods: Proportional hazards regression was used to assess the association of employment status, incident CHD, and incident ischemic stroke among 7,058 women, ages 45-64 years at baseline (1987-1989), from the Atherosclerosis Risk in Communities Study. Results: After adjusting for age and race-field center, women employed outside the home had a decreased risk of CHD (hazard ratio [HR], 0.70; 95% confidence interval [95% CI], 0.56-0.86) and ischemic stroke (HR, 0.62; 95% CI, 0.47-0.84) compared with homemakers. Differences in cardiovascular disease risk factors partially accounted for the association of employment status and CHD (HR, 0.79; 95% CI, 0.63-0.99) and stroke (HR, 0.79; 95% CI, 0.58-1.08). Also, modest differences were noted when the results were stratified by education, with employed women having a lower risk of CHD (HR, 0.65; 95% CI, 0.45-0.93) than homemakers among those with less than a high school education. Conclusions: Women employed outside of the home had a lower risk of CHD and stroke compared with homemakers and, for CHD, this association was stronger among women with less than a high school education. These findings suggest additional research into the varied occupational experiences of women, socioeconomic status, and health is warranted. © 2009 Elsevier Inc. All rights reserved.
  • Authors

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    Digital Object Identifier (doi)

    Author List

  • Carson AP; Rose KM; Catellier DJ; Diez-Roux AV; Muntaner C; Wyatt SB
  • Start Page

  • 630
  • End Page

  • 636
  • Volume

  • 19
  • Issue

  • 9