Associations of occupation categories with cardiovascular diseases and all-cause mortality: an analysis of NHANES 2005-2014
Abstract Background Evidence on the effects of occupation categories on cardiovascular disease (CVD) progression and longevity has mostly come from cross-sectional studies, which limits our understanding of the pathogenesis of CVD. This study aimed to evaluate the associations of occupation categori...
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2025-05-01
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| author | Haiyang Chi Jia Zhou Chao Li Yuhuan Lu Can Xie Baoyu He Wei Ke |
| author_facet | Haiyang Chi Jia Zhou Chao Li Yuhuan Lu Can Xie Baoyu He Wei Ke |
| author_sort | Haiyang Chi |
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| description | Abstract Background Evidence on the effects of occupation categories on cardiovascular disease (CVD) progression and longevity has mostly come from cross-sectional studies, which limits our understanding of the pathogenesis of CVD. This study aimed to evaluate the associations of occupation categories with CVD and all-cause mortality in the American population. Methods We analyzed data from the 2005–2014 U.S. National Health and Nutrition Examination Survey (NHANES), a large-scale public health survey representative of the U.S. population, linked to mortality data obtained in 2019. To evaluate the association between occupation categories and the risks of cardiovascular disease (CVD) and all-cause mortality, we estimated Cox proportional hazard ratios (HRs) with 95% confidence intervals (CIs). Results Among 11,102 participants (aged 20–85 years, 53.99% male), 132 died from CVD among the total 478 deaths during a median follow-up of 9.9 years. In multivariable-adjusted models, the occupation categories were significantly associated with CVD mortality, with the hazard ratios (HRs) and 95% confidence intervals (95% CIs) of 3.95(1.94–8.04) for construction and clean-up industry, 2.51(1.15–5.52) for sales and service industry, 2.49(1.04–5.95) for business and management, and 2.98(1.56,5.71) for others. For all-cause mortality, only construction and clean-up industry and sales and service industry were positively associated with all-cause mortality, and HRs (95% CIs) were 2.05(1.33–3.16) and 1.64(1.12–2.41). Both working hours in the previous week and the number of months worked exhibited varying degrees of dose-response relationships with CVD and all-cause mortality. Conclusions Occupation categories were found to be significantly associated with the risk of CVD and all-cause mortality. Future research could incorporate different work properties into specific prevention strategies for these outcomes. |
| format | Article |
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| institution | OA Journals |
| issn | 1471-2458 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
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| series | BMC Public Health |
| spelling | doaj-art-9c29dc45d0b14956825f8dbae727f2332025-08-20T02:29:27ZengBMCBMC Public Health1471-24582025-05-0125111010.1186/s12889-025-22958-zAssociations of occupation categories with cardiovascular diseases and all-cause mortality: an analysis of NHANES 2005-2014Haiyang Chi0Jia Zhou1Chao Li2Yuhuan Lu3Can Xie4Baoyu He5Wei Ke6School of Applied Sciences, Macao Polytechnic UniversityChongqing Yubei Maternal and Child Health HospitalGuang Ming District Center for Disease Control and PreventionThe State Key Laboratory of Internet of Things for Smart City, Department of Computer and Information Science, University of MacauSchool of Applied Sciences, Macao Polytechnic UniversitySchool of Applied Sciences, Macao Polytechnic UniversitySchool of Applied Sciences, Macao Polytechnic UniversityAbstract Background Evidence on the effects of occupation categories on cardiovascular disease (CVD) progression and longevity has mostly come from cross-sectional studies, which limits our understanding of the pathogenesis of CVD. This study aimed to evaluate the associations of occupation categories with CVD and all-cause mortality in the American population. Methods We analyzed data from the 2005–2014 U.S. National Health and Nutrition Examination Survey (NHANES), a large-scale public health survey representative of the U.S. population, linked to mortality data obtained in 2019. To evaluate the association between occupation categories and the risks of cardiovascular disease (CVD) and all-cause mortality, we estimated Cox proportional hazard ratios (HRs) with 95% confidence intervals (CIs). Results Among 11,102 participants (aged 20–85 years, 53.99% male), 132 died from CVD among the total 478 deaths during a median follow-up of 9.9 years. In multivariable-adjusted models, the occupation categories were significantly associated with CVD mortality, with the hazard ratios (HRs) and 95% confidence intervals (95% CIs) of 3.95(1.94–8.04) for construction and clean-up industry, 2.51(1.15–5.52) for sales and service industry, 2.49(1.04–5.95) for business and management, and 2.98(1.56,5.71) for others. For all-cause mortality, only construction and clean-up industry and sales and service industry were positively associated with all-cause mortality, and HRs (95% CIs) were 2.05(1.33–3.16) and 1.64(1.12–2.41). Both working hours in the previous week and the number of months worked exhibited varying degrees of dose-response relationships with CVD and all-cause mortality. Conclusions Occupation categories were found to be significantly associated with the risk of CVD and all-cause mortality. Future research could incorporate different work properties into specific prevention strategies for these outcomes.https://doi.org/10.1186/s12889-025-22958-zAll-cause mortalityCardiovascular mortalityOccupation categoriesCohort study |
| spellingShingle | Haiyang Chi Jia Zhou Chao Li Yuhuan Lu Can Xie Baoyu He Wei Ke Associations of occupation categories with cardiovascular diseases and all-cause mortality: an analysis of NHANES 2005-2014 BMC Public Health All-cause mortality Cardiovascular mortality Occupation categories Cohort study |
| title | Associations of occupation categories with cardiovascular diseases and all-cause mortality: an analysis of NHANES 2005-2014 |
| title_full | Associations of occupation categories with cardiovascular diseases and all-cause mortality: an analysis of NHANES 2005-2014 |
| title_fullStr | Associations of occupation categories with cardiovascular diseases and all-cause mortality: an analysis of NHANES 2005-2014 |
| title_full_unstemmed | Associations of occupation categories with cardiovascular diseases and all-cause mortality: an analysis of NHANES 2005-2014 |
| title_short | Associations of occupation categories with cardiovascular diseases and all-cause mortality: an analysis of NHANES 2005-2014 |
| title_sort | associations of occupation categories with cardiovascular diseases and all cause mortality an analysis of nhanes 2005 2014 |
| topic | All-cause mortality Cardiovascular mortality Occupation categories Cohort study |
| url | https://doi.org/10.1186/s12889-025-22958-z |
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