Women's employment status and mortality: The atherosclerosis risk in communities study

Kathryn M. Rose, April P. Carson, Diane Catellier, Ana V. Diez Roux, Carles Muntaner, Herman A. Tyroler, Sharon B. Wyatt

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background: As women's labor force participation in the United States has increased over the past decades, there has been an interest in the potential health effects of employment. To date, however, research findings have been contradictory. Methods: Thus, the aim of this study was to investigate the association between employment status and mortality among 7361 middle-aged African American and white women who participated in the Atherosclerosis Risk in Communities (ARIC) Study. Women were classified as employed or homemakers at the baseline examination (1987-1989) and were followed for approximately 11 years. Proportional hazards regression was used to estimate unadjusted and adjusted hazard ratios. Results: After adjusting for sociodemographic factors and selected risk factors for mortality, employed women had a lower risk of mortality than homemakers (hazard ratio [HR] = 0.65, 95% confidence interval [CI] = 0.49, 0.86). This decreased risk of mortality persisted in additional analyses that excluded those who died within the first 2 years of follow-up or, alternatively, those with a history of coronary heart disease (CHD), stroke, cancer, hypertension, diabetes, or a perception of fair or poor health at baseline. In cause of death-specific analyses, the mortality advantage among employed women persisted for circulatory system-related deaths; however, the association for cancer-related deaths was weaker, and the CI included one. Conclusions: As the association between employment status and mortality was not explained by known risk factors for mortality, additional research is needed to identify, other potential factors that may help to explain this relationship.

Original languageEnglish
Pages (from-to)1108-1118
Number of pages11
JournalJournal of Women's Health
Volume13
Issue number10
Publication statusPublished - 2004 Dec 1
Externally publishedYes

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Women's Rights
Atherosclerosis
Mortality
Confidence Intervals
Health
Cardiovascular System
Research
African Americans
Coronary Disease
Cause of Death
Neoplasms
Stroke
Hypertension

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Rose, K. M., Carson, A. P., Catellier, D., Diez Roux, A. V., Muntaner, C., Tyroler, H. A., & Wyatt, S. B. (2004). Women's employment status and mortality: The atherosclerosis risk in communities study. Journal of Women's Health, 13(10), 1108-1118.

Women's employment status and mortality : The atherosclerosis risk in communities study. / Rose, Kathryn M.; Carson, April P.; Catellier, Diane; Diez Roux, Ana V.; Muntaner, Carles; Tyroler, Herman A.; Wyatt, Sharon B.

In: Journal of Women's Health, Vol. 13, No. 10, 01.12.2004, p. 1108-1118.

Research output: Contribution to journalArticle

Rose, KM, Carson, AP, Catellier, D, Diez Roux, AV, Muntaner, C, Tyroler, HA & Wyatt, SB 2004, 'Women's employment status and mortality: The atherosclerosis risk in communities study', Journal of Women's Health, vol. 13, no. 10, pp. 1108-1118.
Rose KM, Carson AP, Catellier D, Diez Roux AV, Muntaner C, Tyroler HA et al. Women's employment status and mortality: The atherosclerosis risk in communities study. Journal of Women's Health. 2004 Dec 1;13(10):1108-1118.
Rose, Kathryn M. ; Carson, April P. ; Catellier, Diane ; Diez Roux, Ana V. ; Muntaner, Carles ; Tyroler, Herman A. ; Wyatt, Sharon B. / Women's employment status and mortality : The atherosclerosis risk in communities study. In: Journal of Women's Health. 2004 ; Vol. 13, No. 10. pp. 1108-1118.
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