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. 1992 Aug;46(4):403–408. doi: 10.1136/jech.46.4.403

Level of education, lifestyle, and morbidity in two groups of white collar workers.

A Leclerc 1, F Pietri 1, L Boitel 1, J F Chastang 1, P Carval 1, M Blondet 1
PMCID: PMC1059610  PMID: 1431717

Abstract

STUDY OBJECTIVE--The aim was to examine the relationship between level of education, lifestyle, and morbidity in two groups of male white collar workers, and to determine whether any differences found could be related to objective differences in working conditions. DESIGN--The study was a survey of a random sample of commercial travellers and a sample of men with sedentary occupations, representing two different groups of white collar workers. Survey interviews were conducted during the annual compulsory medical examination. Subjects were classified into three levels of education and differences according to level of education were studied in relation to 40 frequent health problems, lifestyle variables, body mass index, height, and working conditions. SUBJECTS--There were 1364 men in the commercial traveller group, mean age 39.5 years, and 525 men in the sedentary group, mean age 36.2 years. There were 22 exclusions because of unclassifiable levels of education and four refused to be interviewed. SETTING--The study took place in 11 towns in France. MAIN RESULTS--When age was taken into account there were only minor differences in the prevalence of health disorders. Lifestyle variables and height were clearly related to the level of education. Observed differences could not be explained by constraints or declared difficulties in working conditions. CONCLUSIONS--Differences in health practices related to level of education are observed even in groups that are relatively homogeneous socially. Lifestyle may be important as an intermediate determinant of health disorders among less educated people.

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Selected References

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  1. Abramson J. H., Gofin R., Habib J., Pridan H., Gofin J. Indicators of social class. A comparative appraisal of measures for use in epidemiological studies. Soc Sci Med. 1982;16(20):1739–1746. doi: 10.1016/0277-9536(82)90267-2. [DOI] [PubMed] [Google Scholar]
  2. Braddon F. E., Rodgers B., Wadsworth M. E., Davies J. M. Onset of obesity in a 36 year birth cohort study. Br Med J (Clin Res Ed) 1986 Aug 2;293(6542):299–303. doi: 10.1136/bmj.293.6542.299. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Braddon F. E., Wadsworth M. E., Davies J. M., Cripps H. A. Social and regional differences in food and alcohol consumption and their measurement in a national birth cohort. J Epidemiol Community Health. 1988 Dec;42(4):341–349. doi: 10.1136/jech.42.4.341. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. DOUGLAS J. W., SIMPSON H. R. HEIGHT IN RELATION TO PUBERTY FAMILY SIZE AND SOCIAL CLASS. A LONGITUDINAL STUDY. Milbank Mem Fund Q. 1964 Jul;42:20–35. [PubMed] [Google Scholar]
  5. Doornbos G., Kromhout D. Educational level and mortality in a 32-year follow-up study of 18-year-old men in The Netherlands. Int J Epidemiol. 1990 Jun;19(2):374–379. doi: 10.1093/ije/19.2.374. [DOI] [PubMed] [Google Scholar]
  6. Fox A. J., Goldblatt P. O., Jones D. R. Social class mortality differentials: artefact, selection or life circumstances? J Epidemiol Community Health. 1985 Mar;39(1):1–8. doi: 10.1136/jech.39.1.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Jacobsen B. K., Thelle D. S. Risk factors for coronary heart disease and level of education. The Tromsø Heart Study. Am J Epidemiol. 1988 May;127(5):923–932. doi: 10.1093/oxfordjournals.aje.a114895. [DOI] [PubMed] [Google Scholar]
  8. La Vecchia C., Negri E., Pagano R., Decarli A. Education, prevalence of disease, and frequency of health care utilisation. The 1983 Italian National Health Survey. J Epidemiol Community Health. 1987 Jun;41(2):161–165. doi: 10.1136/jech.41.2.161. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Liberatos P., Link B. G., Kelsey J. L. The measurement of social class in epidemiology. Epidemiol Rev. 1988;10:87–121. doi: 10.1093/oxfordjournals.epirev.a036030. [DOI] [PubMed] [Google Scholar]
  10. Marmot M. G., Shipley M. J., Rose G. Inequalities in death--specific explanations of a general pattern? Lancet. 1984 May 5;1(8384):1003–1006. doi: 10.1016/s0140-6736(84)92337-7. [DOI] [PubMed] [Google Scholar]
  11. Pincus T., Callahan L. F., Burkhauser R. V. Most chronic diseases are reported more frequently by individuals with fewer than 12 years of formal education in the age 18-64 United States population. J Chronic Dis. 1987;40(9):865–874. doi: 10.1016/0021-9681(87)90186-x. [DOI] [PubMed] [Google Scholar]
  12. Walker M., Shaper A. G., Wannamethee G. Height and social class in middle-aged British men. J Epidemiol Community Health. 1988 Sep;42(3):299–303. doi: 10.1136/jech.42.3.299. [DOI] [PMC free article] [PubMed] [Google Scholar]

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