Table 2.
Contribution of behavioural and occupational factors to social differences in premature mortality (<70y)
TOTAL SAMPLE N=4118 | Crude HR | 95% CI | Adjusted HR (1) | 95% CI | Adjusted HR (2) | 95% CI | % | Adjusted HR (3) | 95% CI | % | Adjusted HR (4) | 95% CI | % |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
SES (occupation) | |||||||||||||
Managers, professionals | 1 | 1 | 1 | 1 | 1 | ||||||||
Associate professionals, technicians | 1.25 | 0.70–2.22 | 1.02 | 0.57–1.82 | 1.02 | 0.57–1.82 | 0.78 | 0.43–1.43 | 0.78 | 0.43–1.45 | |||
Service workers, clerks | 0.96 | 0.59–1.57 | 1.40 | 0.84–2.32 | 1.37 | 0.82–2.28 | 1.13 | 0.67–1.90 | 1.12 | 0.66–1.88 | |||
Manual workers | 1.92** | 1.20–3.08 | 1.88** | 1.17–3.01 | 1.88** | 1.17–3.03 | 0 | 1.25 | 0.74–2.12 | 72 | 1.27 | 0.75–2.17 | 69 |
| |||||||||||||
Men | 2.08*** | 1.49–2.90 | 1.96*** | 1.38–2.82 | 1.59* | 1.08–2.33 | 2.08*** | 1.44–3.00 | 1.68** | 1.13–2.49 | |||
| |||||||||||||
Smoking | |||||||||||||
Non-smoker | 1 | 1 | 1 | ||||||||||
Ex-smoker | 2.14*** | 1.46–3.13 | 1.52* | 1.02–2.28 | 1.49* | 1.00–2.23 | |||||||
Smoker | 1.40 | 0.93–2.12 | 1.57* | 1.01–2.43 | 1.57* | 1.01–2.44 | |||||||
Alcohol abuse | 2.63*** | 1.80–3.85 | 2.01*** | 1.35–2.98 | 1.90** | 1.28–2.83 | |||||||
BMI (kg/m2) | |||||||||||||
<25 | 1 | 1 | 1 | ||||||||||
25–30 | 1.71** | 1.22–2.41 | 0.90 | 0.63–1.28 | 0.91 | 0.63–1.31 | |||||||
>30 | 1.58* | 1.04–2.39 | 0.90 | 0.59–1.38 | 0.91 | 0.60–1.40 | |||||||
| |||||||||||||
Biomechanical exposure | 1.52** | 1.12–2.06 | 1.35§ | 0.96–1.90 | 1.31 | 0.93–1.84 | |||||||
Physical exposure | 1.59** | 1.17–2.15 | 1.19 | 0.83–1.70 | 1.18 | 0.82–1.68 | |||||||
Temporary contract | 2.81*** | 2.05–3.85 | 1.86*** | 1.28–2.70 | 1.80** | 1.24–2.63 | |||||||
Low social support | 2.21*** | 1.62–2.99 | 1.39* | 1.00–1.94 | 1.39* | 1.00–1.93 |
MEN N=2189 |
Crude HR | 95% CI | Adjusted HR (1) | 95% CI | Adjusted HR (2) | 95% CI | % | Adjusted HR (3) | 95% CI | % | Adjusted HR (4) | 95% CI | % |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
SES (occupation) | |||||||||||||
Managers, professionals | 1 | 1 | 1 | 1 | 1 | ||||||||
Associate professionals, technicians | 1.13 | 0.60–2.12 | 1.03 | 0.55–1.94 | 1.03 | 0.55–1.94 | 0.78 | 0.40–1.53 | 0.78 | 0.39–1.53 | |||
Service workers, clerks | 1.07 | 0.57–2.02 | 1.25 | 0.66–2.37 | 1.19 | 0.63–2.25 | 0.98 | 0.51–1.89 | 0.94 | 0.49–1.82 | |||
Manual workers | 1.65§ | 0.97–2.81 | 1.89* | 1.11–3.21 | 1.85* | 1.08–3.16 | 4 | 1.23 | 0.67–2.27 | 74 | 1.21 | 0.66–2.25 | 76 |
| |||||||||||||
Smoking | |||||||||||||
Non-smoker | 1 | 1 | 1 | ||||||||||
Ex-smoker | 2.77*** | 1.59–4.81 | 1.82* | 1.03–3.19 | 1.74* | 1.00–3.06 | |||||||
Smoker | 1.98* | 1.11–3.53 | 1.97* | 1.10–3.55 | 1.95* | 1.08–3.52 | |||||||
Alcohol abuse | 2.42*** | 1.60–3.65 | 2.12*** | 1.40–3.23 | 1.98*** | 1.30–3.02 | |||||||
BMI (kg/m2) | |||||||||||||
<25 | 1 | 1 | 1 | ||||||||||
25–30 | 1.45§ | 0.97–2.18 | 0.89 | 0.59–1.36 | 0.92 | 0.60–1.40 | |||||||
>30 | 1.41 | 0.84–2.38 | 0.84 | 0.49–1.44 | 0.86 | 0.50–1.47 | |||||||
| |||||||||||||
Biomechanical exposure | 1.62** | 1.12–2.34 | 1.38 | 0.90–2.10 | 1.34 | 0.88–2.04 | |||||||
Physical exposure | 1.39§ | 0.95–2.02 | 1.09 | 0.71–1.69 | 1.11 | 0.72–1.70 | |||||||
Temporary contract | 4.01*** | 2.74–5.86 | 2.33*** | 1.49–3.64 | 2.23*** | 1.42–3.51 | |||||||
Low social support | 2.34*** | 1.62–3.38 | 1.39§ | 0.94–2.05 | 1.35 | 0.91–2.00 |
WOMEN N=1929 |
Crude HR | 95% CI | Adjusted HR (1) | 95% CI | Adjusted HR (2) | 95% CI | % | Adjusted HR (3) | 95% CI | % | Adjusted HR (4) | 95% CI | % |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
SES (occupation) | |||||||||||||
Managers, professionals | 1 | 1 | 1 | 1 | 1 | ||||||||
Associate professionals, technicians | 0.86 | 0.17–4.44 | 0.83 | 0.16–4.27 | 0.84 | 0.16–4.35 | 0.70 | 0.13–3.64 | 0.71 | 0.13–3.70 | |||
Service workers, clerks | 1.47 | 0.57–3.79 | 1.55 | 0.60–3.99 | 1.58 | 0.61–4.10 | 1.38 | 0.53–3.60 | 1.41 | 0.54–3.70 | |||
Manual workers | 2.41§ | 0.86–6.75 | 1.87 | 0.66–5.29 | 1.94 | 0.68–5.54 | −8 | 1.34 | 0.45–4.03 | 61 | 1.41 | 0.46–4.28 | 53 |
| |||||||||||||
Smoking | |||||||||||||
Non-smoker | 1 | 1 | 1 | ||||||||||
Ex-smoker | 1.18 | 0.63–2.21 | 1.31 | 0.69–2.47 | 1.30 | 0.69–2.46 | |||||||
Smoker | 0.61 | 0.28–1.30 | 1.10 | 0.50–2.41 | 1.10 | 0.50–2.43 | |||||||
Alcohol abuse | 1.11 | 0.27–4.56 | 1.16 | 0.28–4.84 | 1.18 | 0.28–4.93 | |||||||
BMI (kg/m2) | |||||||||||||
<25 | 1 | 1 | 1 | ||||||||||
25–30 | 1.39 | 0.68–2.86 | 0.85 | 0.41–1.78 | 0.86 | 0.41–1.80 | |||||||
>30 | 1.64 | 0.82–3.29 | 1.00 | 0.49–2.04 | 0.99 | 0.49–2.02 | |||||||
| |||||||||||||
Biomechanical exposure | 1.25 | 0.72–2.19 | 1.30 | 0.72–2.35 | 1.28 | 0.70–2.32 | |||||||
Physical exposure | 1.31 | 0.74–2.33 | 1.37 | 0.74–2.56 | 1.34 | 0.72–2.51 | |||||||
Temporary contract | 1.84* | 1.04–3.22 | 1.12 | 0.57–2.20 | 1.11 | 0.56–2.20 | |||||||
Low social support | 2.11** | 1.21–3.68 | 1.50 | 0.81–2.79 | 1.53 | 0.82–2.85 |
p<0.05,
p<0.01,
p<0.001,
p<0.10.
Model 1 (adjusted for SES and age)
Model 2 = Model 1 + smoking, alcohol abuse, and BMI
Model 3 = Model 1 + biomechanical exposure, physical exposure, temporary contract, and social support
Model 4 = Model 1 + Model 2 + Model 3
% = Reduction (positive %) or increase (negative %) in HR computed with the following formula: (HRmodel 1 − HRextended model)/(HRmodel 1 − 1)