Table 3.
Medical/Health Condition Based on Cumulative Index Rating Scale (CIRS) Morbidity Classes | Not Working vs. Working† | Part Time vs. Full Time† | Unemployed vs. Working† | |||||||
---|---|---|---|---|---|---|---|---|---|---|
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Entire Sample | Men | Women | Entire Sample | Entire Sample | ||||||
Cardiac | ||||||||||
Congestive Heart Failure vs. none | 2.14 | < 0.001 | 2.50 | < 0.001 | 1.72 | 0.01 | 1.09 | 0.73 | 1.02 | 0.94 |
Coronary Artery Disease vs. none | 1.75 | < 0.001 | 1.57 | 0.003 | 1.86 | 0.01 | 1.06 | 0.81 | 1.36 | 0.27 |
Vascular | ||||||||||
Peripheral Arterial Disease vs none | 1.58 | < 0.001 | 1.41 | 0.03 | 1.64 | 0.002 | 0.87 | 0.52 | 1.72 | 0.02 |
Hypertension vs none | 1.16 | 0.005 | 1.22 | 0.006 | 1.11 | 0.14 | 1.08 | 0.28 | 0.98 | 0.89 |
Stroke vs. none | 2.83 | < 0.001 | 2.40 | < 0.001 | 3.24 | < 0.001 | 1.62 | 0.07 | 1.58 | 0.07 |
Respiratory | ||||||||||
Asthma vs. none | 1.00 | 0.86 | 1.10 | 0.27 | 0.97 | 0.67 | 1.07 | 0.19 | 1.01 | 0.90 |
Bronchitis vs. none | 1.21 | 0.005 | 1.37 | 0.01 | 1.21 | 0.02 | 1.05 | 0.63 | 1.14 | 0.35 |
Emphysema vs. none | 2.32 | < 0.001 | 2.56 | 0.001 | 1.91 | 0.005 | 1.37 | 0.30 | 1.46 | 0.35 |
Chronic Obstructive Pulmonary Disease | ||||||||||
Mild vs. no COPD | 1.17 | 0.26 | 1.13 | 0.53 | 1.19 | 0.51 | 1.47 | 0.01 | 0.84 | 0.56 |
Moderate vs. no COPD | 1.36 | 0.06 | 1.40 | 0.10 | 1.28 | 0.30 | 1.22 | 0.40 | 1.01 | 0.97 |
Severe vs. no COPD | 2.84 | 0.01 | 3.35 | 0.08 | 2.22 | 0.20 | 0.62 | 0.57 | 3.55 | 0.07 |
Ophthalmological | ||||||||||
Age-Related Macular Degeneration | ||||||||||
Early/Late AMD vs. none | 1.12 | 0.69 | 0.83 | 0.66 | 1.43 | 0.37 | 1.37 | 0.45 | 1.88 | 0.07 |
Non-Proliferative Retinopathy | ||||||||||
Mild vs. none | 0.97 | 0.88 | 0.88 | 0.52 | 1.05 | 0.83 | 0.78 | 0.27 | 0.69 | 0.15 |
Moderate/severe vs. none | 2.03 | 0.17 | 2.85 | 0.16 | 1.58 | 0.29 | 0.18 | 0.05 | 0.48 | 0.40 |
Visual Impairment | ||||||||||
Uncorrected refractive error vs. normal sight | 1.24 | 0.008 | 1.47 | 0.01 | 1.07 | 0.53 | 1.27 | 0.02 | 1.27 | 0.14 |
Visual impairment vs. normal sight | 2.68 | < 0.001 | 1.53 | 0.28 | 4.49 | < 0.001 | 1.39 | 0.46 | 0.39 | 0.14 |
Hepatic | ||||||||||
Liver Disease vs. none | 1.47 | < 0.001 | 1.59 | < 0.001 | 1.32 | 0.03 | 0.96 | 0.81 | 1.27 | 0.23 |
Renal | ||||||||||
Chronic Kidney Disease vs. none | 1.87 | < 0.001 | 1.93 | < 0.001 | 1.88 | < 0.001 | 1.40 | 0.13 | 0.76 | 0.42 |
Musculoskeletal | ||||||||||
Arthritis vs. none | 1.55 | < 0.001 | 1.85 | < 0.001 | 1.41 | < 0.001 | 1.11 | 0.15 | 1.22 | 0.02 |
Neurological | ||||||||||
Hearing Impairment | ||||||||||
Mild vs none | 1.19 | 0.17 | 1.33 | 0.15 | 1.17 | 0.37 | 1.03 | 0.85 | 1.47 | 0.10 |
Moderate+ vs. none | 1.46 | 0.002 | 1.74 | 0.002 | 1.18 | 0.37 | 1.05 | 0.79 | 1.16 | 0.53 |
Peripheral Neuropathy vs none | 1.38 | 0.04 | 1.44 | 0.11 | 1.25 | 0.29 | 1.45 | 0.03 | 0.61 | 0.12 |
Endocrine/Metabolic | ||||||||||
Diabetes vs. none | 1.53 | < 0.001 | 1.71 | < 0.001 | 1.39 | < 0.001 | 1.01 | 0.92 | 1.31 | 0.08 |
Obesity vs not obese | 1.06 | 0.09 | 1.05 | 0.24 | 1.07 | 0.11 | 0.87 | 0.007 | 1.08 | 0.29 |
Underweight vs. not underweight | 1.62 | 0.001 | 1.83 | 0.01 | 1.51 | 0.003 | 1.25 | 0.17 | 1.47 | 0.08 |
Elevated C-Reactive Protein vs. not | 1.25 | < 0.001 | 1.35 | < 0.001 | 1.18 | < 0.001 | 1.02 | 0.70 | 1.04 | 0.56 |
Elevated Glucose vs. not | 1.35 | 0.002 | 1.24 | 0.09 | 1.24 | 0.14 | 0.89 | 0.47 | 1.03 | 0.86 |
Elevated LDL Cholesterol vs. not | 1.10 | 0.25 | 0.89 | 0.41 | 1.31 | 0.02 | 1.07 | 0.54 | 1.30 | 0.07 |
Elevated Total Cholesterol vs. not | 1.18 | < 0.001 | 0.99 | 0.95 | 1.37 | < 0.001 | 1.11 | 0.09 | 1.35 | 0.002 |
Elevated Triglycerides vs. not | 1.37 | < 0.001 | 1.14 | 0.18 | 1.70 | < 0.001 | 1.03 | 0.76 | 1.17 | 0.19 |
Low HDL Cholesterol vs. not | 1.20 | < 0.001 | 1.10 | 0.12 | 1.40 | < 0.001 | 0.88 | 0.07 | 1.03 | 0.67 |
Cancer (of any type) vs. not | 1.33 | 0.002 | 1.63 | < 0.001 | 1.22 | 0.07 | 1.00 | 0.94 | 1.31 | 0.10 |
Psychiatric | ||||||||||
Moderate+ Depression vs. Less Depression Symptoms | 3.12 | < 0.001 | 4.23 | < 0.001 | 2.60 | < 0.001 | 1.31 | 0.06 | 1.76 | < 0.001 |
Behavioral | ||||||||||
Sleep Disorder vs. none | 1.25 | 0.003 | 1.03 | 0.73 | 1.41 | 0.003 | 1.12 | 0.33 | 0.94 | 0.75 |
Cardiorespiratory Fitness | ||||||||||
Low vs. high | 1.09 | 0.48 | 1.13 | 0.59 | 1.13 | 0.45 | 0.83 | 0.31 | 1.06 | 0.74 |
Moderate vs. high | 0.87 | 0.25 | 0.85 | 0.33 | 0.91 | 0.63 | 0.84 | 0.13 | 0.78 | 0.28 |
Physical Activity | ||||||||||
Inactive vs. active | 1.93 | < 0.001 | 2.62 | < 0.001 | 1.46 | 0.01 | 1.09 | 0.38 | 1.33 | 0.10 |
Smoker vs. non-smoker | 1.39 | < 0.001 | 1.45 | < 0.001 | 1.33 | < 0.001 | 1.07 | 0.24 | 1.23 | 0.01 |
Separate logistic regression models were computed for employment status (not working vs. working; part-time vs. full-time; and unemployed vs. working).
For the self-report of physician diagnosis variables, 1 model was computed which included all conditions in the model, plus the covariates age, gender, and race-ethnicity. The exception to this was the sleep disorder variable because sleep disorder assessment did not occur across all NHANES cycles. Therefore, the ORs for the sleep variable is from a separate model that included sleep disorder plus the other medical conditions and covariates.
Separate models were computed for each of the laboratory-determined variables not all participants had data on all biomarkers. In each model covariates included age, gender, and race-ethnicity.
The examination-determined variables were not all collected during the same cycles; therefore, separate models were computed for each of these examination-determined medical conditions. Covariates age, gender, and race-ethnicity were included in each model.
Working is defined as working at an outside job or business within the last week; full time is defined as ≥ 35 hrs/wk; and unemployed is defined as looking for work or on a layoff.