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Chronic Dis Inj Can. 2013 Sep;33(4):195-203.

Cause-specific mortality by occupational skill level in Canada: a 16-year follow-up study.

[Article in English, French; Abstract available in French from the publisher]

Author information

1
Health Analysis Division, Statistics Canada, Ottawa, Ontario, Canada. michael.tjepkema@statcan.gc.ca

Abstract

in English, French

INTRODUCTION:

Mortality data by occupation are not routinely available in Canada, so we analyzed census-linked data to examine cause-specific mortality rates across groups of occupations ranked by skill level.

METHODS:

A 15% sample of 1991 Canadian Census respondents aged 25 years or older was previously linked to 16 years of mortality data (1991-2006). The current analysis is based on 2.3 million people aged 25 to 64 years at cohort inception, among whom there were 164 332 deaths during the follow-up period. Occupations coded according to the National Occupation Classification were grouped into five skill levels. Age-standardized mortality rates (ASMRs), rate ratios (RRs), rate differences (RDs) and excess mortality were calculated by occupational skill level for various causes of death.

RESULTS:

ASMRs were clearly graded by skill level: they were highest among those employed in unskilled jobs (and those without an occupation) and lowest for those in professional occupations. All-cause RRs for men were 1.16, 1.40, 1.63 and 1.83 with decreasing occupational skill level compared with professionals. For women the gradient was less steep: 1.23, 1.24, 1.32 and 1.53. This gradient was present for most causes of death. Rate ratios comparing lowest to highest skill levels were greater than 2 for HIV/AIDS, diabetes mellitus, suicide and cancer of the cervix as well as for causes of death associated with tobacco use and excessive alcohol consumption.

CONCLUSION:

Mortality gradients by occupational skill level were evident for most causes of death. These results provide detailed cause-specific baseline indicators not previously available for Canada.

KEYWORDS:

Canada; differential mortality; occupational skill level; socio-economic status

PMID:
23987216
[Indexed for MEDLINE]
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