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American Journal of Epidemiology Vol. 122, No. 2: 283-290
Copyright © 1985 by The Johns Hopkins University School of Hygiene and Public Health

research-article

OCCUPATIONAL DIFFERENCES IN ISCHEMIC HEART DISEASE MORTALITY AND RISK FACTORS IN AUSTRALIA

A. J. DOBSON1, R. W. GIBBERD1, S. R. LEEDER2 and D. L. O'CONNELL3

1Faculty of Mathematics, Unversity of Newcastle New South Wales, Australia
2Faculty of Medicine, University of Newcastle New South Wales, Australia
3National Health and Medical Research Council of Australia. Current address: Department of Biostatistics, School of Public Health, University of North Carolina at Chapel Hill

Reprint requests to Hunter Region Heart Disease Prevention Programme, Faculty of Medicine, University of Newcastle, New South Wales 2308, Australia

Mortality rates from ischemic heart disease in Australia declined by about 25% over the period 19697ndash;1978. The greatest declines were experienced by the professional occupations, while lower socioeconomic groups had higher mortality rates at the beginning of the period and experienced smaller declines. From a national survey in 1980, significantly and consistently lower risk levels of blood pressure, triglyceride, cigarette smoking, body mass and exercise were found among higher status occupation groups. This suggests that there is a pattern of coronary prevention behavior spanning multiple risk factors that is associated with a reduction in ischemic heart disease.

coronary disease; ischemic heart disease; occupations; mortality


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