Lifetime employment, tobacco use, and alcohol consumption trajectories and cardiovascular diseases in old age

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dc.article.number100737
dc.catalogadoraba
dc.contributor.authorMadero Cabib, Ignacio
dc.contributor.authorAzar Denecken, Ariel Ricardo
dc.contributor.authorBambs S., Claudia
dc.date.accessioned2024-09-23T16:16:44Z
dc.date.available2024-09-23T16:16:44Z
dc.date.issued2021
dc.description.abstractDespite the great advances of life course epidemiology studies during the last decade in understanding the general health effects of employment trajectories, research has yet to evaluate the effects of employment trajectories along with other major risk factors, such as tobacco and alcohol consumption, on cardiovascular diseases (CVDs)—the main cause of deaths worldwide. This is highly relevant, since health advantages in one domain (e.g., being a permanent formal full-time worker) may offset health disadvantages in other domains (e.g., being a regular smoker or alcohol consumer); conversely, disadvantages in both domains may interact, leading to even greater health risks. Considering these knowledge gaps, this research has two main objectives: (1) to reconstruct simultaneous employment, tobacco use, and alcohol consumption trajectories over the life course(from birth to old age) and (2) to measure the association between these trajectories and CVD in old age. Drawing on a rich and comprehensive life history dataset and using multichannel sequence and regression analyses, we analyzed a cohort of individuals aged 65–75 in Chile, a Latin American country with high social inequalities and scarce research on this matter. Our study shows that following a trajectory of formal employment together with no tobacco and alcohol use reduces CVD risk by 36 percentage points relative to a similar employment trajectory but with regular tobacco and alcohol use. Even with an employment trajectory characterized by constant informal employment or permanent inactivity, a life course free of regular tobacco and alcohol use shows protective effects against CVD. This study stresses the importance of health policies that consider CVD as a condition that strongly depends on individual experiences in multiple life domains and across different lifestages.
dc.fechaingreso.objetodigital2024-09-23
dc.fuente.origenORCID
dc.identifier.doi10.1016/j.ssmph.2021.100737
dc.identifier.issn2352-8273
dc.identifier.urihttps://doi.org/10.1016/j.ssmph.2021.100737
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/87899
dc.information.autorucInstituto de Sociología; Madero Cabib, Ignacio; 0000-0002-9918-8562; 1009588
dc.information.autorucInstituto de Sociología; Azar Denecken, Ariel Ricardo; 0000-0002-4868-8081; 188461
dc.information.autorucEscuela de Medicina; Bambs S., Claudia; 0000-0002-7043-6833; 89631
dc.language.isoen
dc.nota.accesocontenido completo
dc.pagina.final12
dc.pagina.inicio1
dc.revistaSSM - Population Health
dc.rightsacceso abierto
dc.rights.licenseAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectLife course
dc.subjectCardiovascular diseases
dc.subjectEmployment
dc.subjectAlcohol consumption
dc.subjectTobacco use
dc.subjectLongitudinal analysis
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.ods10 Reduced inequalities
dc.subject.odspa03 Salud y bienestar
dc.subject.odspa10 Reducción de las desigualdades
dc.titleLifetime employment, tobacco use, and alcohol consumption trajectories and cardiovascular diseases in old age
dc.typeartículo
dc.volumen13
sipa.codpersvinculados1009588
sipa.codpersvinculados188461
sipa.codpersvinculados89631
sipa.trazabilidadORCID;2024-09-23
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