| Occupational Mobility and Carotid Artery Intima-Media Thickness: Findings From the Coronary Artery Risk Development in Young Adults Study. | |
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MedLine Citation:
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PMID: 22021461 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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ObjectiveTo examine whether a 10-year change in occupational standing is related to carotid artery intima-media thickness (IMT) 5 years later.MethodsData were obtained from 2350 participants in the Coronary Artery Risk Development in Young Adults (CARDIA) Study. Occupational standing was measured at the Year 5 and 15 CARDIA follow-up examinations when participants were 30.2 (standard deviation = 3.6) and 40.2 (standard deviation = 3.6) years of age, respectively. IMT (common carotid artery [CCA], internal carotid artery [ICA], and bulb) was measured at Year 20. Occupational mobility was defined as the change in occupational standing between Years 5 and 15 using two semicontinuous variables. Analyses controlled for demographics, CARDIA center, employment status, parents' medical history, own medical history, Year 5 Framingham Risk Score, physiological risk factors and health behaviors averaged across the follow-up, and sonography reader.ResultsOccupational mobility was unrelated to IMT save for an unexpected association of downward mobility with less CCA-IMT (β = -0.04, p = .04). However, associations differed depending on initial standing (Year 5) and sex. For those with lower initial standings, upward mobility was associated with less CCA-IMT (β = -0.07, p = .003), and downward mobility was associated with greater CCA-IMT and bulb-ICA-IMT (β = 0.14, p = .01 and β = 0.14, p = .03, respectively); for those with higher standings, upward mobility was associated with greater CCA-IMT (β = 0.15, p = .008), but downward mobility was unrelated to either IMT measure (p values > .20). Sex-specific analyses revealed associations of upward mobility with less CCA-IMT and bulb-ICA-IMT among men only (p values < .02).ConclusionsOccupational mobility may have implications for future cardiovascular health. Effects may differ depending on initial occupational standing and sex. |
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Authors:
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Denise Janicki-Deverts; Sheldon Cohen; Karen A Matthews; David R Jacobs; Nancy E Adler |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-10-21 |
Journal Detail:
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Title: Psychosomatic medicine Volume: - ISSN: 1534-7796 ISO Abbreviation: - Publication Date: 2011 Oct |
Date Detail:
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Created Date: 2011-10-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0376505 Medline TA: Psychosom Med Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Psychology (D.J.-D., S.C.), Carnegie Mellon University; and Department of Psychiatry (K.A.M.), University of Pittsburgh, Pittsburgh, Pennsylvania; Division of Epidemiology and Community Health (D.R.J.), School of Public Health, University of Minnesota, Minneapolis, Minnesota; Department of Nutrition (D.R.J.), University of Oslo, Oslo, Norway; and Department of Psychiatry (N.E.A.), University of California, San Francisco, California. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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