All-cause and cause-specific mortality HRs among men according to socioprofessional trajectories
| All cause (n=12 162) | Cardiovascular (n=1452) | Cancer (n=3116) | External causes (n=4026) | Other causes (n=3568) | |
|---|---|---|---|---|---|
| HR†‡ (95% CI) | CSH†‡ (95% CI) | CSH†‡ (95% CI) | CSH†‡ (95% CI) | CSH†‡ (95% CI) | |
| Occupation at beginning of follow-up | |||||
| Upper class | 1 | 1 | 1 | 1 | 1 |
| Intermediary occupations | 1.17 (1.04 to 1.33)* | 1.41 (0.94 to 2.14) | 0.98 (0.77 to 1.24) | 1.10 (0.89 to 1.37) | 1.39 (1.10 to 1.77)** |
| Clerk class | 1.34 (1.18 to 1.51)*** | 1.57 (1.04 to 2.37)* | 1.02 (0.81 to 1.29) | 1.26 (1.02 to 1.56)* | 1.68 (1.34 to 2.12)*** |
| Manual workers class | 1.43 (1.27 to 1.61)*** | 1.90 (1.27 to 2.83)** | 1.10 (0.88 to 1.37) | 1.41 (1.15 to 1.73)** | 1.60 (1.28 to 2.00)*** |
| Current occupational class§ | |||||
| Upper class | 1 | 1 | 1 | 1 | 1 |
| Intermediary occupations | 1.16 (1.03 to 1.30)* | 1.26 (0.90 to 1.76) | 1.10 (0.88 to 1.37) | 1.23 (1.01 to 1.51)* | 1.07 (0.86 to 1.33) |
| Clerk class | 1.49 (1.31 to 1.69)*** | 1.58 (1.09 to 2.30)* | 1.50 (1.16 to 1.93)** | 1.43 (1.14 to1.79)** | 1.58 (1.26 to 1.98)*** |
| Manual workers class | 1.39 (1.25 to 1.56)*** | 1.43 (1.03 to 1.99)* | 1.26 (1.02 to 1.56)* | 1.73 (1.42 to 2.12)*** | 1.09 (0.89 to 1.33) |
| Outside the scope | 2.57 (2.31 to 2.85)*** | 2.45 (1.80 to 3.34)*** | 2.21 (1.81 to 2.71)*** | 2.20 (1.81 to 2.68)*** | 3.25 (2.69 to 3.94)*** |
| Cumulative time spent in occupational class | |||||
| Upper class | 1 | 1 | 1 | 1 | 1 |
| Intermediary occupations | 1.04 (0.92 to 1.17) | 1.13 (0.83 to 1.54) | 1.20 (0.98 to 1.46) | 1.03 (0.81 to 1.31) | 0.84 (0.66 to 1.06) |
| Clerk class | 1.50 (1.33 to 1.69)*** | 1.59 (1.14 to 2.20)** | 1.53 (1.23 to 1.89)*** | 1.23 (0.95 to 1.60) | 1.62 (1.31 to 2.00)*** |
| Manual workers class | 1.52 (1.38 to 1.66)*** | 1.54 (1.18 to 2.00)** | 1.75 (1.48 to 2.06)*** | 1.33 (1.10 to 1.60)** | 1.53 (1.28 to 1.83)*** |
| Outside the scope | 1.35 (1.22 to 1.48)*** | 1.29 (0.99 to 1.69) | 1.33 (1.12 to 1.57)*** | 1.46 (1.19 to 1.77)*** | 1.39 (1.16 to 1.67)*** |
| Social mobility indicator¶ | |||||
| Low (=0) | 1 | 1 | 1 | 1 | 1 |
| Medium | 1.03 (0.97 to 1.08) | 1.03 (0.88 to 1.20) | 0.96 (0.87 to 1.06) | 1.11 (0.99 to 1.24) | 1.03 (0.93 to 1.13) |
| High (>1.11) | 1.15 (1.09 to 1.21)*** | 1.12 (0.97 to 1.29) | 1.07 (0.97 to 1.18) | 1.17 (1.08 to 1.28)*** | 1.23 (1.12 to 1.34)*** |
*p<0.05, **p<0.01, ***p<0.001.
†Adjusted for occupation at the beginning, current occupational class, cumulative time spent in occupational class, social mobility indicator and observation periods.
‡Age as the time scale in Cox proportional hazards model.
§Observed with 2-year time lag.
¶Transition rates between occupational classes (10 years of follow-up).
CSH, cause-specific HR.