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Instituto Nacional de Salud Pública

2023, Number 5

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salud publica mex 2023; 65 (5)

Rural and urban differences in lifetime occupation and its influence on mortality among Mexican adults

Gutiérrez M, Wong R, Kuo Yong-Fang

Language: English
References: 30
Page: 513-522
PDF size: 357.79 Kb.


ABSTRACT

Objective. To determine how primary lifetime occupation type is associated with mortality, and how the relationship varies by rural and urban dwelling. Materials and methods. Data come from 2001-2018 Mexican Health and Aging Study (adults aged 50+, n=11 094). We created five occupation categories. Cox proportional hazard models predicted mortality using baseline covariates. Results. In both rural and urban settings, participants with manual jobs, such as agriculture and production/industrial jobs, had an increased risk of mortality compared to those with administrative/professional jobs. In urban settings, participants in the domestic/service and no main job categories had higher risk of mortality than those in the administrative/professional category. For men these differences remained, but not for women. Conclusion. In a context of rural and urban demographic shifts, it is crucial to consider the implications that occupation as a socioeconomic factor can have on health and to identify the most vulnerable groups.


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