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https://www.arca.fiocruz.br/handle/icict/29099
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ArtigoDireito Autoral
Acesso restrito
Data de embargo
2030-01-01
Coleções
- IOC - Artigos de Periódicos [12488]
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HOSPITALIZATION DUE TO STROKE AND MYOCARDIAL INFARCTION IN SELF-EMPLOYED INDIVIDUALS AND SMALL BUSINESS OWNERS COMPARED WITH PAID EMPLOYEES IN SWEDEN—A 5-YEAR STUDY
Autor(es)
Afiliação
Stockholm University. Department of Public Health Sicences. Stockolm, Sweden / Mälardalen University. School of Health, Care and SocialWelfare. Västerås, Sweden.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educação em Ambiente e Saúde. Rio de Janeiro, RJ. Brasil.
Stockholm University. Department of Psychology. Stockholm, Sweden.
Mid Sweden University. Department of Health Sciences.Sundsvall, Sweden
Mid Sweden University. Department of Health Sciences.Sundsvall, Sweden
Scandinavian Development Services, Stockholm, Sweden.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educação em Ambiente e Saúde. Rio de Janeiro, RJ. Brasil.
Stockholm University. Department of Psychology. Stockholm, Sweden.
Mid Sweden University. Department of Health Sciences.Sundsvall, Sweden
Mid Sweden University. Department of Health Sciences.Sundsvall, Sweden
Scandinavian Development Services, Stockholm, Sweden.
Resumo em Inglês
Analysing Swedish population register data,
the aim of the present study is to investigate differences
in acute cardiovascular disease (CVD) in terms of stroke
and myocardial infarction incidence between selfemployed
individuals and paid employees and to study
whether the associations vary by gender or across industrial
sectors. A cohort of nearly 4.8 million employed
individuals (6.7% self-employed in 2003) is followed-up
for hospitalization due to stroke and myocardial infarction
(2004–2008). Self-employed individuals are defined
as sole proprietors and limited liability company owners
according to legal type of their enterprise. Negative
binomial regression models are applied to compare hospitalization
rates between the self-employed and paid
employees, adjusted for socioeconomic and demographic
confounders. Two- and three-way interaction are tested
between occupational group, industrial sector, and
gender. Limited liability company owners have significantly
lower hospitalization for myocardial infarction
than paid employees. Regarding two-way interaction,
sole proprietors have higher myocardial infarction hospitalization
in trade, transport and communication, and
lower in agriculture, forestry, and fishing than paid employees.
Limited liability company owners have lower
hospitalization rate for myocardial infarction than employees
in several industries. The results highlight the
importance of enterprise legal type and industrial sector
for CVD among self-employed individuals.
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