Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/29099
Title: 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
Authors: Toivanen, Susanna
Griep, Rosane Härter
Mellner, Christin
Nordenmark, Mikael
Vinberg, Stig
Eloranta, Sandra
Affilliation: 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.
Abstract: 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.
Keywords: Self-employment
Cardiovascular disease
Hospitalization
Sweden
keywords: Empregado por conta própria
Doenças cardiovasculares
Hospitalização
Suécia
Issue Date: 2018
Publisher: Springer Link
Citation: TOIVANEN, Susanna; et al. 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. Small Bus Econ., 12p, 2018.
ISSN: ‎0921-898X
Copyright: restricted access
Appears in Collections:IOC - Artigos de Periódicos

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