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Self‐employed persons in Sweden ‐ mortality differentials by industrial sector and enterprise legal form: A five‐year follow‐up study
Author(s) -
Toivanen Susanna,
Mellner Christin,
Vinberg Stig
Publication year - 2015
Publication title -
american journal of industrial medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.7
H-Index - 104
eISSN - 1097-0274
pISSN - 0271-3586
DOI - 10.1002/ajim.22387
Subject(s) - medicine , confounding , manufacturing sector , general partnership , population , proportional hazards model , demography , environmental health , business , economics , labour economics , finance , surgery , pathology , sociology
Objectives This study investigated mortality differentials between self‐employed persons in Sweden, considering industrial sector, enterprise characteristics and socio‐demographic factors. Methods Data on 321,274 self‐employed persons were obtained from population registers in Sweden. Cox proportional hazards models were used to compare all‐cause and cause‐specific mortality rate ratios by industrial sector and enterprise legal form, adjusted for confounders. Results All‐cause mortality was 10–32% higher in self‐employed persons in Manufacturing and Mining, Trade and Communication, and Not Specified and Other sectors than in Agriculture, Forestry, and Fishing. Mortality from cardiovascular disease was 23% higher in Trade and Communication, and from neoplasms 17–51% higher in Manufacturing and Mining, Not Specified, and Other. Mortality from suicide was 45–60% lower in Personal and Cultural Services, and in Not Specified. Mortality was 8–16% higher in sole proprietorship than limited partnership. Conclusions Further research of working conditions is warranted, considering industry and enterprise legal form. Am. J. Ind. Med. 58:21–32, 2015. © 2014 Wiley Periodicals, Inc.