Scandinavian Journal of Work, Environment & Health (Jan 2010)

Occupational class differences in leisure-time physical inactivity – contribution of past and current physical workload and other working conditions

  • Tomi Mäkinen,
  • Laura Kestilä,
  • Katja Borodulin,
  • Tuija Martelin,
  • Ossi Rahkonen,
  • Päivi Leino-Arjas,
  • Ritva Prättälä

DOI
https://doi.org/10.5271/sjweh.2879
Journal volume & issue
Vol. 36, no. 1
pp. 62 – 70

Abstract

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OBJECTIVE: Our aim was to examine the contribution of past and current physical workload to occupational class differences in leisure-time physical inactivity. METHODS: Data were taken from the Finnish population-based Health 2000 Survey of employees aged ≥30 years (N=3355). We assessed physical activity during leisure time using a questionnaire and dichotomized responses to inactive versus active. Occupational class was classified into white- and blue-collar worker. Adjustments were made for current work-related factors, other measures of socioeconomic position, clinically diagnosed chronic diseases, other health behaviors, and history of physical workload. We applied sequential logistic regression to the analyses. RESULTS: Inactivity during leisure time was more common in blue-collar employees than in their white-collar counterparts [women odds ratio (OR) 1.50, 95% confidence interval (95% CI) 1.12–2.00; men OR 1.66, 95% CI 1.30–2.12]. These occupational differences were not due to working hours, work schedule, or chronic diseases. Among women, current job strain decreased the occupational differences in leisure-time physical inactivity slightly (OR 1.37, 95% CI 0.99–1.04). Education and household income contributed to occupational differences for men (OR 1.45, 95% CI 1.02–2.07), but had no additional effect among women. The occupation differences in leisure-time physical inactivity disappeared after adjusting for smoking and body mass index in women (OR 1.33, 95% CI 0.97–1.83) and men (OR 1.27, 95% CI 0.88–1.82) and were further attenuated after adjusting for history of physical workload among men (OR 1.07, 95% CI 0.67–1.72). CONCLUSIONS: Having a long history of exposure to physical work (among men) and a high current job strain (among women) contributed to occupational class differences in leisure-time physical inactivity.

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