Mortality of men versus women in comparable high-level jobs: 15-Year experience in the Federal Women's Study

Katherine M. Detre, Kevin E. Kip, Manning Feinleib, Karen A. Matthews, Steven Belle

Research output: Contribution to journalArticle

Abstract

The authors investigated exposure to high-level occupations in relation to the well-known survival advantage of women compared with men of the same age. Women in the federal workforce in positions of General Schedule 14 and above in 1979-1993 (n = 4,727) were each matched with three men (n = 14,181) by age, General Schedule level, and supervisory role. Fifteen-year mortality rates were compared between men and women and against expected 15-year mortality from the US general population. Despite similar job demands, women experienced markedly lower 15-year mortality than did men. However, men in these positions had nearly 50% lower mortality compared with age-matched men in the general population; the comparable reduction for women was 38%. The simultaneous substantial, but unequal by gender, improvement in mortality resulted in a reduced male/female mortality ratio, from 1.67 in the general population to 1.40. The reduced male/female mortality ratio was especially prominent for cancer and was not evident for heart disease mortality. Survival was nominally higher in non-White than in White participants. In summary, high-level employment is associated with substantially reduced mortality in both men and women. The relative improvement in survival is greater in men despite a comparable reduction in risk of heart disease mortality by gender.

Original languageEnglish (US)
Pages (from-to)221-229
Number of pages9
JournalAmerican Journal of Epidemiology
Volume154
Issue number3
DOIs
StatePublished - Aug 1 2001
Externally publishedYes

Fingerprint

Mortality
Survival
Heart Diseases
Appointments and Schedules
Population
Risk Reduction Behavior
Occupations
Neoplasms

Keywords

  • Cause of death
  • Follow-up studies
  • Men
  • Mortality
  • Occupations
  • Sex ratio
  • Women

ASJC Scopus subject areas

  • Epidemiology

Cite this

Mortality of men versus women in comparable high-level jobs : 15-Year experience in the Federal Women's Study. / Detre, Katherine M.; Kip, Kevin E.; Feinleib, Manning; Matthews, Karen A.; Belle, Steven.

In: American Journal of Epidemiology, Vol. 154, No. 3, 01.08.2001, p. 221-229.

Research output: Contribution to journalArticle

Detre, Katherine M. ; Kip, Kevin E. ; Feinleib, Manning ; Matthews, Karen A. ; Belle, Steven. / Mortality of men versus women in comparable high-level jobs : 15-Year experience in the Federal Women's Study. In: American Journal of Epidemiology. 2001 ; Vol. 154, No. 3. pp. 221-229.
@article{433206e4578f41589dc2f7fae2155d4f,
title = "Mortality of men versus women in comparable high-level jobs: 15-Year experience in the Federal Women's Study",
abstract = "The authors investigated exposure to high-level occupations in relation to the well-known survival advantage of women compared with men of the same age. Women in the federal workforce in positions of General Schedule 14 and above in 1979-1993 (n = 4,727) were each matched with three men (n = 14,181) by age, General Schedule level, and supervisory role. Fifteen-year mortality rates were compared between men and women and against expected 15-year mortality from the US general population. Despite similar job demands, women experienced markedly lower 15-year mortality than did men. However, men in these positions had nearly 50{\%} lower mortality compared with age-matched men in the general population; the comparable reduction for women was 38{\%}. The simultaneous substantial, but unequal by gender, improvement in mortality resulted in a reduced male/female mortality ratio, from 1.67 in the general population to 1.40. The reduced male/female mortality ratio was especially prominent for cancer and was not evident for heart disease mortality. Survival was nominally higher in non-White than in White participants. In summary, high-level employment is associated with substantially reduced mortality in both men and women. The relative improvement in survival is greater in men despite a comparable reduction in risk of heart disease mortality by gender.",
keywords = "Cause of death, Follow-up studies, Men, Mortality, Occupations, Sex ratio, Women",
author = "Detre, {Katherine M.} and Kip, {Kevin E.} and Manning Feinleib and Matthews, {Karen A.} and Steven Belle",
year = "2001",
month = "8",
day = "1",
doi = "10.1093/aje/154.3.221",
language = "English (US)",
volume = "154",
pages = "221--229",
journal = "American Journal of Epidemiology",
issn = "0002-9262",
publisher = "Oxford University Press",
number = "3",

}

TY - JOUR

T1 - Mortality of men versus women in comparable high-level jobs

T2 - 15-Year experience in the Federal Women's Study

AU - Detre, Katherine M.

AU - Kip, Kevin E.

AU - Feinleib, Manning

AU - Matthews, Karen A.

AU - Belle, Steven

PY - 2001/8/1

Y1 - 2001/8/1

N2 - The authors investigated exposure to high-level occupations in relation to the well-known survival advantage of women compared with men of the same age. Women in the federal workforce in positions of General Schedule 14 and above in 1979-1993 (n = 4,727) were each matched with three men (n = 14,181) by age, General Schedule level, and supervisory role. Fifteen-year mortality rates were compared between men and women and against expected 15-year mortality from the US general population. Despite similar job demands, women experienced markedly lower 15-year mortality than did men. However, men in these positions had nearly 50% lower mortality compared with age-matched men in the general population; the comparable reduction for women was 38%. The simultaneous substantial, but unequal by gender, improvement in mortality resulted in a reduced male/female mortality ratio, from 1.67 in the general population to 1.40. The reduced male/female mortality ratio was especially prominent for cancer and was not evident for heart disease mortality. Survival was nominally higher in non-White than in White participants. In summary, high-level employment is associated with substantially reduced mortality in both men and women. The relative improvement in survival is greater in men despite a comparable reduction in risk of heart disease mortality by gender.

AB - The authors investigated exposure to high-level occupations in relation to the well-known survival advantage of women compared with men of the same age. Women in the federal workforce in positions of General Schedule 14 and above in 1979-1993 (n = 4,727) were each matched with three men (n = 14,181) by age, General Schedule level, and supervisory role. Fifteen-year mortality rates were compared between men and women and against expected 15-year mortality from the US general population. Despite similar job demands, women experienced markedly lower 15-year mortality than did men. However, men in these positions had nearly 50% lower mortality compared with age-matched men in the general population; the comparable reduction for women was 38%. The simultaneous substantial, but unequal by gender, improvement in mortality resulted in a reduced male/female mortality ratio, from 1.67 in the general population to 1.40. The reduced male/female mortality ratio was especially prominent for cancer and was not evident for heart disease mortality. Survival was nominally higher in non-White than in White participants. In summary, high-level employment is associated with substantially reduced mortality in both men and women. The relative improvement in survival is greater in men despite a comparable reduction in risk of heart disease mortality by gender.

KW - Cause of death

KW - Follow-up studies

KW - Men

KW - Mortality

KW - Occupations

KW - Sex ratio

KW - Women

UR - http://www.scopus.com/inward/record.url?scp=0035425646&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0035425646&partnerID=8YFLogxK

U2 - 10.1093/aje/154.3.221

DO - 10.1093/aje/154.3.221

M3 - Article

C2 - 11479186

AN - SCOPUS:0035425646

VL - 154

SP - 221

EP - 229

JO - American Journal of Epidemiology

JF - American Journal of Epidemiology

SN - 0002-9262

IS - 3

ER -