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Long working hours and cardiovascular mortality: a census-based cohort study

Author

Listed:
  • Gianfranco Alicandro

    (Directorate for Social Statistics and Population Census, National Institute of Statistics (ISTAT))

  • Paola Bertuccio

    (Università degli Studi di Milano)

  • Gabriella Sebastiani

    (Directorate for Social Statistics and Population Census, National Institute of Statistics (ISTAT))

  • Carlo La Vecchia

    (Università degli Studi di Milano)

  • Luisa Frova

    (Directorate for Social Statistics and Population Census, National Institute of Statistics (ISTAT))

Abstract

Objectives Long working hours have been associated with cardiovascular disease (CVD) mortality. However, results are inconsistent and large cohort studies are needed to confirm these findings. Methods We conducted a census-based cohort study including 11,903,540 Italian workers aged 20–64 years, registered in the 2011 census, with a 5-year follow-up (2012–2016). We estimated cause-specific hazard ratios (cHRs) through Cox regression models to quantify the association between long working hours and CVD mortality. Results Over 5 years of follow-up, 17,206 individuals died from CVD (15,262 men and 1944 women). Men working 55 or more hours per week had a cHR of 0.95 (95% confidence interval, CI 0.89–1.02) for all CVDs, while women showed a cHR of 1.19 (95% CI 0.95–1.49). Professional women working more than 55 h per week had a cHR of 1.98 (95% CI 0.87–4.52). Conclusions This study does not support an association between long working hours and CVD mortality among active Italian men, while it suggests a possible excess risk among women, although based on limited number of events.

Suggested Citation

  • Gianfranco Alicandro & Paola Bertuccio & Gabriella Sebastiani & Carlo La Vecchia & Luisa Frova, 2020. "Long working hours and cardiovascular mortality: a census-based cohort study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(3), pages 257-266, April.
    • Handle: RePEc:spr:ijphth:v:65:y:2020:i:3:d:10.1007_s00038-020-01361-y
    DOI: 10.1007/s00038-020-01361-y
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    References listed on IDEAS

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    1. Natalie Slopen & Robert J Glynn & Julie E Buring & Tené T Lewis & David R Williams & Michelle A Albert, 2012. "Job Strain, Job Insecurity, and Incident Cardiovascular Disease in the Women’s Health Study: Results from a 10-Year Prospective Study," PLOS ONE, Public Library of Science, vol. 7(7), pages 1-10, July.
    2. Londa Schiebinger, 2014. "Scientific research must take gender into account," Nature, Nature, vol. 507(7490), pages 9-9, March.
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