2023-09-28 14:46:10 +00:00
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abstract: 'Background Compared with wage and salary work, self-employment has been
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linked to more favorable cardiovascular health outcomes within the
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general population. Women comprise a significant proportion of the
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self-employed workforce and are disproportionately affected by
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cardiovascular disease. Self-employed women represent a unique
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population in that their cardiovascular health outcomes may be related
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to gender-specific advantages of non-traditional employment. To date, no
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studies have comprehensively explored the association between
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self-employment and risk factors for cardiovascular disease among women.
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Methods We conducted a weighted cross-sectional analysis using data from
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the University of Michigan Health and Retirement Study (HRS). Our study
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sample consisted of 4624 working women (employed for wages and
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self-employed) enrolled in the 2016 HRS cohort. Multivariable linear and
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logistic regression were used to examine the relationship between
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self-employment and several self-reported physical and mental health
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risk factors for cardiovascular disease, controlling for healthcare
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access. Results Among working women, self-employment was associated with
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a 34\% decrease in the odds of reporting obesity, a 43\% decrease in the
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odds of reporting hypertension, a 30\% decrease in the odds of reporting
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diabetes, and a 68\% increase in the odds of reporting participation in
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at least twice-weekly physical activity (p < 0.05). BMI for
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self-employed women was on average 1.79 units lower than it was for
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women working for wages (p < 0.01). Conclusions Employment structure may
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have important implications for cardiovascular health among women, and
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future studies should explore the causal relationship between
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self-employment and cardiovascular health outcomes in this population.
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Trial Registration: Not applicable.'
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affiliation: 'Narain, KDC (Corresponding Author), Univ Calif Los Angeles, Dept Med,
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Div Gen Internal Med \& Hlth Serv Res GIM HSR, 1100 Glendon Ave,Suite 850, Los Angeles,
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CA 90024 USA.
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Dzodzomenyo, Sedina, Univ Calif Los Angeles, David Geffen Sch Med, 10833 Le Conte
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Ave, Los Angeles, CA 90095 USA.
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Narain, Kimberly Danae Cauley, Univ Calif Los Angeles, Dept Med, Div Gen Internal
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Med \& Hlth Serv Res GIM HSR, 1100 Glendon Ave,Suite 850, Los Angeles, CA 90024
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USA.
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Narain, Kimberly Danae Cauley, Univ Calif Los Angeles, Fielding Sch Publ Hlth, Ctr
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Hlth Adv, Box 951772,650 Charles Young Dr,S 31-269 CHS, Los Angeles, CA 90095 USA.'
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article-number: '307'
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author: Dzodzomenyo, Sedina and Narain, Kimberly Danae Cauley
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author-email: KNarain@mednet.ucla.edu
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author_list:
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- family: Dzodzomenyo
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given: Sedina
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- family: Narain
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given: Kimberly Danae Cauley
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da: '2023-09-28'
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doi: 10.1186/s12905-022-01893-w
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eissn: 1472-6874
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files: []
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journal: BMC WOMENS HEALTH
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keywords: Cardiovascular disease; Women's health; Employment status
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keywords-plus: DISCRIMINATION; DISEASE
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language: English
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month: JUL 23
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number: '1'
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number-of-cited-references: '32'
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papis_id: 3ecab24b66a9eeff4fd5722a6f4597de
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ref: Dzodzomenyo2022exploringrelationshi
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times-cited: '1'
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title: Exploring the relationship between self-employment and women's cardiovascular
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health
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000829156400002
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usage-count-last-180-days: '2'
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usage-count-since-2013: '13'
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volume: '22'
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web-of-science-categories: Public, Environmental \& Occupational Health; Obstetrics
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\& Gynecology
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year: '2022'
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