Mortality from coronary heart disease in California men who work long hours

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Abstract

The registered mortality of men in California, 1949 to 1951, is used to test the hypothesis that occupational stress, insofar as it can be measured by the length of the work week, is associated with coronary heart disease. That measure has been used by Russek and Zohman, 1 who reported that a high proportion of persons with coronary heart disease had worked long hours for some time preceding attack. The registered mortality data, together with some Census occupational data on work hours, allows an independent check of that finding.

Farmers and farm laborers show relative protection from mortality attributed to coronary heart disease, even though many of them work long hours. On the other hand, evidence from nonfarm occupations shows an excess of coronary mortality among light workers who are on the job more than 48 hours a week, especially before age 45. The evidence for men at ages 45 to 64 is weaker and perhaps questionable; but, it should be noted, Russek and Zohman also report evidence only for young adults. The difference in the evidence for younger and older middle-aged men is open to several interpretations: perhaps the most useful to research is that stress, as defined, may be associated with thrombotic complications but not necessarily with progressive atherosclerosis of the coronary arteries.

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Supported by Grant No. H-1881 from the National Heart Institute, National Institutes of Health, U. S. Public Health Service.

Associate Public Health Analyst.

∗∗

Chief, Bureau of Chronic Diseases.

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