Hospitalization due to stroke and myocardial infarction in self-employed individuals and small business owners compared with paid employees in Sweden—a 5-year study

Bibliographic Data

ID14869337
AuthorsSusanna Toivanen (0000-0001-7505-0676, Mälardalen University, corresponding author), Rosane Harter Griep (0000-0002-6250-2036, Stockholm University), Christin Mellner (0000-0002-0778-2776, Stockholm University), Mikael Nordenmark (0000-0003-2867-8537, Mid Sweden University), Stig Vinberg (0000-0002-5935-5688, Mid Sweden University), Sandra Eloranta (0000-0001-5806-0573, SDS Life Science (Sweden))
Year2019
Volume53
Issue2
Pages343-354
Publication date2019-08-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSmall Business Economics (JOURNAL)
Journal identifiersISSN: 0921-898X • E-ISSN: 1573-0913
PublisherSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1007/s11187-018-0051-3
OpenAlexW2801792524
LanguageEN
Citations received4
References cited29

Analysing Swedish population register data, the aim of the present study is to investigate differences in acute cardiovascular disease (CVD) in terms of stroke and myocardial infarction incidence between self-employed individuals and paid employees and to study whether the associations vary by gender or across industrial sectors. A cohort of nearly 4.8 million employed individuals (6.7% self-employed in 2003) is followed-up for hospitalization due to stroke and myocardial infarction (2004–2008). Self-employed individuals are defined as sole proprietors and limited liability company owners according to legal type of their enterprise. Negative binomial regression models are applied to compare hospitalization rates between the self-employed and paid employees, adjusted for socioeconomic and demographic confounders. Two- and three-way interaction are tested between occupational group, industrial sector, and gender. Limited liability company owners have significantly lower hospitalization for myocardial infarction than paid employees. Regarding two-way interaction, sole proprietors have higher myocardial infarction hospitalization in trade, transport and communication, and lower in agriculture, forestry, and fishing than paid employees. Limited liability company owners have lower hospitalization rate for myocardial infarction than employees in several industries. The results highlight the importance of enterprise legal type and industrial sector for CVD among self-employed individuals

Business · Environmental health · Myocardial infarction · Population · Socioeconomic status · Employment and Welfare Studies · Medicine · Workplace Health and Well-being · Internal Medicine

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