Socioeconomic status, occupation, and risk of hospitalisation due to coxarthrosis in Denmark 1981-99

Abstract

Objectives: To predict the relative risk and time trend in hospitalisation due to coxarthrosis (CA) among groups of different socioeconomic status and occupations in order to test existing aetiological hypotheses.

Methods: Four consecutive cohorts of all gainfully employed Danish men were followed up for CA. Standardised hospitalisation ratios (SHR) and time trends were calculated.

Results: Self employed men had an SHR due to CA of 140 (95% confidence interval (CI) 130 to 151) in 1994-99. It changed -1.2% (95% CI -2 to -0.4) annually from 1981 to 1999. Self employed farmers had an SHR of 286 (95% CI 262 to 313) during 1994-99, increasing 0.14% a year (95% CI -0.9 to 1.1) from 1981 to 1999. Unskilled men had an SHR of 121 (95% CI 113 to 130) in 1994-99. The SHR increased 1.6% annually (95% CI 0.7 to 2.4) from 1981 to 1999. Employed agricultural workers had an SHR of 189 (95% CI 158 to 227) from 1994 to 1999. The SHR increased 3.7% annually (95% CI 1.2 to 6.2) from 1981 to 1999.

Conclusions: The relative risk of hospitalisation due to CA was consistently high among farmers in four successive analyses spanning an 18 year period. The relative risks remained stable over time despite the fact that the number of farmers decreased. The risk increased among employed workers in agriculture and horticulture over that period, and an increased risk was also found among tractor drivers and a few other occupations.

Figure 1

Time trends in predicted standardised hospitalisation ratios and 95% confidence intervals due to coxarthrosis among male self employed farmers and male employees in farming and horticulture.