Background: Health behaviors represent major risks for premature morbidity
and mortality. This study aimed to establish whether health risks varied su
bstantially across occupational groups.
Methods: We focused on the 2223 Iowa Behavioral Risk Factor Surveillance Sy
stem (BRFSS) subjects who reported, in 1999, that they were currently worki
ng.
Results: Even after controlling for age and gender, we found significant as
sociations between occupation and health risk factors. We found these assoc
iations among the different categories of health risk factors, including in
surance/access, health conditions, preventive behaviors, and screening beha
viors.
Conclusions: The considerable differences in the prevalence of risk factors
for chronic disease and injury across occupational groups in Iowa undersco
re the need for nationwide ongoing collection of occupational status in the
BRFSS. These national data on the distribution of risk factors across occu
pations will support development of more targeted prevention interventions.