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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
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Department of Public Health Sciences, Stockholm University, Stockholm, Sweden.
Department of Public Health Sciences, Stockholm University, Stockholm, Sweden.
Department of Psychology, Stockholm University, Stockholm, Sweden.
Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden.
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(English)In: Small Business Economics, ISSN 0921-898X, E-ISSN 1573-0913Article in journal (Refereed) Epub ahead of print
Abstract [en]

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. © 2018 The Author(s)

Place, publisher, year, edition, pages
Springer New York LLC.
Keyword [en]
Cardiovascular disease, Hospitalization, Self-employment, Sweden
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-39052DOI: 10.1007/s11187-018-0051-3OAI: oai:DiVA.org:mdh-39052DiVA, id: diva2:1199841
Available from: 2018-04-23 Created: 2018-04-23 Last updated: 2018-04-23

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Toivanen, Susanna

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Citation style
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