TY - JOUR TI - Socioprofessional trajectories and mortality in France, 1976-2002: a longitudinal follow-up of administrative data AU - Karimi, Maryam AU - Geoffroy-Perez, Béatrice AU - Fouquet, Aurélie AU - Latouche, Aurélien AU - Rey, Grégoire T2 - Journal of Epidemiology and Community Health AB - BACKGROUND: Occupying a low socioeconomic position is associated with increased mortality risk. To disentangle this association, previous studies considered various dimensions of socioeconomic trajectories across the life course. However, they used a limited number of stages. We simultaneously examined various dimensions of the whole professional trajectory and its association with mortality. METHODS: We used a large sample (337,706 men and 275,378 women) of the data obtained by linking individuals' annual occupation (collected in 1976-2002 from a representative panel of the French salaried population in the semipublic and private sectors) with causes of death obtained from registries. All-cause and cause-specific HRs were estimated using Cox's regression models adjusted for the occupational class at the beginning of the follow-up, the current occupational class, the transition rates between occupational categories and the duration of time spent in occupational categories. RESULTS: An increase in the time spent in the clerk class increased men and women's cardiovascular mortality risk compared with that in the upper class (HRs=1.59 (1.14 to 2.20) and 2.65 (1.14 to 6.13) for 10 years increase, respectively, for men and women). Men with a high rate of transitions had about a 1.2-fold increased risk of all-cause and external-cause mortality compared with those without transitions during their professional life. This association was also observed for women's all-cause mortality. CONCLUSIONS: Strong associations between professional trajectories and mortality from different causes of death were found. Long exposure to lower socioeconomic conditions was associated with increased mortality risk from various causes of death. The results also suggest gradual associations between transition rates and mortality. DA - 2015/04// PY - 2015 DO - 10.1136/jech-2014-204615 DP - PubMed VL - 69 IS - 4 SP - 339 EP - 346 J2 - J Epidemiol Community Health LA - eng SN - 1470-2738 ST - Socioprofessional trajectories and mortality in France, 1976-2002 KW - Adult KW - Female KW - Follow-Up Studies KW - France KW - Humans KW - Life course epidemiology KW - Male KW - Middle Aged KW - Mortality KW - Mortality, Premature KW - Multivariate Analysis KW - Occupations KW - Proportional Hazards Models KW - SOCIAL INEQUALITIES KW - Social Class KW - Social Mobility ER -