Self-reported cardiovascular health of teachers: results from the 5-year follow-up of the Gutenberg Health Study cohort

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ORIGINAL ARTICLE

Self‑reported cardiovascular health of teachers: results from the 5‑year follow‑up of the Gutenberg Health Study cohort Merle Riechmann‑Wolf1,6   · Sylvia Jankowiak2 · Andreas Schulz3 · Janice Hegewald4 · Karla Romero Starke4 · Falk Liebers2 · Karin Rossnagel2 · Alicia Poplawski3 · Natalie Arnold3 · Matthias Nübling5 · Andreas Seidler4 · Manfred Beutel3 · Norbert Pfeiffer3 · Karl Lackner3 · Thomas Münzel3 · Kathrin Bogner1 · Philipp S. Wild3 · Ute Latza2 · Stephan Letzel1,6 Received: 5 August 2019 / Accepted: 28 August 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020

Abstract Objectives  Following an exploratory approach, we examined cardiovascular disease risk factors at baseline and the 5-year incidence proportion of self-reported doctor-diagnosed cardiovascular diseases (CVD) in teachers and other occupational groups of the Gutenberg Health Study. Methods  Study participants lived in the region of Mainz, Germany. Data from 6510 working participants without prevalent CVD at baseline (2007–2012) were analyzed. Participants were teachers (n = 215), other professionals from the health, social or educational (HSE) fields (n = 1061) or worked outside the HSE fields (n = 5234). For occupational comparisons, we estimated prevalence ratios (PR) for each CVD risk factor at baseline with robust Poisson regression analyses. We calculated crude CVD incidence rates based on the observed 5-year CVD cumulative incidence at follow-up and estimated age-weighted incidence proportions. All analyses were stratified by sex. Results  Male non-HSE workers showed a higher prevalence of smoking and physical inactivity than male teachers (PR 2.26; 95%-CI: 1.06–4.82/PR 1.89; 95%-CI: 1.24–2.87). In contrast, non-HSE workers and other HSE professionals were less likely to have reported an unhealthy alcohol intake than teachers. Differences were attenuated after SES-adjustment. We did not detect occupational group-specific differences in CVD incidence. However, there were only two cases of CVD among the teachers. Conclusion  Particularly male teachers showed a healthier lifestyle regarding physical inactivity and smoking. Nevertheless, occupational-medical care practitioners and researchers need to be aware of the relatively heightened prevalence of unhealthy alcohol intake in female and male teachers, and in absolute terms, the high hypertension prevalence in male teachers. Keywords  Cardiovascular risk factors · Cardiovascular diseases · Teachers · Social occupations · Occupational medicine

* Merle Riechmann‑Wolf merle.riechmann‑wolf@unimedizin‑mainz.de 1



Institute for Teachers’ Health, University Medical Center of the Johannes Gutenberg University of Mainz, Kupferbergterrasse 17‑19, 55116 Mainz, Germany

2



Federal Institute for Occupational Safety and Health, BAuA Berlin, Berlin, Germany

3

University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany



4



IPAS Dresden: Institute and Polyclinic of Occupational and Social Medicine, Carl Gustav Carus Faculty of Medi