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

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 gende...

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Bibliographic Details
Published in:Small business economics 2019, Vol.53 (2), p.343-354
Main Authors: Toivanen, Susanna, Griep, Rosane Härter, Mellner, Christin, Nordenmark, Mikael, Vinberg, Stig, Eloranta, Sandra
Format: Article
Language:English
Subjects:
Business and Management
Business ownership
Cardiovascular disease
Cardiovascular diseases
Employees
Entrepreneurship
Fishing
Forestry
Gender
Heart attacks
Hospitalization
Industrial Organization
Limited liability
Limited liability companies
Management
Medicin och hälsovetenskap
Microeconomics
Myocardial infarction
Owners
Psychology
psykologi
Self employment
Small business
sociologi
Sociology
Stroke
Sweden
Transportation
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Summary: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.
ISSN:0921-898X
1573-0913
1573-0913
DOI:10.1007/s11187-018-0051-3