Industry and Occupation Health Indicators · Leisure time physical activity Inadequate sleep Healthcare Access Health insurance Needed to see a doctor, but could not because of cost

Industry and Occupation Health Indicators

Maryland Behavioral Risk Factor Surveillance System, 2013-2014

Acknowledgements

2

For more information on occupational

health in Maryland:

Maryland Occupational Health and

Safety website

Environmental Health Helpline:1-866-703-3266

Environmental Health email:

[email protected]

This publication was supported by the National

Institute for Occupational Safety and Health and the

Behavioral Risk Factor Surveillance System

(cooperative agreement numbers 1U60OH011154 and

NU58DP006039) from the Centers for Disease Control

and Prevention (CDC). Its contents are solely the

responsibility of the authors and do not necessarily

represent the official views of the CDC.

Maryland Department of Health and Mental Hygiene

Elisabeth Dissen, MSPH

Epidemiologist, Environmental Health Bureau

Georgette Lavetsky, MHS

BRFSS Coordinator, Center for Chronic Disease

Prevention and Control

Ann Liu, PhD

Chief Epidemiologist, Environmental Health Bureau

Clifford S. Mitchell, MS, MD, MPH

Director, Environmental Health Bureau

May 2017

http://phpa.dhmh.maryland.gov/OEHFP/EH/Pages/occupational-safety-and-health-in-maryland.aspx

Table of Contents

3

Page

Methodology 4

Demographics of Maryland workers 8

Health Outcome Indicators 9

Maryland workers ever diagnosed with hypertension 10

Maryland workers ever diagnosed with asthma 11

Maryland workers who currently have asthma 12

Maryland workers ever diagnosed with skin cancer 13

Maryland workers ever diagnosed with arthritis, rheumatoid arthritis,

gout, lupus, or fibromyalgia

14

Maryland workers ever diagnosed with a depressive disorder 15

Maryland workers ever diagnosed with an anxiety disorder 16

Maryland workers ever diagnosed with diabetes 17

Health Status Indicators 18

Overweight Maryland workers 19

Obese Maryland workers 20

Maryland workers with poor or fair health status 21

Maryland workers with poor mental health on ≥15 days out of past 30

days

22

Health Behavior Indicators 23

Maryland workers who currently smoke 24

Maryland workers who are former smokers 25

Maryland workers who binge drank In the past 30 days 26

Maryland workers not always wearing a seatbelt 27

Maryland workers with no leisure time physical activity 28

Maryland workers with inadequate sleep (<7 hours) 29

Healthcare Access Indicators 30

Maryland workers with health insurance 31

Maryland workers who needed to see a doctor, but could not because

of cost

32

Maryland workers who had a routine checkup within the past year 33

Maryland workers who had a dental visit within the past year 34

Resources 35


health in Maryland:


Safety website



[email protected]


Methodology

4

The Behavior Risk Factor Surveillance System (BRFSS) is a national telephone survey that collects data on health-related risk behaviors, chronic health conditions, and the use of preventive services. BRFSS is conducted by the Centers for Disease Control and Prevention (CDC) in all 50 states, 3 U.S. territories and the District of Columbia. Survey respondents are non-institutionalized adults (18 years or older) living in the U.S.

The typical sample size in Maryland is 12,000 non-institutionalized Maryland residents per year. BRFSS landline telephone surveys have been conducted in Maryland since 1987 and a cell phone component was added in 2009. The questionnaire has three parts: the core component, optional modules, and state-added questions. The National Institute for Occupational Safety and Health (NIOSH) funded the addition of an industry and occupation optional BRFSS module starting in 2013. During the 2013 and 2014 survey years, Maryland BRFSS collected industry and occupation data, providing insight into health outcomes and health behaviors of approximately three million Maryland workers.

Maryland BRFSS participants were asked for current employment status. Those that were employed for wages, self-employed, or out of work for less than 1 year were then asked for their occupation (“what kind of work do you do?”) and industry (“what kind of business or industry do you work in?”). BRFSS interviewers collect responses in open-ended text fields. These responses are later coded by the NIOSH Industry and Occupation Computerized Coding System and the 2002 U.S. Census Bureau coding scheme. Manual coding is done when the computational coding is unsuccessful. Response rates for the occupation and industry questions are high with 79%-96% of eligible participants responding (Figure 1). In 2014, occupation and industry questions were asked right after the employment status question, leading to higher response rates. In 2013, occupation and industry were asked closer to the end of the survey.

Analyses were conducted using the SURVEYFREQ procedure in SAS. Percentages are weighted, unadjusted, bivariate prevalence estimates. Data with a denominator less than 50 or a relative standard error greater than or equal to 30% are suppressed.

Number with Occupation & Industry data available (% with data of those eligible)

Survey question

Currently employed BRFSS survey respondents asked for

Occupation & Industry

Total BRFSS survey respondents

Survey year

Figure 1. Survey Response Rates

Maryland BRFSS Survey Respondents

2013

13,011

6,969

Occupation

5,529 (79%)

Industry

5,947 (85%)

2014

12,569

6,469

Occupation

5,766 (89%)

Industry

6,182 (96%)

5

Figure 2. Health Indicators

Health Outcomes

Hypertension

Ever asthma

Current asthma

Skin cancer

Arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia

Depressive disorder

Anxiety disorder

Diabetes

Health Status

Overweight

Obese

Fair/poor general health status

Poor mental health status

Health Behaviors

Current smoker

Former smoker

Binge drinking

Doesn't always wear a seatbelt

Leisure time physical activity

Inadequate sleep

Healthcare Access

Health insurance

Needed to see a doctor, but could not because of cost

Last routine checkup

Last dental visit

This analysis examines 22 health indicators by occupation and industry (Figure 2). Health indicators were only included in this report if a majority of the occupations and industries were not suppressed due to small cell counts. Outcomes initially analyzed, but not included are as follows: heart attack; angina or coronary heart disease; stroke; other cancer; COPD, emphysema, or chronic bronchitis; kidney disease; and drinking and driving.

Methodology

6

Table 1. Distribution of Maryland Work Force by Occupation

Occupation Groups12002 Census Occupation Codes (COC)

2013-2014 Current Population Survey

Number of Workers, Maryland2


Work Distribution %, Maryland2

Maryland BRFSS 2013-

2014

Management 0010-0430 380,705 12.2% 9.4%

Business & Financial Operations 0500-0950 194,799 6.2% 4.6%

Computer & Mathematical 1000-1240 152,632 4.9% 5.7%

Architecture & Engineering 1300-1560 73,571 2.4% 3.7%

Life, Physical, & Social Science 1600-1960 56,873 1.8% 2.2%

Community & Social Services 2000-2060 54,056 1.7% 1.9%

Legal 2100-2150 50,749 1.6% 1.7%

Education, Training, & Library 2200-2550 214,374 6.9% 6.4%

Arts, Design, Entertainment, Sports, & Media

2600-2960 70,933 2.3% 2.2%

Healthcare Practitioners & Technical 3000-3540 183,900 5.9% 6.7%

Healthcare Support 3600-3650 74,260 2.4% 2.3%

Protective Service 3700-3950 86,757 2.8% 3.5%

Food Preparation & Serving Related 4000-4160 143,973 4.6% 4.3%

Building & Grounds Cleaning & Maintenance

4200-4250 118,750 3.8% 5.0%

Personal Care & Service 4300-4650 106,822 3.4% 3.4%

Sales & Related 4700-4960 303,672 9.7% 8.9%

Office & Administrative Support 5000-5930 369,514 11.8% 11.9%

Farming, Fishing, & Forestry 6000-6130 7,217 0.2% *

Construction & Extraction 6200-6940 163,957 5.3% 5.8%

Installation, Maintenance, & Repair 7000-7620 95,997 3.1% 3.8%

Production 7700-8960 78,336 2.5% 1.9%

Transportation & Material Moving 9000-9750 138,631 4.4% 4.3%

1. Occupation groups based on 2002 Census Occupation Codes.2. Current Population Survey: http://dataferrett.census.gov* Insufficient data

For this analysis we grouped occupations and industries using the 2007 NHIS simple recodes, which correspond to 21 North American Industrial Classification System (NAICS) and 23 Standard Occupation Classification (SOC) major categories. The BRFSS distribution of the Maryland work force by occupation (Table 1) and industry (Table 2) are similar to what is seen in the U.S. Census Bureau’s Current Population Survey.

Methodology

http://dataferrett.census.gov/

7

Table 2. Distribution of Maryland Work Force by Industry

Industry Groups12002 Census

Industry Codes (CIC)


Number of Workers, Maryland2

2013-2014 Current Population Survey Work

Distribution %, Maryland2

Maryland BRFSS

2013-2014

Agriculture, Forestry, Fishing, & Hunting

0170-0290 15,944 0.50% 0.81%

Mining 0370-0490 1,895 0.10% *

Utilities 0570-0690 17,095 0.60% 0.89%

Construction 770 232,302 7.50% 7.84%

Manufacturing 1070-3990 139,022 4.50% 4.50%

Wholesale Trade 4070-4590 58,401 1.90% 1.32%

Retail Trade 4670-5790 322,325 10.40% 7.22%

Transportation & Warehousing 6070-6390 109,816 3.50% 4.19%

Information 6470-6780 66,750 2.10% 2.28%

Finance & Insurance 6870-6990 131,102 4.20% 2.99%

Real Estate & Rental & Leasing 7070-7190 57,165 1.80% 2.40%

Professional, Scientific, & Technical Services

7270-7490 337,247 10.90% 8.10%

Management of Companies & Enterprises

7570 6,999 0.20% *

Administrative, Support, Waste Management, Remediation Services

7580-7790 145,276 4.70% 4.24%

Educational Services 7860-7890 314,560 10.10% 9.52%

Health Care & Social Assistance 7970-8470 407,264 13.10% 14.75%

Arts, Entertainment, Recreation 8560-8590 64,033 2.10% 1.85%

Accommodation & Food Services 8660-8690 185,286 6.00% 6.01%

Other Services (Except Public Administration)

8770-9290 157,647 5.10% 5.37%

Public Administration 9370-9590 334,887 10.80% 15.10%

Active Duty Military3 1,128 0.00% 0.51%

1. Industry groups based on 2002 Census Industry Codes.2. Current Population Survey: http://dataferrett.census.gov3. Military living in barracks are not included in data collection* Insufficient data

Methodology

http://dataferrett.census.gov/

52.2%

47.8%

53.9%

28.3%

6.1%

9.3%

2.5%

53.7%

24.2%

16.9%

5.2%

9.5%

24.2%

27.6%

38.7%

3.9%

12.2%

19.6%

14.3%

50.0%

0% 10% 20% 30% 40% 50% 60%

Male

Female

White, Non-Hispanic

Black, Non-Hispanic

Asian, Non-Hispanic

Hispanic

Other

Age 18 to 44

Age 45 to 54

Age 55 to 64

Age 65+

Less than High School

High school graduate

College 1-3 years

College graduate

Less than $15,000

$15,000 to less than $25,000

$25,000 to less than $50,000

$50,000 to less than $75,000

$75,000 or more

Demographics of Maryland Workers (Employed or Out of work <1 year)

Demographics of Maryland Workers

8

64.9%3.4%

10.0%

21.6%

Figure 3. Employment Status in Maryland, 2013-2014

Employed or Out of work <1 yearOut of work 1+ yearsStudent or homemakerRetired or unable to work

Gender

Race/Ethnicity

Age Group

Education

Household Income

Health Outcome Indicators

9

Maryland Workers Ever Diagnosed With Hypertension

Respondents were asked if a doctor, nurse, or other health professional had ever told them they had high blood pressure. This analysis excludes women only told during pregnancy, and people told they had pre-hypertension or borderline high blood pressure/ hypertension. This question was asked on the 2013 questionnaire, but not on the 2014 questionnaire.

Data suppressed for the following occupations: Farming, Fishing, & Forestry

Data suppressed for the following industries: Agriculture, Forestry, Fishing, & Hunting; Mining; Management of Companies & Enterprises; Active Duty Military

10

Figure 5. Percentage of Maryland workers ever diagnosed with hypertension, by industry, 2013

Figure 4. Percentage of Maryland workers ever diagnosed with hypertension, by occupation, 2013

27.0%29.8%

37.4%31.2%

24.6%17.6%

28.3%

23.2%23.4%

32.4%24.0%

25.9%29.5%28.2%

25.7%19.3%

25.8%31.9%

25.1%25.6%

32.2%27.7%

0% 10% 20% 30% 40% 50%

All workersManagement

Business & Financial OperationsComputer & MathematicalArchitecture & Engineering

Life, Physical, & Social ScienceCommunity & Social Services

LegalEducation, Training, & Library

Arts, Design, Entertainment, Sports, & MediaHealthcare Practitioners & Technical

Healthcare SupportProtective Service

Food Preparation & Serving RelatedBuilding & Grounds Cleaning & Maintenance

Personal Care & ServiceSales & Related

Office & Administrative SupportConstruction & Extraction

Installation, Maintenance, & RepairProduction

Transportation & Material Moving

27.0%

51.1%

24.8%29.6%

22.5%

25.4%

24.7%

35.4%

22.1%

41.9%

27.3%

25.4%

26.5%

25.4%

15.2%

21.1%

25.0%

31.5%

0% 10% 20% 30% 40% 50% 60% 70% 80%

All workers

Utilities

Construction

Manufacturing

Wholesale Trade

Retail Trade

Transportation & Warehousing

Information

Finance & Insurance

Real Estate & Rental & Leasing


Administrative, Support, Waste Management

Educational Services

Health Care & Social Assistance

Arts, Entertainment, Recreation

Accommodation & Food Services


Public Administration

Occupation/Industry significantly lower than all workers

Occupation/Industry significantly higher than all workers

95% confidence intervals

Maryland Workers Ever Diagnosed With Asthma

Respondents were asked if a doctor, nurse, or other health professional had ever told them they had asthma.


Data suppressed for the following industries: Agriculture, Forestry, Fishing, & Hunting; Mining; Utilities; Wholesale Trade; Management of Companies & Enterprises; Arts, Entertainment, Recreation; Active Duty Military

Figure 6. Percentage of Maryland workers ever diagnosed with asthma, by occupation, 2013-2014

Figure 7. Percentage of Maryland workers ever diagnosed with asthma, by industry, 2013-2014

12.5%13.0%

9.3%9.4%

8.9%14.2%

15.8%11.7%

17.4%18.9%

13.0%11.0%

15.5%

16.5%11.6%

15.9%13.5%

13.7%9.1%

8.3%12.1%

9.8%

0% 5% 10% 15% 20% 25% 30%












12.5%

10.2%

10.7%

12.3%

10.6%

19.4%

7.3%

15.3%

11.8%

10.7%

14.1%

13.2%

15.1%

16.7%

13.1%

0% 5% 10% 15% 20% 25% 30%

All workers

Construction

Manufacturing

Retail Trade


Information

Finance & Insurance









11Occupation/Industry significantly lower than all workers



Maryland Workers Who Currently Have Asthma

Respondents were asked if a doctor, nurse, or other health professional had told them they still had asthma.

Data suppressed for the following occupations: Community & Social Services; Healthcare Support; Protective Service; Food Preparation & Serving Related; Farming, Fishing, & Forestry; Construction & Extraction; Installation, Maintenance, & Repair; Production

Data suppressed for the following industries: Agriculture, Forestry, Fishing, & Hunting; Mining; Utilities; Wholesale Trade; Real Estate & Rental & Leasing; Management of Companies & Enterprises; Administrative, Support, Waste Management; Arts, Entertainment, Recreation; Accommodation & Food Services; Active Duty Military

Figure 8. Percentage of Maryland workers who currently have asthma, by occupation, 2013-2014

Figure 9. Percentage of Maryland workers who currently have asthma, by industry, 2013-2014

7.9%

6.7%

6.6%

6.0%

4.2%

8.2%

7.6%

11.3%

10.3%

8.9%

7.7%

13.3%

6.7%

10.6%

6.7%

0% 5% 10% 15% 20% 25%

All workers

Management

Business & Financial Operations

Computer & Mathematical

Architecture & Engineering

Life, Physical, & Social Science

Legal

Education, Training, & Library


Healthcare Practitioners & Technical


Personal Care & Service

Sales & Related

Office & Administrative Support


7.9%

6.4%

3.8%

7.0%

6.6%

10.7%

6.1%

7.0%

9.4%

9.5%

11.8%

8.9%

0% 2% 4% 6% 8% 10% 12% 14% 16% 18%

All workers

Construction

Manufacturing

Retail Trade


Information

Finance & Insurance









Maryland Workers Ever Diagnosed With Skin Cancer

Respondents were asked if a doctor, nurse, or other health professional had ever told them they had skin cancer.

Data suppressed for the following occupations: Arts, Design, Entertainment, Sports, & Media; Healthcare Support; Protective Service; Food Preparation & Serving Related; Building & Grounds Cleaning & Maintenance; Personal Care & Service

Data suppressed for the following industries: Agriculture, Forestry, Fishing, & Hunting; Mining; Utilities; Wholesale Trade; Transportation & Warehousing; Information; Management of Companies & Enterprises; Administrative, Support, Waste Management; Arts, Entertainment, Recreation; Accommodation & Food Services; Active Duty Military

Figure 10. Percentage of Maryland workers ever diagnosed with skin cancer, by occupation, 2013-2014

Figure 11. Percentage of Maryland workers ever diagnosed with skin cancer, by industry, 2013-2014

3.3%

6.0%

6.2%

4.1%

5.5%

5.5%

4.1%

7.4%

4.1%

3.6%

2.8%

2.2%

2.2%

0% 2% 4% 6% 8% 10% 12%

All workers

Management





Community & Social Services

Legal



Sales & Related


Construction & Extraction

3.3%

3.6%

4.8%

2.6%

3.9%

4.7%

5.2%

4.5%

2.7%

2.4%

4.0%

0% 1% 2% 3% 4% 5% 6% 7% 8%

All workers

Construction

Manufacturing

Retail Trade

Finance & Insurance










Maryland Workers Ever Diagnosed With Arthritis, Rheumatoid Arthritis, Gout, Lupus, Or Fibromyalgia

Respondents were asked if a doctor, nurse, or other health professional had ever told them they had some form of arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia.


Data suppressed for the following industries: Agriculture, Forestry, Fishing, & Hunting; Mining; Utilities; Management of Companies & Enterprises; Active Duty Military

Figure 12. Percentage of Maryland workers ever diagnosed with arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia, by occupation, 2013-2014

Figure 13. Percentage of Maryland workers ever diagnosed with arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia, by industry, 2013-2014

17.3%21.0%

20.0%15.6%

13.4%13.0%

27.7%16.5%

18.0%22.8%

15.5%19.4%

15.0%15.1%

14.2%19.5%

15.7%22.0%

16.7%15.8%

14.1%17.7%

0% 5% 10% 15% 20% 25% 30% 35% 40%












17.3%

17.3%

18.7%

22.5%

13.8%

17.4%

19.8%

15.6%

27.1%

14.5%

13.8%

18.6%

17.7%

20.8%

10.8%

21.0%

19.2%

0% 5% 10% 15% 20% 25% 30% 35% 40%

All workers

Construction

Manufacturing

Wholesale Trade

Retail Trade


Information

Finance & Insurance













Maryland Workers Ever Diagnosed With A Depressive Disorder

Respondents were asked if a doctor, nurse, or other health professional had ever told them they had a depressive disorder, including depression, major depression, dysthymia, or minor depression.


Data suppressed for the following industries: Agriculture, Forestry, Fishing, & Hunting; Mining; Utilities; Wholesale Trade; Management of Companies & Enterprises; Active Duty Military

Figure 14. Percentage of Maryland workers ever diagnosed with a depressive disorder, by occupation, 2013-2014

Figure 15. Percentage of Maryland workers ever diagnosed with a depressive disorder, by industry, 2013-2014

13.6%10.7%

14.2%10.6%

5.5%11.8%

19.3%15.0%

17.7%21.0%

15.7%21.1%

12.3%15.4%

8.6%15.2%16.5%

16.1%10.2%

12.0%12.9%

12.8%

0% 5% 10% 15% 20% 25% 30% 35%












13.6%

10.6%

14.7%

16.9%

7.1%

18.0%

14.9%

11.8%

11.9%

9.2%

15.5%

16.5%

11.7%

18.3%

16.9%

10.9%

0% 5% 10% 15% 20% 25% 30%

All workers

Construction

Manufacturing

Retail Trade


Information

Finance & Insurance













Maryland Workers Ever Diagnosed With An Anxiety Disorder

Respondents were asked if a doctor or other healthcare provider had ever told them they had an anxiety disorder including acute stress disorder, anxiety, generalized anxiety disorder, obsessive-compulsive disorder, panic disorder, phobia, posttraumatic stress disorder, or social anxiety disorder.

Data suppressed for the following occupations: Architecture & Engineering; Protective Service; Farming, Fishing, & Forestry


Figure 16. Percentage of Maryland workers ever diagnosed with an anxiety disorder, by occupation, 2013-2014

Figure 17. Percentage of Maryland workers ever diagnosed with an anxiety disorder, by industry, 2013-2014

11.6%10.3%

10.6%

10.8%

8.8%16.9%

12.0%

13.9%18.7%

11.8%

18.1%

10.2%10.3%

18.9%12.9%

13.9%

11.3%

9.3%

14.6%8.3%

0% 5% 10% 15% 20% 25% 30%

All workers

Management





Legal




Healthcare Support

Food Preparation & Serving Related



Sales & Related



Installation, Maintenance, & Repair

Production


11.6%

10.6%

11.4%

12.0%

9.3%

14.1%

11.2%

12.6%

9.8%

10.9%

13.2%

13.9%

13.0%

13.1%

13.9%

9.3%

0% 5% 10% 15% 20% 25%

All workers

Construction

Manufacturing

Retail Trade


Information

Finance & Insurance













Maryland Workers Ever Diagnosed With Diabetes

Respondents were asked if a doctor, nurse, or other health professional had ever told them they had diabetes. This analysis excludes women only told during pregnancy, and people told they had pre-diabetes or borderline diabetes.

Data suppressed for the following occupations: Life, Physical, & Social Science; Community & Social Services; Arts, Design, Entertainment, Sports, & Media; Healthcare Support; Food Preparation & Serving Related; Farming, Fishing, & Forestry; Installation, Maintenance, & Repair

Data suppressed for the following industries: Agriculture, Forestry, Fishing, & Hunting; Mining; Utilities; Wholesale Trade; Information; Management of Companies & Enterprises; Arts, Entertainment, Recreation; Accommodation & Food Services; Active Duty Military

Figure 18. Percentage of Maryland workers ever diagnosed with diabetes, by occupation, 2013-2014

Figure 19. Percentage of Maryland workers ever diagnosed with diabetes, by industry, 2013-2014

7.1%

5.9%

11.4%

5.8%

7.2%

5.4%

7.5%

5.4%

7.7%

7.8%

7.0%

7.0%

7.4%

9.6%

6.9%

9.8%

0% 2% 4% 6% 8% 10% 12% 14% 16%

All workers

Management




Legal



Protective Service



Sales & Related



Production


7.1%

8.8%

7.9%

5.7%

9.2%

10.4%

8.4%

4.8%

6.8%

6.1%

6.5%

7.4%

8.7%

0% 2% 4% 6% 8% 10% 12% 14% 16%

All workers

Construction

Manufacturing

Retail Trade


Finance & Insurance











Health Status Indicators

18

Overweight Maryland Workers

Respondents were asked for their weight and height. Body mass index (BMI) was calculated by dividing weight in kilograms by height in meters squared. Respondents with a BMI between 25.0 and 29.9 were considered overweight.


Data suppressed for the following industries: Mining; Management of Companies & Enterprises

Figure 20. Percentage of Maryland workers who are overweight (BMI 25.0 - 29.9), by occupation, 2013-2014

Figure 21. Percentage of Maryland workers who are overweight (BMI 25.0 - 29.9), by industry, 2013-2014

36.8%

39.9%

36.1%

37.4%42.4%

31.7%

39.6%

40.5%34.3%

32.8%

35.2%

35.9%

45.2%

26.6%

31.7%

28.6%

37.3%

29.0%

51.5%

38.4%

46.3%

37.0%

0% 10% 20% 30% 40% 50% 60% 70%

All workers

Management






Legal




Healthcare Support

Protective Service




Sales & Related




Production


36.8%38.4%

42.6%49.0%

38.8%36.4%

34.2%40.8%

38.8%

32.7%43.5%

39.2%

34.8%32.5%

35.8%

40.6%26.8%

32.7%36.9%

39.9%

0% 10% 20% 30% 40% 50% 60% 70%

All workersAgriculture, Forestry, Fishing, & Hunting

UtilitiesConstruction

ManufacturingWholesale Trade

Retail TradeTransportation & Warehousing

InformationFinance & Insurance

Real Estate & Rental & LeasingProfessional, Scientific, & Technical Services

Administrative, Support, Waste ManagementEducational Services

Health Care & Social AssistanceArts, Entertainment, Recreation

Accommodation & Food ServicesOther Services (Except Public Administration)

Public AdministrationActive Duty Military




Obese Maryland Workers

Respondents were asked for their weight and height. Body mass index (BMI) was calculated by dividing weight in kilograms by height in meters squared. Respondents with a BMI greater than or equal to 30.0 were considered obese.


Data suppressed for the following industries: Mining; Management of Companies & Enterprises; Active Duty Military

Figure 22. Percentage of Maryland workers who are obese (BMI 30.0+), by occupation, 2013-2014

Figure 23. Percentage of Maryland workers who are obese (BMI 30.0+), by industry, 2013-2014

29.5%29.6%

33.6%28.7%

23.9%15.7%

29.0%19.5%

26.6%20.4%

25.7%31.0%

40.7%

23.0%34.1%35.4%

25.4%36.4%

27.0%33.2%

30.7%

35.8%

0% 10% 20% 30% 40% 50% 60%












29.5%24.7%

28.3%27.3%

32.5%

33.7%25.9%

32.7%29.1%

34.6%

25.2%

25.4%

31.7%

29.8%

31.1%20.0%

19.9%

31.0%

34.3%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%

All workers


Utilities

Construction

Manufacturing

Wholesale Trade

Retail Trade


Information

Finance & Insurance













Maryland Workers With Poor Or Fair Health Status

Respondents were asked if their health status was excellent, very good, good, fair, or poor. Responses of fair or poor are depicted.

Data suppressed for the following occupations: Life, Physical, & Social Science; Healthcare Support; Protective Service; Farming, Fishing, & Forestry; Installation, Maintenance, & Repair

Data suppressed for the following industries: Agriculture, Forestry, Fishing, & Hunting; Mining; Utilities; Wholesale Trade; Real Estate & Rental & Leasing; Management of Companies & Enterprises; Arts, Entertainment, Recreation; Active Duty Military

Figure 24. Percentage of Maryland workers with poor or fair health status, by occupation, 2013-2014

Figure 25. Percentage of Maryland workers with poor or fair health status, by industry, 2013-2014

9.8%

8.0%

4.0%

7.4%

3.9%

8.0%

7.5%6.8%

10.6%

4.5%

12.4%23.2%

10.8%

9.0%

9.2%

22.5%

11.8%

13.4%

0% 5% 10% 15% 20% 25% 30% 35%

All workers

Management





Legal







Sales & Related



Production


9.8%

18.8%

10.8%

7.9%

7.3%

14.3%

5.9%

6.0%

18.3%

7.4%

6.7%

15.7%

12.7%

7.3%

0% 5% 10% 15% 20% 25% 30%

All workers

Construction

Manufacturing

Retail Trade


Information

Finance & Insurance











Maryland Workers With Poor Mental Health On ≥15 Days Out Of Past 30 Days

Respondents were asked for how many days during the past 30 days was their mental health not good. Mental health includes stress, depression, and problems with emotions. Responses of 15 days or greater are depicted.

Data suppressed for the following occupations: Life, Physical, & Social Science; Legal; Healthcare Support; Farming, Fishing, & Forestry; Installation, Maintenance, & Repair; Production

Data suppressed for the following industries: Agriculture, Forestry, Fishing, & Hunting; Mining; Utilities; Wholesale Trade; Information; Finance & Insurance; Management of Companies & Enterprises; Arts, Entertainment, Recreation; Active Duty Military

Figure 26. Percentage of Maryland workers with poor mental health on ≥15 days out of past 30 days, by occupation, 2013-2014

Figure 27. Percentage of Maryland workers with poor mental health on ≥15 days out of past 30 days, by industry, 2013-2014

7.7%

4.3%

8.6%

7.1%

4.5%

7.0%

6.3%

14.6%

5.6%

8.8%

14.4%

9.0%

9.5%

8.8%

8.0%

8.3%

11.8%

0% 5% 10% 15% 20% 25%

All workers

Management








Protective Service




Sales & Related




7.7%

7.7%

7.0%

10.2%

10.1%

8.4%

5.9%

6.6%

6.4%

6.0%

14.3%

7.4%

7.7%

0% 5% 10% 15% 20% 25%

All workers

Construction

Manufacturing

Retail Trade













Health Behavior Indicators

23

Maryland Workers Who Currently Smoke

Respondents were asked if they currently smoke cigarettes every day, some days, or not at all. Responses of every day and some days are depicted.



Figure 28. Percentage of Maryland workers who currently smoke every day or some days, by occupation, 2013-2014

Figure 29. Percentage of Maryland workers who currently smoke every day or some days, by industry, 2013-2014

15.5%13.1%

10.3%8.9%

9.6%5.5%

8.3%6.0%

4.6%13.9%

10.0%11.4%

18.8%30.1%

18.1%17.0%

18.3%14.8%

31.9%24.3%

25.1%21.8%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45%












15.5%

29.5%

18.8%

19.1%

21.1%

15.9%

10.7%

14.5%

9.8%

19.9%

7.7%

10.8%

12.4%

28.6%

15.7%

10.7%

0% 5% 10% 15% 20% 25% 30% 35% 40%

All workers

Construction

Manufacturing

Retail Trade


Information

Finance & Insurance













Maryland Workers Who Are Former Smokers

Respondents were asked if they had smoked at least 100 cigarettes in their entire life. Respondents are classified as former smokers if they answered “yes” to smoking 100 cigarettes in their life, but answered “no” to being a current smoker.


Data suppressed for the following industries: Agriculture, Forestry, Fishing, & Hunting; Mining; Management of Companies & Enterprises; Active Duty Military

Figure 30. Percentage of Maryland workers who are former smokers, by occupation, 2013-2014

Figure 31. Percentage of Maryland workers who are former smokers, by industry, 2013-2014

19.9%24.9%

20.4%19.8%

20.9%18.0%

21.2%24.4%

17.3%

20.3%16.4%

19.4%15.6%

9.9%

14.6%14.5%15.9%

19.2%

27.4%30.8%

24.1%22.1%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45%












19.9%23.3%

26.9%

24.3%

25.1%

16.7%

26.2%

19.2%

19.7%

20.2%

20.6%

16.9%

19.2%

17.2%

18.6%

8.6%

23.5%

20.3%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45%

All workers

Utilities

Construction

Manufacturing

Wholesale Trade

Retail Trade


Information

Finance & Insurance













Maryland Workers Not Always Wearing a Seatbelt

Respondents were asked how often they use seat belts when they drive or ride in a car; always, nearly always, sometimes, seldom, or never. Responses of nearly always, sometimes, seldom, and never are depicted.

Data suppressed for the following occupations: Life, Physical, & Social Science; Community & Social Services; Legal; Arts, Design, Entertainment, Sports, & Media; Healthcare Support; Food Preparation & Serving Related; Farming, Fishing, & Forestry

Data suppressed for the following industries: Agriculture, Forestry, Fishing, & Hunting; Mining; Utilities; Wholesale Trade; Finance & Insurance; Management of Companies & Enterprises; Active Duty Military

Figure 32. Percentage of Maryland workers not always wearing a seatbelt, by occupation, 2013-2014

Figure 33. Percentage of Maryland workers not always wearing a seatbelt, by industry, 2013-2014

9.0%

7.3%

5.1%

5.7%

11.1%

4.1%

7.3%

7.9%

9.2%

7.9%

12.2%

6.9%

15.7%

15.8%

13.2%

10.0%

0% 5% 10% 15% 20% 25%

All workers

Management






Protective Service



Sales & Related




Production


9.0%

15.2%

10.6%

12.0%

15.0%

8.6%

8.2%

5.8%

8.0%

6.4%

5.6%

10.5%

16.0%

9.3%

6.9%

0% 5% 10% 15% 20% 25%

All workers

Construction

Manufacturing

Retail Trade


Information













Maryland Workers Who Binge Drank In The Past 30 Days

Respondents were asked for how many days during the past 30 days they drank 5 alcoholic beverages for men or 4 for women. Responses of 1 or more days are depicted.


Data suppressed for the following industries: Mining; Utilities; Management of Companies & Enterprises; Arts, Entertainment, Recreation; Active Duty Military

Figure 34. Percentage of Maryland workers who binge drank in the last month, by occupation, 2013-2014

Figure 35. Percentage of Maryland workers who binge drank in the last month, by industry, 2013-2014

27

18.0%

21.5%18.0%

16.5%22.5%

9.8%

7.5%

17.6%

13.1%

19.5%

12.5%

9.6%

23.1%12.0%

22.2%

17.1%

15.4%

28.2%

31.6%

21.0%

18.4%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45%

All workers

Management






Legal




Protective Service




Sales & Related




Production


18.0%

39.4%

30.0%

22.5%

28.6%

17.6%

18.9%

21.9%

16.1%

18.2%

17.0%

12.2%

13.8%

11.2%

16.4%

21.6%

19.3%

14.7%

0% 10% 20% 30% 40% 50% 60%

All workers

Utilities

Construction

Manufacturing

Wholesale Trade

Retail Trade


Information

Finance & Insurance













Maryland Workers With No Leisure Time Physical Activity

Respondents were asked if during the past month, other than their regular job, if they participated in any physical activities or exercises such as running, calisthenics, golf, gardening, or walking for exercise.


Data suppressed for the following industries: Mining; Utilities; Management of Companies & Enterprises; Arts, Entertainment, Recreation; Active Duty Military

Figure 36. Percentage of Maryland workers who did not participate in leisure time physical activity in the last month, by occupation, 2013-2014

Figure 37. Percentage of Maryland workers who did not participate in leisure time physical activity in the last month, by industry, 2013-2014

28

20.2%15.9%

14.7%17.0%

15.7%10.0%

18.5%8.4%

14.6%8.3%

16.1%26.1%

14.1%28.4%

38.4%16.9%

23.1%23.5%

26.6%

27.9%31.5%

30.9%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%












20.2%

54.6%

26.7%

25.1%

27.2%

26.0%

23.6%

13.4%

18.0%

21.8%

11.0%

34.0%

17.4%

19.2%

24.1%

24.7%

15.9%

0% 10% 20% 30% 40% 50% 60% 70% 80%

All workers


Construction

Manufacturing

Wholesale Trade

Retail Trade


Information

Finance & Insurance












Maryland Workers With Inadequate Sleep (<7 Hours)

Respondents were asked for how many hours on average they sleep in a 24-hour period. Responses of less than 7 hours are depicted.



Figure 38. Percentage of Maryland workers with inadequate sleep (<7 hours), by occupation, 2013-2014

Figure 39. Percentage of Maryland workers with inadequate sleep (<7 hours), by industry, 2013-2014

29

40.8%35.7%

37.3%38.9%

36.7%

36.1%35.6%

29.2%40.6%

36.2%41.7%

45.2%51.4%

46.8%43.1%

37.8%33.7%

40.7%44.0%

52.3%43.5%

46.7%

0% 10% 20% 30% 40% 50% 60% 70%












40.8%

35.5%47.0%

42.4%40.1%

52.5%

31.9%

50.8%42.6%

36.9%

32.6%34.8%

48.6%

38.2%

41.5%

31.5%

47.2%

36.6%44.9%

43.4%

0% 10% 20% 30% 40% 50% 60% 70% 80%

All workers


Utilities

Construction

Manufacturing

Wholesale Trade

Retail Trade


Information

Finance & Insurance










Active Duty Military




Healthcare Access Indicators

30

Maryland Workers With Health Insurance

Respondents were asked if they have any kind of health care coverage, including health insurance, prepaid plans such as HMOs, government plans such as Medicare, or Indian Health Service.



Figure 40. Percentage of Maryland workers with health insurance, by occupation, 2013-2014

Figure 41. Percentage of Maryland workers with health insurance, by industry, 2013-2014

88.7%

60.1%

100.0%

74.4%

86.9%

80.9%

83.7%

87.5%90.4%

96.5%

90.3%

97.0%

70.2%

96.5%

93.2%

90.6%

66.3%

87.2%

98.3%

98.9%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

All workers


Utilities

Construction

Manufacturing

Wholesale Trade

Retail Trade


Information

Finance & Insurance











88.7%91.2%

95.1%99.3%99.1%98.3%

97.0%98.5%97.8%92.9%

97.0%84.6%

95.4%72.5%

62.3%85.4%84.9%

93.8%70.5%

93.6%82.3%

76.1%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90%100%















Maryland Workers Who Needed To See A Doctor, But Could Not Because Of Cost

Respondents were asked if there was a time in the past 12 months when they needed to see a doctor but could not because of cost.

Data suppressed for the following occupations: Life, Physical, & Social Science; Legal; Arts, Design, Entertainment, Sports, & Media; Protective Service; Farming, Fishing, & Forestry

Data suppressed for the following industries: Agriculture, Forestry, Fishing, & Hunting; Mining; Utilities; Wholesale Trade; Management of Companies & Enterprises; Arts, Entertainment, Recreation; Active Duty Military

Figure 42. Percentage of Maryland workers who needed to see a doctor, but could not because of cost, by occupation, 2013-2014

Figure 43. Percentage of Maryland workers who needed to see a doctor, but could not because of cost, by industry, 2013-2014

11.5%6.0%

7.5%

3.0%

7.3%

6.4%

6.7%

7.5%21.3%

19.2%

28.6%

20.0%

13.6%

12.1%

23.1%

9.5%

11.4%

16.7%

0% 5% 10% 15% 20% 25% 30% 35% 40%

All workers

Management







Healthcare Support




Sales & Related




Production


11.5%

20.2%

8.2%

15.7%

16.1%

15.4%

6.0%

12.9%

6.8%

25.9%

5.6%

11.9%

22.1%

13.6%

3.9%

0% 5% 10% 15% 20% 25% 30% 35% 40%

All workers

Construction

Manufacturing

Retail Trade


Information

Finance & Insurance












Maryland Workers Who Had A Routine Checkup Within The Past Year

Respondents were asked how long it had been since they last visited a doctor for a routine checkup. Responses of “within the past year” are depicted.



Figure 44. Percentage of Maryland workers who had a routine checkup within the past year, by occupation, 2013-2014

Figure 45. Percentage of Maryland workers who had a routine checkup within the past year, by industry, 2013-2014

71.4%73.9%74.6%

69.7%67.9%

74.4%

82.0%74.2%

70.6%70.2%74.3%67.0%

74.0%68.9%69.7%68.7%

69.6%77.4%

55.8%67.0%

66.2%75.8%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%












71.4%

45.7%

60.6%

59.4%

69.0%

55.5%63.4%

80.4%

68.4%

77.6%

75.6%

72.1%

69.2%

71.8%

74.8%

77.9%

67.1%

72.8%

77.9%

94.8%

0% 20% 40% 60% 80% 100% 120%

All workers


Utilities

Construction

Manufacturing

Wholesale Trade

Retail Trade


Information

Finance & Insurance














Maryland Workers Who Had A Dental Visit Within The Past Year

Respondents were asked how long it had been since they last visited a dentist or a dental clinic for any reason. Responses of “within the past year” are depicted.


Data suppressed for the following industries: Mining; Management of Companies & Enterprises; Active Duty Military

Figure 46. Percentage of Maryland workers who had a dental visit within the past year, by occupation, 2013-2014

Figure 47. Percentage of Maryland workers who had a dental visit within the past year, by industry, 2013-2014

34

72.1%80.5%81.4%

77.8%75.9%

71.6%79.3%80.4%

83.4%83.3%

76.2%

75.0%64.2%64.4%

54.3%

66.3%67.4%

73.8%

54.6%67.9%66.8%

59.5%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%












72.1%

53.1%

58.5%

57.5%

75.1%

56.2%

66.1%

67.0%

70.7%

80.0%

77.8%77.6%

55.4%

79.2%

75.4%

74.2%

65.4%

69.6%

82.5%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

All workers


Utilities

Construction

Manufacturing

Wholesale Trade

Retail Trade


Information

Finance & Insurance













Resources

35


health in Maryland:


Safety website



[email protected]

1. Maryland Occupation Health and Safety Surveillance Project

https://phpa.health.maryland.gov/OEHFP/EH/Pages/occupational-

safety-and-health-in-maryland.aspx

2. Maryland Behavioral Risk Factor Surveillance System

https://phpa.health.maryland.gov/ccdpc/Reports/Pages/brfss.aspx

3. CDC Behavioral Risk Factor Surveillance System

https://www.cdc.gov/brfss/

4. The National Institute for Occupational Safety and Health (NIOSH)

Behavioral Risk Factor Surveillance System Data

https://www.cdc.gov/niosh/topics/surveillance/brfss/default.html


https://phpa.health.maryland.gov/OEHFP/EH/Pages/occupational-safety-and-health-in-maryland.aspx

https://phpa.health.maryland.gov/ccdpc/Reports/Pages/brfss.aspx

https://www.cdc.gov/brfss/

https://www.cdc.gov/niosh/topics/surveillance/brfss/default.html

Documents

Industry and Occupation Health Indicators · Leisure time physical activity Inadequate sleep Healthcare Access Health insurance Needed to see a doctor, but could not because of cost