Study Reveals Self-Employment Linked to Lower Heart Attack Risks in Women

Fri 30th May, 2025

A recent study has indicated that women who are self-employed may face a significantly reduced risk of heart attacks compared to their salaried counterparts. This research, published in BMC Public Health, highlights the potential impact of work environments on cardiovascular health, particularly for women.

The findings suggest that self-employed women exhibit fewer risk factors associated with cardiovascular disease (CVD). The study, led by researchers at the University of California, Los Angeles (UCLA), indicates that self-employment may provide a more favorable health profile for women, potentially due to their experiences managing work-life balance and stress.

While the study also noted some positive health associations among self-employed white men, the most significant benefits were observed in women. Researchers found that self-employed women are less likely to experience various CVD risk factors, such as obesity and physical inactivity, compared to those in salaried positions. This is particularly noteworthy as women often face unique challenges when balancing professional and personal responsibilities.

Dr. Kimberly Narain, the study's lead author and an assistant professor at UCLA, emphasized the importance of understanding how work environments influence health outcomes. She pointed out that the relationship between self-employment and heart disease risk factors appears to be particularly strong in women. This research is significant as it is one of the few studies to utilize objective lab measures rather than relying solely on self-reported data, which can often be inaccurate.

The study analyzed data from 19,400 working adults gathered from the National Health and Nutrition Examination Survey (NHANES). The researchers examined various CVD risk factors, including cholesterol levels, hypertension, glucose intolerance, obesity, and lifestyle choices such as diet and physical activity.

Among the specific findings, self-employed white women showed:

  • A 7.4 percentage point decrease in obesity
  • A 7.0 percentage point reduction in physical inactivity
  • A 9.4 percentage point decline in poor sleep duration

For women of color, self-employment was linked to:

  • A 6.7 percentage point decrease in poor diet
  • A 7.3 percentage point reduction in physical inactivity
  • An 8.1 percentage point decline in poor sleep duration

Additionally, self-employed white men experienced:

  • A 6.5 percentage point decline in poor diet
  • A 5.7 percentage point reduction in hypertension

However, the study found that self-employed minority men did not experience similar health benefits, likely due to systemic barriers such as high business entry costs and limited access to mentorship and resources.

The researchers caution that the study's cross-sectional design limits the ability to draw causal conclusions. They also acknowledge that unmeasured factors, such as individual personality traits and coping strategies, may influence both the choice of self-employment and the development of health risks.

In conclusion, the findings underscore the necessity for further research to explore how the work environment can affect health outcomes, particularly for women and marginalized groups. As the study suggests, enhancing understanding of these dynamics may allow for the creation of healthier work environments for all individuals.


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