Older Construction Workers Show Mixed Chronic Disease Picture, But Chronic Pain And Anxiety Persist
Construction workers 51 and older reported a rate of high blood pressure of 59.4% in 2022, nearly identical to the rate among older workers across all industries, according to a data bulletin from CPWR-The Center for Construction Research and Training.
But those older construction workers had notably lower rates of diabetes (20.0% vs. 26.5% for all industries) and high cholesterol (17.9% vs. 30.8%), the group found. Heart conditions were also far less common in construction, at 2.9% vs. 25.1% across all industries, a gap CPWR described as 8.7 times higher outside the trade, while stroke was reported by 1.6% of older construction workers compared with 6.9% industry-wide.
The findings, drawn largely from 2022 data, are part of a broader CPWR Data Bulletin examining chronic health conditions among U.S. construction workers, including cancer, hearing loss, musculoskeletal disorders and mental health.
Respiratory Disease And Cancer Rates Track Closely With Other Industries
Construction workers reported being told they had asthma at some point in their lives at a rate of 9.9% during the 2020-2024 period, lower than the 14.2% rate across all industries, CPWR found. Among those ever diagnosed with asthma, 41.3% of construction workers said they still had the condition, compared with 54.5% of workers overall. Rates of chronic obstructive pulmonary disease, including emphysema and chronic bronchitis, were about the same for construction workers (1.9%) as for the broader workforce (2.0%).
Cancer diagnoses, excluding minor skin cancer, were reported by 15.6% of older construction workers in 2022, slightly below the 16.8% rate for older workers across all industries, according to CPWR. Arthritis prevalence, covering conditions such as rheumatoid arthritis, gout, lupus and fibromyalgia, fell 3.8% among construction workers from 2020 to 2024, from 10.5% to 10.1%, even as the rate across all industries rose 4.0%, from 12.5% to 13.0%, the report said.
Hearing health showed a starker divide. In 2022, 28.8% of older construction workers rated their hearing as excellent to very good, compared with 46.5% of workers across all industries, CPWR found. No construction workers surveyed reported poor hearing, but they were 2.1 times more likely than workers overall to describe their hearing as fair. CPWR noted that prior research has linked hearing loss to higher mortality and dementia risk.
Chronic Pain, Anxiety And Depression Remain Common
Chronic pain was widespread in the industry. In 2023, 20.0% of construction workers reported experiencing pain every day (11.0%) or most days (9.0%) over the prior three months, according to CPWR. Among those reporting any pain, 11.8% said they were in “a lot” of pain, while 51.0% said they had “a little.” CPWR noted that pain is associated with opioid use among construction workers, a concern the group said is heightened by the industry’s disproportionately high overdose death rate.
Mental health measures also stood out. In 2024, 32.7% of construction workers reported feelings of anxiety at least monthly, with 9.5% experiencing them daily, CPWR found. Among workers with anxiety symptoms or who took anxiety medication, 10.5% rated the intensity as high. Separately, 12.0% of construction workers reported feelings of depression at least monthly in 2024, with 1.1% experiencing them daily, and 64.4% reported never experiencing depression. About 10.3% of workers reported experiencing both anxiety and depression, according to the report.
Musculoskeletal disorders resulting in days away from work continued a long-term decline, CPWR found. The number of such cases in private construction fell 29.0%, from 42,100 in 2011-12 to 29,900 in 2023-24, while the rate of MSDs dropped 51.3% to 16.5 per 10,000 full-time equivalents from 33.9. Median days away from work due to MSDs in construction stood at 14 in 2023-2024, well below the 42-day median for mining, quarrying and oil and gas extraction, though on par with the median across all industries.
Mortality data from 2023-2024 showed ischemic heart disease as the leading cause of death among construction workers ages 16 to 64, accounting for 15,700 deaths, followed by other malignant neoplasms (11,200) and intentional self-harm (10,100), according to CPWR’s analysis.
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