INTRODUCTION:: Research on the effect of occupation on cardiovascular health (CVH) among older women is limited. METHODS:: Each of the 7 American Heart Associationʼs CVH metrics was scored as ideal (1) or non-ideal (0) and summed. Multivariable logistic regression was used to estimate the odds of poor overall CVH (CVH score of 0-2) comparing women employed in each of the top 20 occupational categories to those not employed in that category, adjusting for age, marital status, and race/ethnicity. RESULTS:: 1) Bookkeeping, accounting, and auditing clerks; 2) first-line supervisors of sales workers; 3) first-line supervisors of office and administrative support workers; and 4) nursing, psychiatric, and home health aides were more likely to have poor overall CVH compared to women who did not work in these occupations. CONCLUSIONS:: Several commonly held occupations among women were associated with poor CVH.