OBSERVATIONS ON THE HEALTHY WORKER EFFECT
OBSERVATIONS ON THE HEALTHY WORKER EFFECT
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DOI：
10.1097/00043764-198606000-00009
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发表时间：
1986-06-01
影响因子：
3.2
通讯作者：
MONSON, RR
中科院分区：
文献类型：
--
作者：
MONSON, RR
将十组就业人员的后续死亡率数据与美国一般人群的死亡率进行比较。计算与健康工人效应 (HWE) 相关的比较。通过相对比较，标准化死亡率 (SMR)，HWE 被认为具有与随访时间相关的动态阶段和平台阶段。相比之下，通过绝对比较测量的 HWE 与随访时间的长度关系不大。进入随访时的年龄与绝对死亡风险密切相关，但与相对风险 (SMR) 关系不大或没有关系。讨论了与健康工人影响的评估和最小化相关的问题。
Follow-up mortality data from ten groups of employed persons are compared to the mortality rates of the USA general population. Comparisons related to the healthy worker effect (HWE) are computed. As measured by a relative comparison, the standardized mortality ratio (SMR), the HWE is seen to have a dynamic phase and a plateau phase in relation to length of follow-up. In contrast, the HWE as measured by an absolute comparison has little relationship to length of follow-up. Age at entrance into follow-up is strongly related to the absolute risk of mortality, but has little or no relation to the relative risk (SMR). Issues related to the evaluation and minimization of the healthy worker effect are discussed.