A review of the healthy worker effect in occupational epidemiology

Clicks: 2
ID: 305132
1999
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Ranked #79 of 79 articles by views in international journal of occupational medicine and environmental health

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Abstract
This review article aims to anatomize sources of the healthy worker effect (HWE) and to summarize advantages and limitations of several approaches frequently proposed to eliminate the HWE. Although the HWE is frequently addressed in the context of selection bias, our review suggests that the selection of occupational cohorts with advantageous health status would preferably be addressed as a source of confounding biases. The authors also conclude that the exclusion of unhealthy workers at employment and the study of active workers are the two main sources of HWE, and that the use of the general population as a comparison group in occupational epidemiology should be avoided if possible. The authors encourage investigators to make distinctions between the underlying factors related to the use of the general population as the comparison group in occupational epidemiology.
Reference Key
openalex_W2158364693 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Chung‐Yi Li, F.-C. Sung
Journal international journal of occupational medicine and environmental health
Year 1999
DOI
10.1093/occmed/49.4.225
URL
https://doi.org/10.1093/occmed/49.4.225
Keywords Keywords not found

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