Definition, sources, magnitude, effect modifiers, and strategies of reduction of the healthy worker effect

B C Choi

Definition, sources, magnitude, effect modifiers, and strategies of reduction of the healthy worker effect

J Occup Med. 1992 Oct;34(10):979-88.

Author

B C Choi¹

Affiliation

¹ Occupational and Environmental Health Unit, Faculty of Medicine, University of Toronto, Ontario, Canada.

PMID: 1403198

Abstract

This article summarizes, compares, and contrasts the definition, sources, magnitude, effect modifiers, and strategies of reduction of the healthy worker effect (HWE), based on the opinion expressed in the papers of nine contributors who responded to the request of the Industrial Disease Standards Panel (IDSP), Ontario, Canada. It provides an insight into the complex issues relating to the HWE. In addition, the catalog of 15 strategies to reduce the HWE is deemed to be useful for investigators in occupational epidemiology.

Publication types

Comparative Study

MeSH terms

Age Factors
Bias
Cause of Death
Confounding Factors, Epidemiologic
Diagnosis, Differential
Effect Modifier, Epidemiologic
Employment
Healthy Worker Effect*
Humans
Neoplasms / epidemiology
Occupational Diseases / epidemiology*
Occupational Diseases / mortality
Occupational Health
Occupations
Population
Research Design
Risk Factors
Sex Factors
Social Class
Social Conditions