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Document ID (ISN)73553
CIS number 99-1519
ISSN - Serial title 0271-3586 - American Journal of Industrial Medicine
Year 1999
Convention or series no.
Author(s) Baillargeon J., Wilkinson G.S.
Title Characteristics of the healthy survivor effect among male and female Hanford workers
Bibliographic information Apr. 1999, Vol.35, No.4, p.343-347. 16 ref.
Abstract Follow-up mortality data on 44,154 employees from the Hanford nuclear facility for the period of 1944-1986 were used to estimate the healthy survivor effect according to frequently measured sociodemographic characteristics. While Hanford employees did not exhibit a stepwise decline in standardized mortality ratios according to duration of employment, workers in the longest employment duration category demonstrated a substantial survival advantage compared to the rest of the cohort. This effect was present in both males and females, and in all but the following subgroups: males hired at or after age 40, females hired before age 40, and females classified as both professional and nonprofessional. Findings suggest that investigators should consider the potential confounding role of the healthy survivor effect when relying on standardized mortality ratios, or other methods, to assess the adverse health effects of exposure in occupational cohorts. Topics: cohort study; confounding factors; epidemiologic study; healthy worker effect; length of exposure; mortality; nuclear power stations; radiation equipment and processes; women.
Descriptors (primary) radiation equipment and processes; nuclear power stations; mortality; healthy worker effect
Descriptors (secondary) epidemiologic study; confounding factors; length of exposure; women; cohort study
Document type D - Periodical articles
Country / State or ProvinceUSA
Subject(s) Power generation and distribution
Broad subject area(s) Occupational medicine, epidemiology
Browse category(ies) Power generation and distribution