건강근로자효과의 최소화 방안과 보정 방법

• 영문명: Methods to Minimize or Adjust for Healthy Worker Effect in Occupational Epidemiology
• 발행기관: 한국환경보건학회
• 저자명: 이경무(Kyoung-Mu Lee) 전재범(JaeBuhm Chun) 박동욱(Donguk Park) 이원진(Wonjin Lee)
• 간행물 정보: 『한국환경보건학회지』제37권 제5호, 342~347쪽, 전체 6쪽
• 주제분류: 공학 > 환경공학
• 파일형태: PDF
• 발행일자: 2011.10.30

영문 초록

Healthy worker effect (HWE) refers to the consistent tendency for actively employed individuals to have a more favorable mortality experience than the population at large. Although HWE has been well known since the 1970s, only a few studies in occupational epidemiology have attempted to fully define and evaluate HWE. HWE can be separated into effects on the initial hiring into the workforce (healthy worker hire effect) and those on continuing employment (healthy worker survival effect). In this review, we summarize the methods for minimizingor adjusting for the healthy worker effect available in occupational epidemiology. It is noteworthy that healthy worker survival effect appears complicated, considering that employment status plays simultaneous roles as a counfounding variable and intermediate variable, whereas healthy worker hire effect may be adjusted by incorporating health status at baseline into the statistical model. In addition, two retrospective cohort studies for workers in the semiconductor industry and Vietnam veterans in Korea, respectively, were introduced, and their results were explained in terms of healthy worker effect.

목차

I. 서 론

II. 건강근로자효과의 구성요소 및 영향

III. 건강근로자효과의 최소화 방안

IV. 건강근로자효과의 통계학적 보정

V. 건강근로자효과 사례

VI. 결 론

참고문헌

키워드

Health worker effect Health worker hire effect Healthy worker survival effect