2009
DOI: 10.4103/0019-5278.55123
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Healthy worker effect phenomenon

Abstract: The Healthy Worker Effect (HWE) phenomenon has been under debate since some years. Some epidemiologists regard HWE as an ordinary method problem while others consider it a field of science by itself. This article gives definitions of HWE explained with historical background; discusses factors affecting it and suggests methods to minimize problems associated with it.

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Cited by 268 publications
(201 citation statements)
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“…An increased prevalence of respiratory symptoms and sensitization to crab was also found in Norwegian RKC processing plants compared to unexposed controls, but no increase in asthma was found (Thomassen et al, 2017). A healthy worker effect, where workers who develop asthma leave the processing plants, is a possible explanation for this lack of occupational asthma in the Norwegian study compared to corresponding studies from Canada (Shah, 2009). The time from start of exposure to the presence of symptoms can vary from weeks to years, and the symptoms are characteristically worse when the worker is at work and improve during weekends and holidays (Malo et al, 1997).…”
Section: Processing and Occupational Exposurementioning
confidence: 78%
“…An increased prevalence of respiratory symptoms and sensitization to crab was also found in Norwegian RKC processing plants compared to unexposed controls, but no increase in asthma was found (Thomassen et al, 2017). A healthy worker effect, where workers who develop asthma leave the processing plants, is a possible explanation for this lack of occupational asthma in the Norwegian study compared to corresponding studies from Canada (Shah, 2009). The time from start of exposure to the presence of symptoms can vary from weeks to years, and the symptoms are characteristically worse when the worker is at work and improve during weekends and holidays (Malo et al, 1997).…”
Section: Processing and Occupational Exposurementioning
confidence: 78%
“…Healthy worker effect causes an overrepresentation of healthy respondents, because ill and disabled persons are often not active in the labour market [21].…”
Section: Discussionmentioning
confidence: 99%
“…Although dropout was small, it may have affected the results, since persons with poor health and more stress at baseline dropped out of the study before the second baseline measurement point in 1985. This could have resulted in a healthy worker effect, meaning that those who remain in the profession, and also in the study, tend to be healthier than those who dropped out, consequently causing underestimation of the risks (Shah 2009). After the retirement of the participants, work-related stress questions were modified since the participants were no longer occupationally active.…”
Section: Discussionmentioning
confidence: 99%