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Titolo:
Demonstration of the healthy worker survivor effect in a cohort of workersin the construction industry
Autore:
Siebert, U; Rothenbacher, D; Daniel, U; Brenner, H;
Indirizzi:
Harvard Sch Publ Hlth, Harvard Ctr Risk Anal, Boston, MA 02115 USA HarvardSch Publ Hlth Boston MA USA 02115 Risk Anal, Boston, MA 02115 USA Workmens Compensat Board Construct Workers Wurert, Occupat Hlth Serv, Boeblingen, Germany Workmens Compensat Board Construct Workers Wurert Boeblingen Germany ny German Ctr Res Ageing, Heidelberg, Germany German Ctr Res Ageing Heidelberg Germany es Ageing, Heidelberg, Germany Univ Ulm, Dept Epidemiol, Ulm, Germany Univ Ulm Ulm GermanyUniv Ulm, Dept Epidemiol, Ulm, Germany
Titolo Testata:
OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
fascicolo: 12, volume: 58, anno: 2001,
pagine: 774 - 779
SICI:
1351-0711(200112)58:12<774:DOTHWS>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
LOW-BACK-PAIN; PSYCHOSOCIAL RISK-FACTORS; NECK SHOULDER PAIN; OCCUPATIONAL WORKLOAD; PERMANENT DISABILITY; SCIENTIFIC EVIDENCE; MANUAL WORK; MORTALITY; EXPOSURE; PREVENTION;
Keywords:
healthy worker survivor effect; construction workers; occupational mobility; early retirement;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
36
Recensione:
Indirizzi per estratti:
Indirizzo: Siebert, U Harvard Sch Publ Hlth, Harvard Ctr Risk Anal, 718 Huntington Ave, Boston, MA 02115 USA Harvard Sch Publ Hlth 718 Huntington Ave Boston MA USA 02115 SA
Citazione:
U. Siebert et al., "Demonstration of the healthy worker survivor effect in a cohort of workersin the construction industry", OCC ENVIR M, 58(12), 2001, pp. 774-779

Abstract

Objectives-To assess the potential of a healthy worker survivor effect dueto differential occupational mobility in a cohort of construction workers. Methods-A cohort of 10 809 male employees in the German construction industry aged 15-64 years was followed up for occupational mobility, early retirement due to permanent disability, and total mortality from 1986 to 1994. Using the Cox's proportional hazards model of relative rates (RRs) with 95% confidence intervals (95% Cls) of occupational mobility, early retirement and total mortality were estimated according to medical diagnoses at baseline after adjustment for various covariates. Results - During follow up, 2472 subjects changed employment, 359 employees were granted a disability pension for health reasons and 188 subjects died. A wide range of chronic diseases was associated with increased rates of early retirement and total mortality but not occupational mobility. However, a healthy worker survivor effect was identified related to disorders of the back and spine (ninth revision of the international classification of diseases, ICD-9, code 720-4), a common predictor of both occupational mobility (RR 1. 17, 95% CI 1.04 to 1.32) and early retirement (RR 1.50, 95% CI 1.20 to 1.88). In total, there were about as many events of occupational changes (n = 41) as events of early retirement due to permanent disability (n = 39) significantly attributable to disorders of the back and spine. Differential occupational mobility preceded differential early retirement due to permanent disability by more than one decade. Conclusions - These findings show the need to consider a healthy worker survivor effect due to occupational mobility in occupational epidemiological research. Furthermore these results underline the necessity of further health promotion targeting work related conditions in the construction industry.

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Documento generato il 15/08/20 alle ore 19:47:14