[Causes of death of COGEMA active workers, 1980-1995]. / Causes de décès des travailleurs actifs de la COGEMA, 1980-1995.
Rev Epidemiol Sante Publique
; 51(5): 461-8, 2003 Oct.
Article
em Fr
| MEDLINE
| ID: mdl-14657793
ABSTRACT
BACKGROUND:
Populations exposed to risks at work show a deficit in deaths in comparison with the national population, the "healthy worker effect". This effect has been observed among former nuclear workers. The aim of our cross-sectional study was to evaluate the mortality in a metallurgy worker population, and to study the impact of the choice of the reference population on the estimation of the Standardized Mortality Ratio (SMR).METHODS:
The studied population was the COGEMA Metallurgy Department workers, aged 25 years to 64, during the period 1980-1995 in two regions of France (North--La Hague; South--Cadarache, Marcoule, Miramas and Pierrelatte). In order to account for geographical variability and the difference in mortality between the working population and the non-working population, we used several reference populations national population, regional population, "working" national population (farmers not present in COGEMA and non-workers excluded), and "working" regional population.RESULTS:
All SMRs were increased when we used a "working" regional reference compared with the national reference population. Among men, eight pathologies presented a significant deficit with a national reference, whereas only two pathologies showed a deficit with the "working" regional reference.CONCLUSION:
The use of a reference population close to the study population enabled us to reduce the Healthy Worker Effect among metallurgy workers at COGEMA plants.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Efeito do Trabalhador Sadio
/
Mortalidade
/
Metalurgia
/
Medicina do Trabalho
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
Fr
Revista:
Rev Epidemiol Sante Publique
Ano de publicação:
2003
Tipo de documento:
Article