«The healthy worker effect» and occupational selection in industrial medicine

DOI: https://doi.org/10.29296/25877305-2021-12-03
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Issue: 
12
Year: 
2021

Professor L. Strizhakov(1), MD; Professor S. Babanov(2), MD; Professor D. Vinnikov(3), MD; A.
Melentyev(4), Candidate of Medical Sciences; N. Ostryakova(2); A. Agarkova(2); T. Kiryushina(2) (1)I.M.
Sechenov First Moscow State Medical University (Sechenov University) (2)Samara State Medical University,
Ministry of Health of Russia (3)Al-Farabi Kazakh National University, Almaty, Kazakhstan (4)F.F. Erisman
Federal Research Center of Hygiene, Moscow

The article deals with the «healthy worker effect» phenomenon that is understood as organized (by the employer) and/or unorganized (self-selection by workers due to their functional capabilities and health status) professional selection of healthier workers under unfavorable working conditions remaining in the profession. This effect is one of the most important problems in epidemiological studies in occupational medicine. The paper analyzes the scientific and medical terminology used when studying the problem of the «healthy worker effect», taking into account the possible inversion of the impact of harmful and unfavorable working conditions, taking into account this phenomenon, as well as the intensity of the «healthy worker effect» in various occupational cohorts.
Keywords: 
epidemiology
occupational medicine
industrial medicine
«healthy worker effect»
«healthy hiring effect»
«healthy worker survivor effect»
«healthy migrant effect»

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