韩国中年人口中健康工人幸存者偏见的估计
Byungyoon Yun1,2,3,4, Beom Kyung Kim2,5,6, Sung-In Jang1,7,8
1Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
International journal of epidemiology
|March 9, 2026
概括
由于就业状况变化 (HWSB-ES) 的健康工人幸存者偏见 (HWSB) 对韩国的职业健康研究产生了重大影响. 这种偏见在妇女和老年人中更为明显,可以低估健康风险.
科学领域:
- 职业健康 职业健康 职业健康
- 流行病学 流行病学
- 生物统计学 生物统计学
背景情况:
- 健康工人幸存者偏见 (HWSB) 是职业健康研究中已知的混因素.
- 通过在就业队列中过分代表健康个体,HWSB可以扭曲研究结果.
- 有限的韩国数据阻碍了HWSB的量化,特别是由于就业状态变化 (HWSB-ES) 的HWSB.
研究的目的:
- 在韩国人口中使用大型国家健康数据库量化HWSB-ES.
- 评估HWSB-ES对死亡风险估计的影响.
- 提供数据来调整韩国职业健康研究.
主要方法:
- 使用国家医疗保险服务 (NHIS) 数据库 (2008-2022) 的回顾性队列研究.
- 对年龄在30-59岁之间,具有一致保险类型的个人进行分析.
- 标志性分析通过比较固定和动态队列中的死亡风险来估计HWSB-ES,按年龄,性别和标志性时期分层.
主要成果:
- 分析了18,192,989名参与者.
- 在女性,动态群体和具有更长的里程碑时期中,HWSB-ES更为明显.
- 短期HWSB-ES减弱了25%-39%的死亡风险,而长期减弱则较低 (7%-18%). 这种影响随着年龄的增长而加剧.
结论:
- 量化HWSB-ES为韩国提供了关键的国家级估计.
- 对HWSB-ES的调整对于女性和老年群体尤其重要.
- 这项研究有助于防止在职业研究中低估不良健康影响.
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