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As expected in a working population, there was a deficit in overall and all-cancer mortality and in most other causes of death, likely due to the healthy worker effect. A major limitation is the healthy worker effect (Arrighi and Hertz-Picciotto 1994). In studies that compare health effects in workers with general population controls, the healthy worker effect could explain why associations may not be observed, because workers are, especially for symptomatic conditions, more likely to be healthier than the general population. |
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