Johnson Candice Y, Rocheleau Carissa M, Lawson Christina C, Grajewski Barbara, Howards Penelope P
National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, OH.
National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, OH.
Ann Epidemiol. 2017 Sep;27(9):558-562.e2. doi: 10.1016/j.annepidem.2017.08.017. Epub 2017 Aug 25.
To investigate potential attenuation of healthy worker biases in populations in which healthy women of reproductive age opt out of the workforce to provide childcare.
We used 2013-2015 data from 120,928 U.S. women and men aged 22-44 years participating in the Gallup-Healthways Well-Being Index. We used logistic regression to estimate adjusted prevalence odds ratios (PORs) and 95% confidence intervals (CIs) for associations between health and workforce nonparticipation.
Women and men reporting poor health were more likely to be out of the workforce than individuals reporting excellent health (POR: 3.7, 95% CI: 3.2-4.2; POR: 6.7, 95% CI: 5.7-7.8, respectively), suggesting potential for healthy worker bias. For women (P < .001) but not men (P = .30), the strength of this association was modified by number of children in the home: POR: 7.3 (95% CI: 5.8-9.1) for women with no children, decreasing to POR: 0.9 (95% CI: 0.6-1.5) for women with four or more children.
These results are consistent with attenuation of healthy worker biases when healthy women opt out of the workforce to provide childcare. Accordingly, we might expect the magnitude of these biases to vary with the proportion of women with differing numbers of children in the population.
调查在育龄健康女性选择退出劳动力队伍以提供育儿服务的人群中，健康工人偏差的潜在减弱情况。
我们使用了2013 - 2015年参与盖洛普 - 健康之路幸福指数调查的120,928名22 - 44岁美国男女的数据。我们使用逻辑回归来估计健康与劳动力不参与之间关联的调整患病率比值比（PORs）和95%置信区间（CIs）。
报告健康状况差的女性和男性比报告健康状况极佳的个体更有可能退出劳动力队伍（POR分别为：3.7，95% CI：3.2 - 4.2；POR：6.7，95% CI：5.7 - 7.8），表明存在健康工人偏差的可能性。对于女性（P <.001）而非男性（P = 0.30），这种关联的强度因家中孩子数量而改变：无子女女性的POR为7.3（95% CI：5.8 - 9.1），有四个或更多子女的女性则降至POR：0.9（95% CI：0.6 - 1.5）。
这些结果与健康女性退出劳动力队伍以提供育儿服务时健康工人偏差的减弱情况一致。因此，我们可能预期这些偏差的程度会因人口中不同子女数量女性的比例而有所不同。
