Kneale G W, Mancuso T F, Stewart A M
Br J Ind Med. 1984 Feb;41(1):6-8. doi: 10.1136/oem.41.1.6.
Though most of the production work at Hanford is done by manual workers, 46% of the most dangerous jobs are performed by people who have professional or technical qualifications. For these privileged workers occupational mortality risks are positively correlated with radiation doses but for manual workers, who have relatively high death rates, there is an inverse relation with dose. The high ratio of professional to manual workers is clearly the reason for the industry having fewer observed than expected deaths and the inverse relation with dose for less privileged workers is probably a sign that there has been selective recruitment of the most highly paid manual workers--that is, skilled craftsmen into the more dangerous occupations. Evidence of this selective recruitment was obtained by equating danger levels with levels of monitoring for internal radiation. Therefore, there should be some control for these levels in any analysis of cancer effects of the measured dose of radiation.
尽管汉福德的大部分生产工作由体力劳动者完成,但46%最危险的工作是由具有专业或技术资质的人员执行的。对于这些享有特权的工人来说,职业死亡风险与辐射剂量呈正相关,但对于死亡率相对较高的体力劳动者来说,死亡风险与剂量呈反比关系。专业人员与体力劳动者的高比例显然是该行业实际死亡人数低于预期的原因,而特权较低的工人中死亡风险与剂量的反比关系可能表明,薪酬最高的体力劳动者,即熟练工匠,被选择性地招募到了更危险的职业中。通过将危险程度与内部辐射监测水平等同起来,获得了这种选择性招募的证据。因此,在对测量的辐射剂量的癌症影响进行任何分析时,都应对这些水平进行某种控制。