{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:33:32Z","timestamp":1791160412476,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2009,11,24]],"date-time":"2009-11-24T00:00:00Z","timestamp":1259020800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["American J Industrial Med"],"published-print":{"date-parts":[[2009,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Nuclear workers from French contracting companies have received higher doses than workers from Electricit\u00e9 de France (EDF) or Commissariat \u00e0 l'Energie Atomique (CEA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cohort study of 9,815 workers in 11 contracting companies, monitored for exposure to ionizing radiation between 1967 and 2000 were followed up for a median duration of 12.5 years. Standardized mortality ratios (SMRs) were computed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Between 1968 and 2002, 250 deaths occurred. Our study demonstrated a clear healthy worker effect (HWE) with mortality attaining half that expected from national mortality statistics (SMR\u2009=\u20090.54, 95% CI\u2009=\u2009[0.47\u20130.61]). The HWE was lower for all cancers (SMR\u2009=\u20090.65) than for non\u2010cancer deaths (SMR\u2009=\u20090.46). The analysis by cancer site showed no excess compared with the general population. Significant trends were observed according to the level of exposure to ionizing radiation for deaths from cancer, deaths from digestive cancer and deaths from respiratory cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The mortality of nuclear workers from contracting companies is very low compared to French national mortality. Am. J. Ind. Med. 52:916\u2013925, 2009. \u00a9 2009 Wiley\u2010Liss, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajim.20768","type":"journal-article","created":{"date-parts":[[2009,11,24]],"date-time":"2009-11-24T13:43:36Z","timestamp":1259070216000},"page":"916-925","source":"Crossref","is-referenced-by-count":17,"title":["Cancer mortality among French nuclear contract workers"],"prefix":"10.1002","volume":"52","author":[{"given":"Sylvie","family":"Gu\u00e9rin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ga\u00ebl","family":"Richard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alain","family":"Biau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Lebre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dani\u00e8le","family":"Crescini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadia","family":"Haddy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurence","family":"Guldner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Paoletti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Hill","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florent","family":"de Vathaire","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,11,24]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a009682"},{"key":"e_1_2_1_3_1","first-page":"406","volume-title":"Statistical methods in cancer research. Volume II\u2014The design and analysis of cohort studies","author":"Breslow NE","year":"1987"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.2307\/3579020"},{"key":"e_1_2_1_5_1","volume-title":"International Collaborative Study of Cancer Risk among Radiation Workers in the Nuclear Industry. II Procedures Document. Revision","author":"Cardis E","year":"1997"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1667\/RR0553.1"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.1993.113"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a113392"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.2307\/3578555"},{"key":"e_1_2_1_10_1","first-page":"477","article-title":"Selection effects in epidemiological cohorts: Nature, causes and consequences","volume":"49","author":"Goldberg M","year":"2001","journal-title":"Rev Epidemiol Sante Publique"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.2307\/3578225"},{"key":"e_1_2_1_12_1","first-page":"1039","article-title":"Direct estimates of cancer mortality due to low doses of ionising radiation: An international study","volume":"344","author":"IARC Study Group on Cancer Risk among Nuclear Industry Workers","year":"1994","journal-title":"Lancet"},{"key":"e_1_2_1_13_1","volume-title":"IARC Monographs on the Evaluation of Carcinogenic Risks to Humans","author":"IARC","year":"2000"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1667\/0033-7587(2003)159[0228:SAOMON]2.0.CO;2"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(00)00291-6"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1088\/0952-4746\/21\/3\/302"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1088\/0952-4746\/19\/1\/002"},{"key":"e_1_2_1_18_1","volume-title":"Health Risks from exposures to low levels of ionizing radiation (BEIR VII)","author":"National Research Council CotBEoIR","year":"2005"},{"key":"e_1_2_1_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/93.8.618"},{"key":"e_1_2_1_20_1","doi-asserted-by":"publisher","DOI":"10.2307\/3578893"},{"key":"e_1_2_1_21_1","doi-asserted-by":"publisher","DOI":"10.1667\/RR0763.1"},{"key":"e_1_2_1_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0274(199901)35:1<21::AID-AJIM4>3.0.CO;2-X"},{"key":"e_1_2_1_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.20113"},{"key":"e_1_2_1_24_1","doi-asserted-by":"publisher","DOI":"10.2307\/3578894"},{"key":"e_1_2_1_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.10306"},{"key":"e_1_2_1_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/oem.2007.032631"},{"key":"e_1_2_1_27_1","doi-asserted-by":"publisher","DOI":"10.1667\/RR0552.1"},{"key":"e_1_2_1_28_1","volume-title":"Sources and effects of ionising radiation. Vol. II: Effects","author":"United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR)","year":"2000"},{"key":"e_1_2_1_29_1","doi-asserted-by":"publisher","DOI":"10.1667\/RR0554.1"},{"key":"e_1_2_1_30_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1991.03460110063025"}],"container-title":["American Journal of Industrial Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fajim.20768","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ajim.20768","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,13]],"date-time":"2023-11-13T23:12:15Z","timestamp":1699917135000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ajim.20768"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,11,24]]},"references-count":29,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2009,12]]}},"alternative-id":["10.1002\/ajim.20768"],"URL":"https:\/\/doi.org\/10.1002\/ajim.20768","archive":["Portico"],"relation":{},"ISSN":["0271-3586","1097-0274"],"issn-type":[{"value":"0271-3586","type":"print"},{"value":"1097-0274","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,11,24]]}}}