Health and maintenance outages in nuclear power plants: an epidemiological survey

An epidemiological survey, started in 1989, was carried out at the nuclear power plants in the Loire river valley and at Le Blayais (France). Working conditions, work organisation and their impact on health during annual maintenance outages were studied. The main areas covered in this cross-sectional study were: anxiety and symptoms of depression using the Spielberger and CES-D scales. Comparisons were made during both a scheduled outage and in normal operation on four distinct groups of workers, each individual being his own control. A chi-square test was used for the quantitative variables and a test on differences for the quantitative variables. During a unit outage, more frequent overtime and atypical working hours were reported (p<0.01); working rhythms and safety rules were felt as more restrictive and exposure to radiation higher (p<0.01). Detrimental modifications of anxiety and symptoms of depression were observed on controllers whereas expected on maintenance agents. Similar results were observed when considering the rates of outages. Possible readings are given with reference to qualitative studies carried out on this topic, which implies extending our research with both the quantitative and qualitative approaches. (authors). 10 refs., 6 tabs