Son Heesook, Kang Youngmi
a Red Cross College of Nursing , Chung-Ang University , Seoul , Republic of Korea.
b College of Nursing Science , East-West Nursing Research Institute, Kyung Hee University , Seoul , Republic of Korea.
Int J Occup Environ Health. 2017 Apr;23(2):94-97. doi: 10.1080/10773525.2018.1425656. Epub 2018 Jan 18.
We aimed to examine the association between shift work types and participation in breast cancer screening (BCS) programs by comparing rates of participation for BCS among regular daytime workers and alternative shift workers using data from a nationally representative, population-based survey conducted in Korea. In addition, the results were analyzed according to sociodemographic factors, including occupation, education, income, private health insurance, age, and number of working hours a week. This secondary cross-sectional analysis used data from the 2012 Korean National Health and Nutritional Examination Survey. The target population included women aged ≥ 40 years who responded as to whether they had undergone BCS in the previous year. Accordingly, we analyzed survey data for a total of 1,193 women and used a multivariate logistic regression analysis to evaluate the differences in factors affecting BCS between regular daytime and alternative shift workers. A logistic regression analysis was performed considering private health insurance as a significant sociodemographic factor for BCS among regular daytime shift workers. In contrast, none of the tested variables could significantly predict adherence to BCS among alternative shift workers. The results of this study suggest the need for the development of comprehensive workplace breast cancer prevention programs by considering shift work types. More attention should be given to female workers with low education levels, those who are uninsured, and young workers to improve the participation rate for BCS at the workplace.
我们旨在通过使用韩国全国代表性的基于人群的调查数据，比较正常白班工人和轮班工人的乳腺癌筛查（BCS）参与率，来研究轮班工作类型与参与BCS项目之间的关联。此外，还根据社会人口学因素进行了结果分析，这些因素包括职业、教育程度、收入、私人医疗保险、年龄以及每周工作小时数。这项二次横断面分析使用了2012年韩国国民健康与营养检查调查的数据。目标人群包括年龄≥40岁且回答了前一年是否接受过BCS的女性。因此，我们总共分析了1193名女性的调查数据，并使用多变量逻辑回归分析来评估正常白班工人和轮班工人在影响BCS的因素方面的差异。在考虑私人医疗保险是正常白班工人中BCS的一个重要社会人口学因素的情况下进行了逻辑回归分析。相比之下，所测试的变量均不能显著预测轮班工人对BCS的依从性。本研究结果表明，有必要通过考虑轮班工作类型来制定全面的职场乳腺癌预防项目。应更加关注教育水平低、未参保的女性工人以及年轻工人，以提高职场BCS的参与率。
