Ryu Seunghoon, Lee Yong-Jin, Jang Eun-Chul, Kwon Soon-Chan, Kim KiSeok, Ahn Yeon-Soon, Min Young-Sun
Department of Occupational & Environmental Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
Department of Preventive Medicine and Genomic Cohort Institute, Yonsei University Wonju College of Medicine, Wonju, Korea.
Ann Occup Environ Med. 2021 Oct 28;33:e32. doi: 10.35371/aoem.2021.33.e32. eCollection 2021.
The aim of this study was to investigate the relationship between occupational exposure to various hazards and hospital admission due to endocrine diseases in Korean male firefighters.
From 2000 to 2008, former and current male firefighters registered in the Korean National Emergency Management Agency were investigated based on their hospitalized health insurance admission data for the same period. Admission data for endocrine, nutritional, and metabolic diseases were obtained from the Korean National Health Insurance Service database. Standardized admission ratio (SAR) with reference to the general population of Korean men was analyzed.
SAR for firefighters with endocrine, nutritional, and metabolic diseases was 0.56 (95% confidence interval [CI]: 0.49-0.65), which was significantly less than that of the general population of Korean men. For those with endocrine, nutritional, and metabolic diseases, SARs for those with a history of fire suppression tasks and those without experience of fire suppression tasks were 0.58 (95% CI: 0.49-0.68) and 0.53 (95% CI: 0.40-0.70), respectively.
The admission rate of Korean male firefighters due to endocrine, nutritional and metabolic diseases was significantly lower than that of the general Korean men population, the hazardous potential of endocrine disruptors remains an open question. Further studies of firefighters with longer follow-up are needed.
本研究旨在调查韩国男性消防员职业接触各种危害因素与因内分泌疾病住院之间的关系。
2000年至2008年期间，根据韩国国家应急管理机构登记的在职和离职男性消防员同期的住院医疗保险入院数据进行调查。内分泌、营养和代谢疾病的入院数据来自韩国国民健康保险服务数据库。分析了以韩国男性普通人群为参照的标准化入院率（SAR）。
患有内分泌、营养和代谢疾病的消防员的SAR为0.56（95%置信区间[CI]：0.49 - 0.65），显著低于韩国男性普通人群。对于患有内分泌、营养和代谢疾病的消防员，有灭火任务史者和无灭火任务经历者的SAR分别为0.58（95%CI：0.49 - 0.68）和0.53（95%CI：0.40 - 0.70）。
韩国男性消防员因内分泌、营养和代谢疾病的入院率显著低于韩国男性普通人群，内分泌干扰物的潜在危害仍是一个悬而未决的问题。需要对消防员进行更长时间随访的进一步研究。
