Graduate School of Public Health, St. Luke's International University, Tsukiji, Tokyo, Japan.
Department of Health Policy, National Centre for Child Health and Development, Setagaya, Tokyo, Japan.
BMC Public Health. 2022 Nov 1;22(1):2003. doi: 10.1186/s12889-022-14304-4.
The number of women in Japan who continue working after childbirth is on the rise. Over the past few years, Japan's cancer mortality rate has increased. About 50% of all cancer deaths among Japanese women aged 25-64 are caused by lung, gastric, pancreatic and colorectal cancers. This study aims to examine the difference in mortality risk for key cancers among women and explore the effect of the economic crisis in the mid-1990s separately for occupational and industrial categories.
Data from 1980 to 2015 were gathered from the Japanese Population Census and National Vital Statistics conducted in the same year. A Poisson regression analysis was used to estimate mortality risk and mortality trends for lung, gastric, pancreatic and colorectal cancer among Japanese working women aged 25-64 years.
Across most industrial and occupational groups, the trends in age-standardised cancer mortality rate for women have declined. Workers in management, security and transportation have a higher cancer mortality risk than sales workers. The risk of death from all four cancers is higher for workers in the mining and electricity industries than for wholesale and retail workers.
To improve the health and well-being of employed Japanese women, it is crucial to monitor cancer mortality trends. Using these population-level quantitative risk estimates, industry- and occupation-specific prevention programmes can be developed to target women at higher cancer risk and enable the early detection and treatment of cancer.
在日本,产后继续工作的女性人数呈上升趋势。在过去的几年中,日本的癌症死亡率有所上升。在 25-64 岁的日本女性中,约有 50%的癌症死亡是由肺癌、胃癌、胰腺癌和结直肠癌引起的。本研究旨在探讨女性主要癌症的死亡率差异,并分别探讨 20 世纪 90 年代中期经济危机对职业和行业类别的影响。
本研究数据来源于 1980 年至 2015 年的日本人口普查和同年的国家生命统计数据。采用泊松回归分析估计了 25-64 岁日本职业女性的肺癌、胃癌、胰腺癌和结直肠癌的死亡率风险和死亡率趋势。
在大多数工业和职业群体中,女性的年龄标准化癌症死亡率呈下降趋势。管理、安全和交通类工作者的癌症死亡率风险高于销售人员。与批发和零售工人相比,采矿业和电力业工人的所有四种癌症的死亡风险更高。
为了提高日本就业女性的健康和福祉,监测癌症死亡率趋势至关重要。利用这些人群水平的定量风险估计,可以制定针对特定行业和职业的预防计划,针对癌症风险较高的女性,并实现癌症的早期发现和治疗。