Baek Seong-Uk, Lee Woo-Ri, Yoo Ki-Bong, Choi Jun-Hyeok, Lee Kyung-Eun, Lee Wanhyung, Yoon Jin-Ha
Department of Occupational and Environmental Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Korea.
The Institute for Occupational Health, Yonsei University College of Medicine, Seoul 03722, Korea.
Cancers (Basel). 2022 Oct 25;14(21):5219. doi: 10.3390/cancers14215219.
The number of cases and incidence rates of laryngeal and lung cancers have been increasing globally. Therefore, identifying the occupational causes of such cancers is an important concern for policymakers to prevent cancers and deaths. We used national health insurance service claims data in Korea. We included 10,786,000 workers aged between 25 and 64 years. In total, 74,366,928 total person-years of follow-up were included in this study with a mean follow-up of 6.89 years for each person. The standardized incidence ratio (SIR) and 95% confidence intervals (CIs) referenced with the total workers were estimated. For laryngeal cancer, increased SIRs were observed in the land transportation industry among male workers (SIR [95% CI]: 1.65 [1.02-2.53]). For lung cancer, elevated SIRs were observed in the industries including animal production (1.72 [1.03-2.68]), fishing (1.70 [1.05-2.60]), mining (1.69 [1.22-2.27]), travel (1.41 [1.00-1.93]), and transportation (1.22 [1.15-1.30]) among male workers. For female works, healthcare (2.08 [1.04-3.72]) and wholesale (1.88 [1.18-2.85]) industries were associated with a high risk of lung cancer. As an increased risk of respiratory tract cancers has been identified in employees associated with certain industries, appropriate policy intervention is needed to prevent occupational cancers.
全球范围内,喉癌和肺癌的病例数及发病率一直在上升。因此,确定这些癌症的职业病因是政策制定者预防癌症和死亡的重要关切点。我们使用了韩国国民健康保险服务理赔数据。我们纳入了1078.6万名年龄在25至64岁之间的工人。本研究共纳入了7436.6928人年的随访数据,每人平均随访6.89年。我们估计了以全体工人为参照的标准化发病比(SIR)及95%置信区间(CI)。对于喉癌,在男性工人的陆路运输行业中观察到SIR升高(SIR [95% CI]:1.65 [1.02 - 2.53])。对于肺癌,在男性工人的动物生产(1.72 [1.03 - 2.68])、渔业(1.70 [1.05 - 2.60])、采矿业(1.69 [1.22 - 2.27])、旅游业(1.41 [1.00 - 1.93])和运输业(1.22 [1.15 - 1.30])等行业中观察到SIR升高。对于女性工人,医疗保健行业(2.08 [1.04 - 3.72])和批发业(1.88 [1.18 - 2.85])与肺癌高风险相关。由于已确定某些行业的员工呼吸道癌症风险增加,需要采取适当的政策干预措施来预防职业性癌症。
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