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各行业群体的呼吸道癌症发病率:一项随访超过7000万人年的全国性队列研究。

Respiratory Tract Cancer Incidences across Industry Groups: A Nationwide Cohort Study with More Than 70 Million Person-Years of Follow-Up.

作者信息

Baek Seong-Uk, Lee Woo-Ri, Yoo Ki-Bong, Choi Jun-Hyeok, Lee Kyung-Eun, Lee Wanhyung, Yoon Jin-Ha

机构信息

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.

出版信息

Cancers (Basel). 2022 Oct 25;14(21):5219. doi: 10.3390/cancers14215219.


DOI:10.3390/cancers14215219
PMID:36358636
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9658191/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27da/9658191/2d09a95b0174/cancers-14-05219-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27da/9658191/eac00dc6cec1/cancers-14-05219-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27da/9658191/2d09a95b0174/cancers-14-05219-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27da/9658191/eac00dc6cec1/cancers-14-05219-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27da/9658191/2d09a95b0174/cancers-14-05219-g002.jpg

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[1]
Respiratory Tract Cancer Incidences across Industry Groups: A Nationwide Cohort Study with More Than 70 Million Person-Years of Follow-Up.

Cancers (Basel). 2022-10-25

[2]
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[6]
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[7]
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[8]
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[9]
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[10]
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本文引用的文献

[1]
Base of tongue/tonsillar and laryngeal cancer in Denmark 1994-2018: Temporal trends in incidence according to education and age.

Oral Oncol. 2022-5

[2]
Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2019.

Cancer Res Treat. 2022-4

[3]
Associations between long-term exposure to PM and site-specific cancer mortality: A nationwide study in Brazil between 2010 and 2018.

Environ Pollut. 2022-6-1

[4]
Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life Years for 29 Cancer Groups From 2010 to 2019: A Systematic Analysis for the Global Burden of Disease Study 2019.

JAMA Oncol. 2022-3-1

[5]
Global, regional, and national burden of respiratory tract cancers and associated risk factors from 1990 to 2019: a systematic analysis for the Global Burden of Disease Study 2019.

Lancet Respir Med. 2021-9

[6]
Occupational Exposure to Pesticides and Lung Cancer Risk: A Propensity Score Analyses.

Cancer Res Treat. 2022-1

[7]
Association between Coalmine Dust and Mortality Risk of Lung Cancer: A Meta-Analysis.

Biomed Res Int. 2021

[8]
Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries.

CA Cancer J Clin. 2021-5

[9]
Excess Risk of Lung Cancer Among Agriculture and Construction Workers in Indonesia.

Ann Glob Health. 2021-1-6

[10]
Cancer risk in road transportation workers: a national representative cohort study with 600,000 person-years of follow-up.

Sci Rep. 2020-7-9

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