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Cancer Incidence in Korean Healthcare Workers in Hospitals.

作者信息

Lee Dong-Wook, Kim Hyeonjun, Lee Wanhyung, Lee Woo-Ri, Yoo Ki-Bong, Choi Jun-Hyeok, Lee Kyung-Eun, Yoon Jin-Ha

机构信息

Department of Occupational and Environmental Medicine, Inha University Hospital, Inha University, Incheon 22332, Republic of Korea.

Jungbu Korea Occupational Diseases Surveillance Center, Incheon 22332, Republic of Korea.

出版信息

Cancers (Basel). 2023 Mar 29;15(7):2045. doi: 10.3390/cancers15072045.


DOI:10.3390/cancers15072045
PMID:37046706
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10093411/
Abstract

OBJECTIVES: Healthcare workers in hospitals (HHCWs), a notably increasing workforce, face various occupational hazards. A high incidence of cancer among HHCWs has been observed; however, the cancer incidence status among HHCWs in South Korea is yet to be studied. This study aimed to assess cancer incidence among HHCWs in South Korea. METHODS: We constructed a retrospective cohort of HHCWs using National Health Insurance claims data, including cancer incidence status and vital status, from 2007 to 2015. Those who had worked in hospitals for at least three years were defined as HHCWs. Standardized incidence ratios (SIRs) for all cancer types and standardized mortality ratios were calculated. RESULTS: A total of 107,646 HHCWs were followed up, and the total follow-up duration was 905,503 person-years. Compared to the total workers, female HHCWs showed significantly higher SIR for all cancers (observed cases = 1480; SIR = 1.25; 95% confidence interval [CI] = 1.06-1.47). The incidence of breast cancer among female HHCWs was significantly higher compared to that among total workers (observed cases = 376; SIR = 1.21; 95% CI = 1.09-1.36). CONCLUSIONS: Our findings indicate that female HHCWs have an elevated probability of developing cancer, which suggests that occupational risk factors such as night-shift work, anti-neoplastic medications, stressful jobs, and ionizing radiation should be assessed. Further investigation and occupational environment improvement activities are required.

摘要

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引用本文的文献

[1]
Low-dose ionizing radiation and the exposure-lag response: protocol for a prospective cohort study on The Health Effects of Chongqing Occupational Radiation Workers.

Front Public Health. 2025-1-27

[2]
Increased breast cancer incidence among nurses in a tertiary university hospital in South Korea.

Ann Occup Environ Med. 2023-11-4

本文引用的文献

[1]
Exposure to Antineoplastic Drugs in Occupational Settings: A Systematic Review of Biological Monitoring Data.

Int J Environ Res Public Health. 2022-3-21

[2]
Health and Mortality in Korean Healthcare Workers.

J Korean Med Sci. 2022-1-17

[3]
Validation of Cancer Diagnosis Based on the National Health Insurance Service Database versus the National Cancer Registry Database in Korea.

Cancer Res Treat. 2022-4

[4]
Relationship between Night Shifts and Risk of Breast Cancer among Nurses: A Systematic Review.

Medicina (Kaunas). 2020-12-10

[5]
Occupational low-dose irradiation and cancer risk among medical radiation workers.

Occup Med (Lond). 2020-10-27

[6]
Cancer Incidence Among Air Transportation Industry Workers Using the National Cohort Study of Korea.

Int J Environ Res Public Health. 2019-8-14

[7]
Carcinogenicity of night shift work.

Lancet Oncol. 2019-8

[8]
Thyroid cancer risks among medical radiation workers in South Korea, 1996-2015.

Environ Health. 2019-3-11

[9]
Cancer Incidence among Healthcare Workers in Cancer Centers: A 14-Year Retrospective Cohort Study in Thailand.

Ann Glob Health. 2018-8-31

[10]
Mortality among diagnostic medical radiation workers in South Korea, 1996-2015.

Occup Environ Med. 2018-6-30

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