Journal of Korean Society of Occupational and Environmental Hygiene (한국산업보건학회지)

Korean Industrial Hygiene Association (한국산업보건학회)
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Analyzing Cancer Incidence among Korean Workers and Public Officials Using Big Data from National Health Insurance Service

건강보험 빅데이터를 통한 전체 근로자 및 공무원 근로자의 암 발생률 분석

  • Baek, Seong-Uk (Department of Occupational and Environmental Medicine, Severance Hospital) ;
  • Lee, Wanhyung (Department of Occupational and Environmental Medicine, Gil Medical Center, College of Medicine, Gachon University) ;
  • Yoo, Ki-Bong (Department of Health Administration, Yonsei University Graduate School) ;
  • Lee, Woo-Ri (Department of Health Administration, Yonsei University Graduate School) ;
  • Lee, Won-Tae (Department of Occupational and Environmental Medicine, Severance Hospital) ;
  • Kim, Min-Seok (Department of Occupational and Environmental Medicine, Severance Hospital) ;
  • Lim, Sung-Shil (Department of Occupational and Environmental Medicine, Severance Hospital) ;
  • Kim, Jihyun (Department of Public Health, Graduate School, Yonsei University) ;
  • Choi, Jun-Hyeok (Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency) ;
  • Lee, Kyung-Eun (Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency) ;
  • Yoon, Jin-Ha (Institute for Occupational Health, Yonsei Universitiy College of Medicine)
  • 백성욱 (세브란스병원 직업환경의학과) ;
  • 이완형 (가천대학교 의과대학 길병원 직업환경의학과) ;
  • 유기봉 (연세대학교 보건과학대학 보건행정학과) ;
  • 이우리 (연세대학교 보건과학대학 보건행정학과) ;
  • 이원태 (세브란스병원 직업환경의학과) ;
  • 김민석 (세브란스병원 직업환경의학과) ;
  • 임성실 (세브란스병원 직업환경의학과) ;
  • 김지현 (연세대학교 일반대학원 보건학과) ;
  • 최준혁 (안전보건공단 산업안전보건연구원) ;
  • 이경은 (안전보건공단 산업안전보건연구원) ;
  • 윤진하 (연세대학교 의과대학 산업보건연구소)
  • Received : 2022.08.25
  • Accepted : 2022.09.22
  • Published : 2022.09.30
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Abstract

Objectives: This study aimed to establish a control group based on the big data from National Health Insurance Service. We also presented presented the number of incidences for each cancer, and analyzed the cancer incidence rate among Korean workers. Methods: The cohort definition was separated by 'baseline cohort', 'dynamic cohort', and 'fixed- industry cohort' according to the definition. Cancer incidence was calculated based on the Korean Standard Classification of Disease code. Incidence rate was calculated among the group of all workers and public officials. Based on the study subjects and each cohort definition, the number of observations, incidences, and the incidence rate according to sex and age groups was calculated. The incidence rate was estimated based on the incidence per 100,000 person-year, and 95% confidence intervals calculated according to the Poisson distribution. Results: The result shows that the number of cancer cases in the all-worker group decreases after the age of 55, but the incidence rate tends to increase, which is attributed to the retirement of workers over 55 years old. Despite the specific characteristics of the workers, the trend and figures of cancer incidence revealed in this study are similar to those reported in previous studies of the overall South Korean population. When comparing the incidence rates of all workers and the control group of public officials, the incidence rate of public officials is generally observed to be higher in the age group under the age of 55. On the other hand, for workers aged 60 or older, the incidence rates were 1,065.4 per 100,000 person-year for all workers and 1,023.7 per 100,000 person-year for civil servants. Conclusions: This study analyzed through health insurance data including all workers in Korea, and analyzed the incidence of cancer of workers by sex and age. In addition, further in-depth researches are needed to determine the incidence of cancer by industry.

Keywords

Acknowledgement

본 연구의 데이터는 대한직업환경의학회와 건강보험공단의 MOU의 일환으로 제공 받았습니다. 본 연구는 국민건강보험공단의 빅데이터를 활용하여 분석하였으며 자료를 제공하여주신 건강보험공단의 관계자께 깊은 감사를 드립니다. 본 연구는 산업안전보건연구원 학술 용역에 의거하여 수행된 연구입니다. 산업안전보건연구원 "근로자 표준 대조집단 구축 및 활용 건강위험 선별 프로그램 개발" 연구의 일환으로 수행되었으며, 펀드 제공자는 연구의 방법론과 방향 어느 것에도 영향을 미치지 않았습니다.

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