韩国航空运输行业工人的癌症风险:基于国家卫生登记册的研究
Soojin Park1, Ga Bin Lee1, Dalnim Lee1
1National Radiation Emergency Medical Center, Korea Institute of Radiological and Medical Sciences, 75 Nowon-ro, Nowon-gu, Seoul, 01812, Republic of Korea.
BMC public health
|September 7, 2024
概括
与普通人群相比,空乘人员和航空运输工作人员的整体癌症风险较低. 然而,特定的癌症,如鼻癌和非霍奇金淋巴瘤在男性中升高,女性患乳腺,生殖器和甲状腺癌.
科学领域:
- 职业健康 职业健康 职业健康
- 流行病学 流行病学
- 辐射瘤学 辐射瘤学
背景情况:
- 乘务员面临职业危险,包括接触宇宙辐射.
- 由于独特的环境暴露,评估航空运输工人的癌症风险至关重要.
- 之前的研究还没有完全阐明韩国这群人群特有的癌症风险.
研究的目的:
- 评估韩国航空运输行业工作人员的癌症发病率和风险.
- 确定在这个职业群体中具有高风险的特定癌症类型.
- 为保护航空业人员的公共卫生战略提供信息.
主要方法:
- 通过使用韩国国家健康保险服务数据库 (2002-2021) 建立了37 011名航空运输工人的队列.
- 癌症发病率是使用国际疾病分类第十版来确定的.
- 标准化发病率 (SIR) 和95%信心区间 (CI) 根据一般人口的发病率 (2002-2019) 计算.
主要成果:
- 队列中的总体癌症发病率与一般人群相似或低于一般人群.
- 在男性工人中观察到鼻癌和非霍奇金淋巴瘤的SIRs升高.
- 女性工人显示乳腺和生殖器癌以及甲状腺癌的SIRs增加.
结论:
- 虽然总体癌症发病率并不高,但在航空运输工人的某些子组中,特定的癌症风险较高.
- "健康工作者效应"可能会影响整体癌症发病率,因此需要进一步研究特定的风险因素.
- 需要进行额外的研究,以确定辐射诱导的癌症风险和该人群中的混因素.
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