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The Risk of Breast Cancer in Women in Their 40s by Economic Activity

경제활동에 따른 40대 여성의 유방암 발생 위험도

  • Choi, Hyang-Ha (Department of Public Health, Gachon University Graduate School) ;
  • Seo, Hwa-Jeong (Medical Informatics and health Technology(MIT), Department of Health Care Management, Gachon University)
  • 최향하 (가천대학교 일반대학원, 보건정책관리학과) ;
  • 서화정 (가천대학교 의료경영학과)
  • Received : 2020.01.16
  • Accepted : 2020.01.20
  • Published : 2020.02.28

Abstract

In South Korea, female individuals in their forties show a high rate of incidence, with approximately 13% of the patients being <40 years. This statistic is more than twice as high as that in Western countries. It is therefore necessary to identify the risk factors for breast cancer incidence by age and economic activity participation status. Women aged 30 to 59-whether breast cancer patients or those in the control group and having no breast cancer-were appraised from the sample cohort database. The data were analyzed using the statistical software R36.2. To identify the factors affecting breast cancer incidence, the degree of association was determined with HR and 95% CI by means of cox regression analysis. As for the socio-demographic variables, the older the individual, the higher the risk of breast cancer incidence becomes. As for the economic activity variables, those who were dependents (unemployed) and who had higher income (medium and high) were at higher risk of breast cancer incidence, which was statistically significant. The income-adjusted HR (model 1) for breast cancer development associated with the economic activity was 1.452 (95% CI, 1.19-1.77). The body mass index and alcohol intake-adjusted HR (model 2) was 1.431 (95% CI, 1.18-1.74). One needs to pay attention to policy plans regarding women's quality of life, as well as to the risk of breast cancer incidence by their economic activity. In other words, policies need to give post care, instead of focus on early detection and cancer treatment.

References

  1. National Cancer information Center. Annual report of cancer statistics in Korea in 2016.
  2. Korean Breast Cancer Society. Breast Cancer Facts & Figures 2018. Korean Breast Cancer Society; 2018.
  3. Kim MY, Kim HS. Association between body mass index and breast density using digital mammography. J Radiological Science and Technology. 2014;37(4):267-272.
  4. Mo EH, Lim CH, Lee SH, Jung HR, Lee HN. Analysis of Mmmography for patient with breast cancer J Radiological Science and Tehcnology. 2011;34(1):1-7.
  5. Yoo KY. Is breast cancer incidence rate further Increasing in Korea J Epidemiology and Health. 2001;23(2):1-7.
  6. Statistics Korea. A woman's life in statistics 2018. Statistics Korea; 2018.
  7. Chida Y, Hamer M, Wardle J, Steptoe A. Do stress-related psychosocial factors contribute to cancer incidence and survival?, Nature Clinical Practice: Oncology, 2008;5(8):466-541. https://doi.org/10.1038/ncponc1134
  8. Chang SJ, Koh SB, Kang MG, Cha BS, Park JK, Hyun SJ, et al. Epidemiology of psychosocial distress in Korea employees. J Prev Med Public Health. 2005; 38(1):25-37.
  9. Kim KS. Stress and health status in married working women [Dissertation]. Seoul: Yonsei University; 2003.
  10. Jun EM, Cho DS. The relationship of symptoms of stress, cancer prevention behavior and the quality of life in women. Kor J women health Nurs. 2005;11(2):156-62. https://doi.org/10.4069/kjwhn.2005.11.2.156
  11. Cho IS. Socioeconomic status and women's health: the impact of role conflicts on women's health. J Women and Economics. 2011;8(1):1-26.
  12. Do MH. Breast cancer risk and dietary factor -a case-control study. Annals of Surgical Treatment and Research. 2000;59(2):163-74.
  13. Kim CA. Risk factors affecting the onset of breast cancer [Dissertation]. Seoul: Chung-ang University; 2008.
  14. Lim J. Different survirvorship of major cancers according to income levels in Korea [Dissertation]. Seoul: Seoul National University; 2005.
  15. Choi KJ, Ahn SH, Kang DH, Lee HD, Bae CW. Analysis of risk factor, establishment of carcinogenesis and development of early diagnostic method in Korean breast cancer. Seoul National University; 1999.