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Influence of Menopause on Breast Cancer in South Korean Adult Women

한국 성인 여성의 폐경 여부가 유방암에 미치는 영향

  • Gu, Hye-Ja (Department of Nursing Science, Kyungsung University)
  • Received : 2019.03.05
  • Accepted : 2019.05.20
  • Published : 2019.05.28

Abstract

The purpose of this study was to investigate breast cancer its menopause in South Korean adult women using data from the seventh Korea national health and nutrition examination survey(KNHANES VII-2) 2017. The subjects were 3,414 people in total. The Data were analyzed by frequency, ${\chi}^2$ test and multiple logistic regression analysis using SPSS complex samples Win 25 program. According to the age of the subjects, breast cancer was 1.7% higher in women aged 50~59 years than aged 40~49 years, and 1.7% was significantly more frequent in women who had no drinking frequency than in almost everyday. Menopausal age was significantly higher in women under 44 years of age with breast cancer than in those over 50 years of age. According to menopause, postmenopausal breast cancer was 1.7% more than before menopause. When adjusted for age and alcohol drinking frequency, premenopausal adult women in Korea had significantly lower breast cancer frequency by 0.03 compared with postmenopausal women. Based on these results, it is important to pay attention to the management of breast cancer in young women aged 44 years or younger and multidisciplinary efforts are needed to reduce the ever-increasing prevalence of breast cancer.

본 연구는 국민건강영양조사 제7기 2차년도(2017) 자료를 이용하여 우리나라 20세 이상 성인 여성의 폐경 여부가 유방암에 미치는 영향을 파악하기 위해 시도되었다. 연구 대상자는 3,414명이었고, 자료는 SPSS / Win 25.0 프로그램을 이용하여 복합표본 빈도분석, 복합표본 교차분석(Rao-Scott ${\chi}^2$ test), 복합표본 로지스틱 회귀분석을 실시하였다. 주요 결과는 대상자의 연령에 따라 50~59세에서 40~49세 보다 유방암이 1.7% 더 많았고, 음주 빈도가 전혀 없는 경우가 거의 매일 있는 경우 보다 1.7%가 유의하게 더 많았다. 폐경 연령은 44세 이하가 50세 이상 보다 유방암이 2.1% 유의하게 더 높았다. 폐경 여부에 따라 폐경 후가 폐경 전 보다 유방암이 1.7% 더 많았다. 연령과 음주 빈도를 동시에 보정하였을 때 대상자는 폐경 후에 비해 전에서 유방암이 0.03배 유의하게 낮았다. 이상의 결과로 44세 이하의 폐경한 젊은 여성의 유방암 관리에 많은 관심을 가져야 할 것이며, 지속적으로 증가하고 있는 유방암 유병률을 감소시키기 위한 다학제간의 노력이 필요하다.

Keywords

Table 1. General characteristics of subjects

JKOHBZ_2019_v9n5_65_t0001.png 이미지

Table 2. Frequency of menopause and breast cancer diagnosis

JKOHBZ_2019_v9n5_65_t0002.png 이미지

Table 3. Breast cancer diagnosis by general characteristics

JKOHBZ_2019_v9n5_65_t0003.png 이미지

Table 4. Breast cancer diagnosis by menopause

JKOHBZ_2019_v9n5_65_t0004.png 이미지

Table 5. Influence of menopause on breast cancer diagnosis

JKOHBZ_2019_v9n5_65_t0005.png 이미지

References

  1. E. H. Lee & J. B. Kim. (2015). The effects of self-selected music listening on the depression and sleep quality of adult breast cancer inpatients undergoing chemotherapy. Health Communication, the Official Journal of Korean Academy on Communication in Healthcare, 10(2), 115-126. DOI : 10.15715/kjhcom.2015.10.2.115
  2. L. Chang, L. S. Weiner, S. J. Hartman, S. Horvath, D. Jeste, P. S. Mischel & D. M. Kado. (2019). Breast cancer treatment and its effects on aging. Journal of Geriatric Oncology, 10(2) 2, 346-355. DOI : 10.1016/j.jgo.2018.07.010
  3. J. A. C. Desreux. (2018). Breast cancer screening in young women. European Journal of Obstetrics & Gynecology and Reproductive Biology, 230, 208-211. DOI : 10.1016/j.ejogrb.2018.05.018
  4. Ministry of Health and Welfare & Korea Central Cancer Registry. (2018. 12. 27.). A total of 1.74 million cancer patients, cancer survival rate continued to increase. In welfare, 1-23.
  5. B. Y. Choi & S. C. Cho. (2017). Screenig of natural compounds for cancer prevention by cytotoxicities and AP-1 reporter gene activities. Journal of Convergence for Information Technology, 7(6), 89-95. DOI : 10.22156/CS4SMB.2017.7.6.089
  6. J. B. Son, J. E. Jeong, J. K. Joo, K. K. Kim & K. S. Lee. (2012). Clinical characteristics of breast cancer detected during hormone therapy in Korean women. Journal of Menopausal Medicine, 18(1), 52-59. DOI : 10.6118/jksm.2012.18.1.52
  7. G. S. Min. (2018). Bidirectional cross-talk between estrogen receptor and growth factor receptors in breast cancer cell. Journal of Life Science, 28(2), 265-273. DOI : 10.5352/JLS.2018.28.2.265
  8. K. M. Lee, J. S. Park, H. M. Kim & S. A. Kang. (2018). Nutritional intervention for dietary behavior modification in breast cancer patients. Journal of the Korea Academia-Industrial cooperation Society, 19(5), 444-450. DOI : 10.5762/KAIS.2018.19.5.444
  9. J. S. Seo, H. A. Park, J. H. Kang, K. W. Kim, Y. G. Cho, Y. I. Hur & Y. R. Park. (2014). Obesity and obesity-related lifestyles of Korean breast cancer survivors. Korean Journal of Health Promotion, 14(3), 93-102. DOI : 10.15384/kjhp.2014.14.3.93
  10. J. M. Woo, J. H. Jeong & H. D. Rim. (2015). The effect of stressful life events on the patient delay in breast cancer patients. Journal of the Korean Society of Biological Therapies in Psychiatry, 21(1), 36-43.
  11. P. DiMarzio, R. Peila, O. Dowling, D. M. Timony, A. Balgobind, L. N. Lee, K. M. Kostroff & G. Y. F. Ho. (2018). Smoking and alcohol drinking effect on radiotherapy associated risk of second primary cancer and mortality among breast cancer patients. Cancer Epidemiology, 57, 97-103. DOI : 10.1016/j.canep.2018.10.002
  12. K. Y. Yoo. (1996). Epidemiologic approaches to breast cancer prevention in Korea. Cancer Symposium, 1, 129-170.
  13. J. Y. Kang & E. Y. Suh. (2015). The influence of stress, spousal support, and resilience on the ways of coping among women with breast cancer. Asian Oncology Nursing, 15(1), 1-8. DOI : 10.5388/aon.2015.15.1.1
  14. M. K. Cho. (2018). Breast cancer survivor gynecologic care. The Korean Association of Obstetricians and Gynecologists Academic publications, 104, 169-173.
  15. Y. W. Kim, H. K. Choi & E. J. Oh. (2018). Convergence study of menopausal resilience of middle-aged women. Journal of Digital Convergence, 16(5), 373-383. DOI : 10.14400/JDC.2018.16.5.373
  16. K. W. Sung & E. H. Cho. (2019). Comparative study on depressive symptoms, marital intimacy and health-related quality of life according to the severity of menopausal symptoms. Global Health & Nursing, 9(1), 1-9.
  17. E. K. Han. (2018). An analysis of convergence factors on depressive symptoms women n the postmenopausal: based on the theory of unpleasant symptoms. Journal of Convergence for Information Technology, 8(1), 59-67. DOI : 10.22156/CS4SMB.2018.8.1.059
  18. Y. K. Oh & S. Y. Hwang. (2018). Impact of uncertainty on the quality of life of young breast cancer patients : focusing on mediating effect of marital intimacy. Journal of Korean Academy of Nursing, 48(1), 50-58. DOI : 10.4040/jkan.2018.48.1.50
  19. M. H. Kim & H. Choi. (2011). Effects of 3 years of hormone therapy, raloxifene, and alendronate on mammographic breast density in postmenopausal Korean women. Journal of Menopausal Medicine, 17(2), 94-101.
  20. M. N. An, M. W. Baek, M. H. Cho, J. S. Kim, S. M. Kim, J. P. Kim & J. H. Kong. (2019). The effects of convegenced integration support program for home-based cancer patients. Journal of Convergence for Information Technology, 9(2), 65-74. DOI : 10.22156/CS4SMB.2019.9.2.065
  21. E. J. Kim & N. H. Kim. (2017). Comparison of perception of successful aging between late middle-aged breast cancer survivors and healthy women. Journal of Korean Gerontological Nursing, 19(1), 48-56. DOI : 10.17079/jkgn.2017.19.1.48
  22. Korea Centers for Disease Control and Prevention. (2019). The seventh Korea national health and nutrition examination survey (KNHANES VII-2). Cheongju : Korea Centers for Disease Control and Prevention; 2017.
  23. M. J. Cho, H. K. Kim & N. R. Oh. (2016). Influence of the number of remaining teeth of on sleep time and stress of adults older than 40 years. Journal of Digital Convergence, 14(7), 225-232. https://doi.org/10.14400/JDC.2016.14.7.225
  24. S. J. Kim, H. S. Kim & H. J. Kim. (2018). Differences in breast cancer screening rates according to obesity and weight perception among Korean women. Journal of Korean biological nursing science, 20(3), 169-176. DOI : 10.7586/jkbns.2018.20.3.169
  25. J. S. Seo, H. A. Park, J. H. Kang, K. W. Kim, Y. G. Cho, Y. Im Hur & Y. R. Park. (2014). Obesity and obesity-related lifestyles of Korean breast cancer survivors. Korean Journal of Health Promotion, 14(3), 93-102. DOI : 10.15384/kjhp.2014.14.3.93
  26. G. D. Kim, B. Y. Chung, K. H. Kim, B. H. Sun & E. H. Choi. (2013). Comparison of climacteric symptoms and cognitive impairment in breast cancer survivors and healthy women. Asian Oncology Nursing, 13(1), 11-17. DOI : 10.5388/aon.2013.13.1.11
  27. M. H. Do, H. J. Kim, S. S. Lee & M. H. Lee. (2000). Risk of breast cancer due to drinking, smoking and exercise habits: patient - control study. Korean Journal of Community Nutrition, 5(4), 784.
  28. C. Scoccianti, M. Cecchini, A. S. Anderson, F. Berrino, M. Boutron-Ruault, C. Espina, T. J. Key, M. Leitzmann, T. Norat, H. Powers, M. Wiseman & I. Romieu. (2015). European code against cancer 4th edition: alcohol drinking and cancer. Cancer Epidemiology, 39, s67-s74. DOI : 10.1016/j.cariep.2015.01.007