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한국 성인 여성의 폐경 여부가 유방암에 미치는 영향

Influence of Menopause on Breast Cancer in South Korean Adult Women

  • Gu, Hye-Ja (Department of Nursing Science, Kyungsung University)
  • 투고 : 2019.03.05
  • 심사 : 2019.05.20
  • 발행 : 2019.05.28

초록

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.

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.

키워드

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

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