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A Study on Risk of the Incidence of Lung Cancer in a Horse Trainer Using National Health Insurance Service

마필관리사에서 발생한 폐암 위험도 연구: 건강보험공단 빅데이터 12년 추적 연구

  • Lee, Seunghyun (The Institute for Occupational Health, Department of Preventive Medicine, Yonsei University College of Medicine) ;
  • Kim, Seunghan (The Institute for Occupational Health, Department of Preventive Medicine, Yonsei University College of Medicine) ;
  • Yun, Sehyun (The Institute for Occupational Health, Department of Preventive Medicine, Yonsei University College of Medicine) ;
  • Kim, KyooSang (Department of Occupational and Environmental Medicine, Seoul Medical Center) ;
  • Yoon, Jin-Ha (The Institute for Occupational Health, Department of Preventive Medicine, Yonsei University College of Medicine)
  • 이승현 (연세대학교 의과대학 예방의학교실) ;
  • 김승한 (연세대학교 의과대학 예방의학교실) ;
  • 윤세현 (연세대학교 의과대학 예방의학교실) ;
  • 김규상 (서울대학교 의학연구소) ;
  • 윤진하 (연세대학교 의과대학 예방의학교실)
  • Received : 2021.09.07
  • Accepted : 2021.11.12
  • Published : 2021.12.30

Abstract

Objectives: Horse trainers ensure the horses they are training and monitor horse's health, hygiene. While most of the studies on horse trainer's health focused on musculoskeletal disorders, few studies have examined the health effect of occupational exposure. This study aimed to investigate the risk of lung cancer in Korean Horse trainers. Methods: Among the largest health screening program of health screening service of the National Health Insurance Corporation, 2,246 workers were selected for study. We utilized data from the National Health Insurance Service (NHIS) National Cohort Data Base 2005-2017. We performed analyses using a Cox's proportional hazards model to identify the risk of lung cancer in Horse trainers. Results: This study found that the horse trainers group had a higher risk of lung cancer 10.07 (95% CI :2.38-42.64) compared to other occupational group. Additionally, there was 6.5 times higher risk of lung cancer in non-smoker horse trainers group. Conclusions: We, thus, verified horse trainers could have relation with increase of lung cancer risk. As lung cancer is known as a cancer with a high contribution of occupational factors compared to other cancers, it is necessary to determine the efficacy of continuous attention and active management of occupational exposure.

Keywords

References

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