Journal of Korean Society of Occupational and Environmental Hygiene (한국산업보건학회지)

Korean Industrial Hygiene Association (한국산업보건학회)
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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
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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.

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References

  1. Bulfin K, Cowie H, Galea KS, Connolly A, Coggins MA. Occupational exposures in an equestrian centre to respirable dust and respirable crystalline silica. Int. J. Environ. Res. Public Health 2019;16(17):3226 https://doi.org/10.3390/ijerph16173226
  2. Cho KH. Precise investigation of the causes of horse trainers' lung cancer to improve work environment. KOSHA; 2020. p. 66
  3. Doll R, Peto R. The causes of cancer: quantitative estimates of avoidable risks of cancer in the United States today. JNCI 1981;66(6):1192-1308. https://doi.org/10.1093/jnci/66.6.1192
  4. Gallagher LM, Crane J, Fitzharris P, Bates MN. Occupational respiratory health of New Zealand horse trainers. Int Arch Occup Environ Health 2007;80(4):335-341 https://doi.org/10.1007/s00420-006-0141-4
  5. Hoy RF, Chambers DC. Silica-related diseases in the modern world. Allergy 2020;75(11): 2805-2817 https://doi.org/10.1111/all.14202
  6. Kim DH. A study on exposure characteristics of hazardous substances of lung cancer workers recognized as occupational diseases. Korea Workers' Compensation and Welfare Service.; 2017. P. 11
  7. Kim HJ, Cho HJ, Ki S, Jeon JI, Choi M. et al. horse society structure and facts investigation report. Korea Racing Authority.;2020. P. 31
  8. Korea Racing Authority(KRA). A study on safety management and quality of life improvement for horse racing industry workers.; 2019. p. 75-104
  9. Lee JH. Research on types and management methods of occupational hazardous agents that require continuous health management of worker (focused on health care cards). KOSHA; 2020. p. 97
  10. Lee WH, Ahn YS, Lee SH, Song BM, Hong SR. Occupational exposure to crystalline silica and gastric cancer: a systematic review and meta-analysis. Occup Environ Med 2016;73(11):794-801. https://doi.org/10.1136/oemed-2016-103552
  11. Lim JW, Park SY, Choi BS. Characteristics of Occupational Lung Cancer from 1999 to 2005. Ksoem 2010;22(3):230-239
  12. Ministry of Employment and Labor(MoEL). Employment and labor policy in Korea. 2020. P. 79
  13. Morotti A, Sollaku I, Catalani S, Franceschini F, Cavazzana I et al. Systematic review and meta-analysis of epidemiological studies on the association of occupational exposure to free crystalline silica and systemic lupus erythematosus. Rheumatology 2021;60(1):81-91 https://doi.org/10.1093/rheumatology/keaa444
  14. Nakayama M. Macrophage recognition of crystals and nanoparticles. Front. Immunol. 2018;9:103 https://doi.org/10.3389/fimmu.2018.00103
  15. Poinen-Rughooputh S, Rughooputh MS, Guo Y, Rong Y, Chen W. Occupational exposure to silica dust and risk of lung cancer: an updated meta-analysis of epidemiological studies. BMC public health 2016;16(1):1-17 https://doi.org/10.1186/s12889-015-2639-8
  16. Rosenstock L, Cullen M, Brodkin C, Redlich C. Textbook of clinical occupational and environmental medicine. 2nd ed. United States; 2004. P.1137
  17. Sato T, Shimosato T, Klinman DM. Silicosis and lung cancer: current perspectives. Lung Cancer Targets and Therapy 2018;9: 91-101 https://doi.org/10.2147/LCTT.S156376
  18. Statistics Korea. Causes of death statistics. 2020
  19. Yoon JH, Kim B, Choi BS, Park SY, Kwag HS et al. A case report of lung cancer in a horse trainer caused by exposure to respirable crystalline silica: an exposure assessment. Safety and health at work 2013;4(1):71-74. https://doi.org/10.5491/SHAW.2013.4.1.71