Journal of Preventive Medicine and Public Health
- 제31권1호
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- Pages.91-103
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- 1998
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- 1975-8375(pISSN)
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- 2233-4521(eISSN)
Meta-analysis를 이용한 UVB 조사량에 따른 피부암 발생 위해도의 예측 연구
Prediction of the risk of skin cancer caused by UVB radiation exposure using a method of meta-analysis
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Shin, D.C.
(Dept of Preventive Medicine and Public Health, College of Medicine, Yonsei University) ;
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Lee, J.T.
(Dept of Preventive Medicine and Public Health, College of Medicine, Yonsei University) ;
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Yang, J.Y.
(Institute for Environmental Research, Yonsei University)
- 발행 : 1998.03.01
초록
성층권의 오존층 파괴로 수반되는 부작용에는 우주의 자외선이 차단되지 않고 지구표면에까지 도달하는 것을 들 수 있다. 이로 인하여 생태계 파괴를 비롯하여 기후이상 및 인체 건강장애 발생의 가능성이 높아진다고 알려져 있다. 특히 자외선 노출로 인한 피부암 발생에 관한 여러 연구결과가 보고 되었으며 이에 대한 종합적이고 신뢰성 있는 재평가 필요성이 대두되었으며 유사한 연구의 국내 수행이 제시되는 때이다. 이에 메타분석이라는 방법을 통하여 신뢰성있는 BAF 값을 추정하여 보고 이 지수를 국내 자료에 적용하여 국내 피부암 발생의 변화 양상을 자외선 증가와 함께 추정하여 보았다. 3개국의 자료를 일원화하여 추정된 UVB 계수는 지수함수 모델에 의해서는
Under experimental conditions, UVB radiation, a type of ultra violet radiation, has shown to .elate with the occurrence of skin erythema (sun-burn) in human and skin cancer in experimental animal. Cumulative exposure to UVB is also believed to be at least partly responsible for the 'aging' process of the skin in human. It has also been observed to have an effect of altering DNA (deoxyribonucleic acid). UVB radiation is both an initiator and a promoter of non-melanoma skin cancer. Meta-analysis is a new discipline that critically reviews and statistically combines the results of previous researches. A recent review of meta-analysis in the field of public health emphasized its growing importance. Using a meta-analysis in this study, we explored more reliable dose-response relationships between UVB radiation and skin cancer incidence. We estimated skin cancer incidence using measured UVB radiation dose at a local area of Seoul (Shin chou-dong). The studies showing the dose-response relationships between UVB radiation and non-melanoma skin cancer incidence were searched and selected for a meta-analysis. The data for 7 reported epidemiological studies of three counties (USA, England, Australia) were pooled to estimated the risk. We estimated rate of incidence change of skin cancer using pooled data by meta-analysis method, and exponential and power models. Using either model, the regression coefficients for UVB did not differ significantly by gender and age. In each analysis of variance, non-melanoma skin cancer incidence after removing the gender and age and UVB effects was significant (p>0.01). The coefficients for UVB dose were estimated