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우리나라와 OECD 국가 간의 2000년 전과 후 폐암 사망률과 잠재수명손실연수(PYLL)에 관한 비교

Mortality and Potential Years of Life Lost of lung cancer between Korea and OECD countries before and after the year 2000

  • 김동석 (김천대학교 의료경영학과) ;
  • 박지원 (김천대학교 의료경영학과) ;
  • 강수원 (김천대학교 의료경영학과)
  • Kim, Dong-Seok (Department of Medical Management, Gimcheon University) ;
  • Park, Ji-Won (Department of Medical Management, Gimcheon University) ;
  • Kang, Soo-Won (Department of Medical Management, Gimcheon University)
  • 투고 : 2011.05.23
  • 심사 : 2011.07.07
  • 발행 : 2011.07.31

초록

본 연구에서는 우리나라 사망원인의 1위인 악성신생물 중에서 가장 사망률이 높은 폐암에 대하여 우리나라와 OECD 국가들 간에 2000년 이전(1993-1999)과 2000년 이후(2000-2006)의 사망률과 잠재수명손실연수(PYLL)에 통계학적으로 차이가 있는가를 살펴본 후, 폐암에 대한 국가 간 비교와 변화의 추이를 파악하여 보건정책, 보건교육 등의 자료를 제공하고자 하였다. OECD 30개국을 대상으로 "2009 OECD Health data(2010)"의 자료를 이용하여 윌콕슨 검정(Wilcoxon Singed Ranks Test)방법을 사용하여 폐암으로 인한 사망률과 잠재수명손실연수를 성별에 따라 OECD 국가들에서 2000년 이전과 이후의 차이를 확인하였을 때, 남자의 폐암사망률은 6개국은 통계학적으로 차이가 없었으며, 23개국은 감소하였고 우리나라만 사망률이 증가하였다. 여자의 폐암 사망률은 9개국은 통계학적으로 차이가 없었고 1개국(일본)은 감소하였고, 한국을 포함한 20개국은 사망률이 증가하였다. 남자의 잠재수명손실연수(PYLL)는 4개국은 통계학적으로 차이가 없었으며, 한국을 포함한 26개국은 잠재수명손실연수가 줄었다. 여자의 잠재수명손실연수는 15개국은 통계학적으로 차이가 없었으며, 한국을 포함한 3개국은 감소하였고, 다른 12개국은 늘었다. 우리나라의 폐암으로 인한 사망률 및 잠재수명손실연수에 있어서 남자에 대한 대책이 강력하게 요구되고 있다.

This present study is designed to analyze the mortality and potential years of life lost (PYLL) by malignant neoplasm of lung between OECD countries and Korea before and after the year 2000. We used the methods of Wilcoxon Singed Ranks Test between korean and other 30 OECD countries between 1993-1999 and 2000-2006 year using 2009 OECD Health data(2010) of 30 contries. At the results, the mortality of lung cancer in male korean was significantly increased after 2000 year whereas those in other 23 countries decreased. The mortalities in female were increased in 20 countries including Korea. PYLL in male and female korean were significantly decreased and male PYLL in other 26 countries was decreased, but female PYLL in other countries showed various patterns; increase in 12 countries and decrease in 3 countries. Therefore, the present study elucidated that the lung cancer-induced PYLL in the comparison between korean and OECD countries can be more important parameter.

키워드

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