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http://dx.doi.org/10.15269/JKSOEH.2022.32.3.242

Risk Analysis of All Types of Cancer among Firefighters and Police Officers Using National Health Insurance Claim Data  

Lee, Woo-Ri (Division of Cancer Control & Policy, National Cancer Control Institute, National Cancer Center)
Yun, Byungyoon (Department of Preventive Medicine, Yonsei University College of Medicine)
Yoo, Ki-Bong (Division of Health Administration, College of Software and Digital Healthcare Convergence, Yonsei University)
Yoon, Jin-Ha (Department of Preventive Medicine, Yonsei University College of Medicine)
Publication Information
Journal of Korean Society of Occupational and Environmental Hygiene / v.32, no.3, 2022 , pp. 242-252 More about this Journal
Abstract
Objectives: Firefighters and police officers are exposed to various occupational hazards. No studies in Korea have investigated the occurrence of cancer by type of cancer for the two occupations. This study aims to investigate the risk of occurrences associated with types of cancers in firefighters and police officers. Methods: Utilizing National Health Insurance(NHI) Claims data from 2006-2015, the study included 8,871,468 general workers, 25,001 firefighters, and 102,274 police officers. Using general workers as a control group, we calculated the standardized incidence ratios(SIR) by types of cancer for firefighters and police officers. After calculating the SIR for all subjects, the SIR was calculated by stratifying according to gender. Results: SIR of colon cancer 1.38(95% CI, 1.11-1.69), cancer of the liver and intrahepatic bile ducts 1.27(95% CI, 1.04-1.54), and 1.88(95% CI, 1.28-2.65) bladder cancer were higher firefighters than general workers. SIR of Lip, oral cavity, and pharynx 1.26(95% CI, 1.07-1.47), Stomach 1.14(95% CI, 1.06-1.23), colon 1.33(95% CI, 1.21-1.46), liver and intrahepatic bile ducts 1.21(95% CI, 1.10-1.32), pancreas 1.24(95% CI, 1.02-1.49), other skin 1.60(95% CI, 1.26-2.00), bladder 1.27(95% CI, 1.04-1.54), other urinary tract 1.46(95% CI, 1.27-1.68), other parts of central nervous system 1.68(95% CI, 1.10-2.46) were higher police officers than general workers. Conclusions: Both firefighters and police officers are exposed to various cancer occurrence risks, necessitating the development of occupational medical protection measures to reduce risk exposure factors.
Keywords
Cancer; Firefighter; NHI Claim data; Police officer; standardized incidence ratio;
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