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http://dx.doi.org/10.15269/JKSOEH.2022.32.3.268

Analyzing Cancer Incidence among Korean Workers and Public Officials Using Big Data from National Health Insurance Service  

Baek, Seong-Uk (Department of Occupational and Environmental Medicine, Severance Hospital)
Lee, Wanhyung (Department of Occupational and Environmental Medicine, Gil Medical Center, College of Medicine, Gachon University)
Yoo, Ki-Bong (Department of Health Administration, Yonsei University Graduate School)
Lee, Woo-Ri (Department of Health Administration, Yonsei University Graduate School)
Lee, Won-Tae (Department of Occupational and Environmental Medicine, Severance Hospital)
Kim, Min-Seok (Department of Occupational and Environmental Medicine, Severance Hospital)
Lim, Sung-Shil (Department of Occupational and Environmental Medicine, Severance Hospital)
Kim, Jihyun (Department of Public Health, Graduate School, Yonsei University)
Choi, Jun-Hyeok (Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency)
Lee, Kyung-Eun (Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency)
Yoon, Jin-Ha (Institute for Occupational Health, Yonsei Universitiy College of Medicine)
Publication Information
Journal of Korean Society of Occupational and Environmental Hygiene / v.32, no.3, 2022 , pp. 268-278 More about this Journal
Abstract
Objectives: This study aimed to establish a control group based on the big data from National Health Insurance Service. We also presented presented the number of incidences for each cancer, and analyzed the cancer incidence rate among Korean workers. Methods: The cohort definition was separated by 'baseline cohort', 'dynamic cohort', and 'fixed- industry cohort' according to the definition. Cancer incidence was calculated based on the Korean Standard Classification of Disease code. Incidence rate was calculated among the group of all workers and public officials. Based on the study subjects and each cohort definition, the number of observations, incidences, and the incidence rate according to sex and age groups was calculated. The incidence rate was estimated based on the incidence per 100,000 person-year, and 95% confidence intervals calculated according to the Poisson distribution. Results: The result shows that the number of cancer cases in the all-worker group decreases after the age of 55, but the incidence rate tends to increase, which is attributed to the retirement of workers over 55 years old. Despite the specific characteristics of the workers, the trend and figures of cancer incidence revealed in this study are similar to those reported in previous studies of the overall South Korean population. When comparing the incidence rates of all workers and the control group of public officials, the incidence rate of public officials is generally observed to be higher in the age group under the age of 55. On the other hand, for workers aged 60 or older, the incidence rates were 1,065.4 per 100,000 person-year for all workers and 1,023.7 per 100,000 person-year for civil servants. Conclusions: This study analyzed through health insurance data including all workers in Korea, and analyzed the incidence of cancer of workers by sex and age. In addition, further in-depth researches are needed to determine the incidence of cancer by industry.
Keywords
National Health Insurance Service; big data; worker; cancer; incidence;
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