以健保資料庫分析護理人員罹患乳癌盛行率

Breast Cancer Prevalence Among Nurses From the National Health Insurance Database

護理職業環境潛在許多影響健康之危害因子，相關研究發現輪值夜班護理人員罹患乳癌比率高於一般人，故本研究之目的為瞭解全國女性護理人員罹患乳癌人數，比較與全國婦女不同年齡層罹患乳癌比率差異，利用2009年全民健保學術研究資料庫，串連「醫事人員基本資料檔」、「重大傷病證明明細檔」，選取ICD-9-CM為174的乳癌護理人員進行分析。結果顯示由2009年129,379位護理人員中篩選有乳癌者525人(4.1‰)，40歲以上護理人員乳癌罹病千分比高於全國乳癌婦女，40-44歲、50-54歲及65歲以上之年齡層護理人員罹患乳癌之相對風險分別為全國婦女的1.33倍(95%CI：1.12,1.58)、1.30倍(95%CI：1.06,1.58)、2.07倍(1.13,3.81)，達統計上之顯著差異(p<.05)。乳癌護理人員年齡低於全國婦女是值得重視之健康問題，建議未來研究可深入探討護理人員乳癌篩檢年齡，建立護理人員合適的癌症篩檢期程表。

The potential hazard factors of the nursing workplace environment affect the health of nurses. Previous studies have indicated that nurses who worked rotating nightshifts had a significantly increased risk of breast cancer. This study investigated the number of female nurses with breast cancer in Taiwan. This number was compared with that of women of different ages and from various regions in Taiwan. The data were gathered from the registry for medical personnel and registry for catastrophic illness patients in the 2009 National Health Insurance Research Database (NHIRD). We defined breast cancer cases by using the ICD-9-CM code 174. Analysis involved the use of SPSS 18.0 software. A total of 525 (4.1 ‰ ) breast cancer cases were identifi ed from the 129,379 nurses who were registered in the NHIRD in 2009. The morbidity permillage of the breast cancer nurses was higher than that of Taiwanese women with breast cancer who were older than 40 years. A Signifi cantly increased risk was observed in nurses aged 40-44 years (RR: 1.33; 95% CI: 1.12, 1.58) and 50-54 years (RR: 1.30; 95% CI: 1.06, 1.58) and over 65 years (RR: 2.07; 95% CI: 1.13, 3.81) . Breast cancer in nurses who are younger than the general population of women is a critical health concern. We recommended that future research thoroughly explore the breast cancer screening age of nurses in order to establish an appropriate cancer screening schedule for nurses.