Cohort profile: the National Health Insurance Service-National Health Screening Cohort (NHIS-HEALS) in Korea

被引:628
作者
Seong, Sang Cheol [1 ]
Kim, Yeon-Yong [2 ]
Park, Sue K. [3 ,4 ,5 ]
Khang, Young Ho [6 ,7 ]
Kim, Hyeon Chang [8 ]
Park, Jong Heon [2 ]
Kang, Hee-Jin [2 ]
Do, Cheol-Ho [2 ]
Song, Jong-Sun [2 ]
Lee, Eun-Joo [2 ]
Ha, Seongjun [2 ]
Shin, Soon Ae [9 ]
Jeong, Seung-Lyeal [2 ]
机构
[1] Natl Hlth Insurance Serv, Wonju, South Korea
[2] Natl Hlth Insurance Serv, Big Data Steering Dept, Wonju, South Korea
[3] Seoul Natl Univ, Coll Med, Dept Prevent Med, Seoul, South Korea
[4] Seoul Natl Univ, Coll Med, Dept Biomed Sci, Seoul, South Korea
[5] Seoul Natl Univ, Coll Med, Canc Res Inst, Seoul, South Korea
[6] Seoul Natl Univ, Coll Med, Dept Hlth Policy & Management, Seoul, South Korea
[7] Seoul Natl Univ, Med Res Ctr, Inst Hlth Policy & Management, Seoul, South Korea
[8] Yonsei Univ, Coll Med, Dept Prevent Med, Seoul, South Korea
[9] Natl Hlth Insurance Serv, Gwanak Branch, Seoul, South Korea
关键词
BODY-MASS INDEX; CANCER-RISK; SMOKING; MEN;
D O I
10.1136/bmjopen-2017-016640
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose The National Health Insurance Service-Health Screening Cohort (NHIS-HEALS) is a cohort of participants who participated in health screening programmes provided by the NHIS in the Republic of Korea. The NHIS constructed the NHIS-HEALS cohort database in 2015. The purpose of this cohort is to offer relevant and useful data for health researchers, especially in the field of non-communicable diseases and health risk factors, and policy-maker. Participants To construct the NHIS-HEALS database, a sample cohort was first selected from the 2002 and 2003 health screening participants, who were aged between 40 and 79 in 2002 and followed up through 2013. This cohort included 514 866 health screening participants who comprised a random selection of 10% of all health screening participants in 2002 and 2003. Findings to date The age-standardised prevalence of anaemia, diabetes mellitus, hypertension, obesity, hypercholesterolaemia and abnormal urine protein were 9.8%, 8.2%, 35.6%, 2.7%, 14.2% and 2.0%, respectively. The age-standardised mortality rate for the first 2 years (through 2004) was 442.0 per 100 000 person-years, while the rate for 10 years (through 2012) was 865.9 per 100 000 person-years. The most common cause of death was malignant neoplasm in both sexes (364.1 per 100 000 person-years for men, 128.3 per 100 000 person-years for women). Future plans This database can be used to study the risk factors of non-communicable diseases and dental health problems, which are important health issues that have not yet been fully investigated. The cohort will be maintained and continuously updated by the NHIS.
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