Disease burden of occupational pneumoconiosis in Jinhua City from 2009 to 2021
HE Xiaoqing1, LUO Jinbin1, CHEN Qiang1, WEI Fang2
1. Department of Environmental and Occupational Health, Jinhua Center for Disease Control and Prevention, Jinhua, Zhejiang 321002, China; 2. Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 3210020, China
Abstract：Objective To investigate the disease burden of occupational pneumoconiosis from 2009 to 2021 in Jinhua City, Zhejiang Province, so as to provide insights into formulating occupational pneumoconiosis prevention and control measures. Methods Data on occupational pneumoconiosis in Jinhua City from 2009 to 2021 were collected through Occupational Disease and Health Hazard Monitoring Information System including demographic characteristics, disability level, age, pneumoconiosis type and stage, and analyzed years live dwith disability (YLD), years of life lost (YLL) and disability adjusted life years (DALY) by different genders, pneumoconiosis stages, pneumoconiosis types, ages and disability levels. Results A total of 244 occupational pneumoconiosis cases were diagnosed in Jinhua City from 2009 to 2021, of which 225 cases were male, accounting for 92.21%. The median age of onset was 44.50 (interquartile range, 23.00) years. There were 229 deaths, with a median age of 78.00 (interquartile range, 13.00) years. The DALY was 3 791.88 person-years, YLD was 2 428.21 person-years (64.04%) and YLL was 1 363.67 person-years (35.96%). The YLD was 3 647.8 person-years in men, which was higher than 144.08 person-years in women (P<0.05). The YLD of asbestosis cases was lower than that of silicosis, coal workers' pneumoconiosis and other pneumoconiosis (P<0.05). The YLL was not statistically significant in the stage and type of occupational pneumoconiosis (P>0.05). The YLD was higher among cases at ages of less than 40 years, and lower among cases at ages of 60 to 69 years and 70 years and over (P<0.05); the YLL was lower among cases at ages of 70 years and over (P<0.05). The cases with second/third level of disability had the highest YLD, followed by the cases with fourth/fifth level of disability, and the cases with sixth/seventh level of disability had the lowest YLD (P<0.05). Conclusions The disease burden of occupational pneumoconiosis in Jinhua City from 2009 to 2021 is mainly induced by disability, and the disease burden caused by silicosis is the highest. With the progress of pneumoconiosis stages and disability levels, the life loss continues to increase.
何晓庆, 罗进斌, 陈强, 魏芳. 2009—2021年金华市职业性尘肺病疾病负担分析[J]. 预防医学, 2023, 35(7): 620-624.
HE Xiaoqing, LUO Jinbin, CHEN Qiang, WEI Fang. Disease burden of occupational pneumoconiosis in Jinhua City from 2009 to 2021. Preventive Medicine, 2023, 35(7): 620-624.
[1] 中华预防医学会劳动卫生与职业病分会职业性肺部疾病学组.尘肺病治疗中国专家共识(2018年版)[J].环境与职业医学,2018,35(8):677-689. [2] 朱晓俊,肖培,王丹,等.1990年至2017年中国人群尘肺病的疾病负担分析[J].中国工业医学杂志,2019,32(5):341-346. [3] 中华人民共和国国家卫生健康委员会.2021年我国卫生健康事业发展统计公报[EB/OL].[2023-05-31].http://www.nhc.gov.cn/guihuaxxs/s3586s/202207/51b55216c2154332a660157abf28b09d.shtml. [4] 中华人民共和国国家卫生和计划生育委员会.职业性尘肺病的诊断:GBZ 70—2015[S].北京:中国标准出版社,2016. [5] World Health Organization.Global burden of disease and risk factors[M].New York:Oxford University Press,2006:45-240. [6] 国家技术监督局.劳动能力鉴定职工工伤与职业病致残等级:GB/T 16180—2014[S].北京:人民卫生出版社,2014:35-38. [7] 佟卉,刘思佳,袁建国,等.北京市通州区319例尘肺病患者健康寿命损失年的计算及分析[J].职业与健康,2022,38(3):303-307. [8] 夏毅,龚幼龙,顾杏元,等.疾病负担的测量指标:DALY(二)[J].中国卫生统计,1998,15(5):58-60. [9] 张泽,刘军,袁从文,吉林省尘肺病患者伤残调整寿命年估算[J].中国地方病防治杂志,2016,31(9):992-993. [10] 佟岩,孔云燕,边浩,等.1963—2020年石嘴山市职业性尘肺病生存状况及疾病负担变化趋势分析[J].中华劳动卫生职业病杂志,2022,40(5):341-347. [11] 刘建华,崔风涛,丁新平,等.淮北煤矿煤工尘肺患者健康寿命损失[J].职业与健康,2017,33(22):3049-3052. [12] 张瞾慧,黄磊,石璐,等.中国人群尘肺病疾病负担的系统评价[J].中国循证医学杂志,2021,21(3):276-283. [13] 郑晋南,何琳,陈荔,等.四川省290例尘肺病住院患者健康寿命损失年的估算[J].现代预防医学,2020,47(15):2720-2723,2743. [14] 李霞,朱长才,熊峰.尘肺患者疾病负担病例对照研究[J].中华疾病控制杂志,2018,22(6):464-466,471. [15] REN X W,WANG M D,KANG H Z,et al.A new method for reducing the prevalence of pneumoconiosis among coal miners:foam technology for dust control[J].J Occup Environ Hyg,2012,9(4):77-83. [16] 中华人民共和国国家卫生健康委员会规划发展与信息化司.2020年我国卫生健康事业发展统计公报[J].中国病毒病杂志,2021,11(5):321-329.
