School of Public Health, China Medical University, Shenyang, People's Republic of China.
Division of Environmental and Occupational Health Sciences, National Jewish Health, Denver, CO, USA.
Global Health. 2019 Jan 22;15(1):7. doi: 10.1186/s12992-019-0450-5.
Reducing premature deaths is an important step towards achieving the World Health Organization's sustainable development goal. Redeployed miners are more prone to disease or premature death due to the special occupational characteristics. Our aims were to describe the deaths of redeployed miners, assess the losses due to premature death and identify their main health problems. All the records of individuals were obtained from Fuxin Mining Area Social Security Administration Center. Year of life lost (YLL) and average year of life lost were used to assess the loss due to premature death. YLL rates per 1000 individuals were considered to compare deaths from different populations.
Circulatory system diseases contributed the most years of life lost in the causes of death, followed by neoplasms. But average year of life lost in neoplasms was 6.85, higher than circulatory system diseases, 5.63. Cerebrovascular disease and ischemic heart disease were the main causes of death in circulatory system diseases. And average years of life lost in cerebrovascular disease and ischemic heart disease were 5.85 and 5.62, higher than those in other circulatory system diseases. Lung cancer was the principal cause of death in neoplasms. Average year of life lost in liver cancer was 7.92, the highest in neoplasms.
For redeployed miners, YLL rates per 1000 individuals in cerebrovascular disease, ischemic heart disease and lung cancer were higher than those in other populations, especially in men. It is important to attach importance to the health of redeployed miners, take appropriate measures to reduce premature death and achieve the sustainable development goal. Our findings also contribute to a certain theoretical reference for other countries that face or will face the same problem.
减少过早死亡是实现世界卫生组织可持续发展目标的重要步骤。由于特殊的职业特点，下岗矿工更容易患病或过早死亡。我们的目的是描述下岗矿工的死亡情况，评估过早死亡造成的损失，并确定他们的主要健康问题。所有个人记录均从阜新矿区社会保障管理中心获得。使用寿命损失年（YLL）和平均寿命损失年来评估过早死亡造成的损失。考虑到不同人群的死亡情况，使用每 1000 人 YLL 率进行比较。
在死因中，循环系统疾病导致的寿命损失年最多，其次是肿瘤。但肿瘤的平均寿命损失年为 6.85，高于循环系统疾病的 5.63。循环系统疾病中的主要死亡原因是脑血管病和缺血性心脏病。脑血管病和缺血性心脏病的平均寿命损失年分别为 5.85 和 5.62，高于其他循环系统疾病。肿瘤中的主要死亡原因是肺癌。肝癌的平均寿命损失年为 7.92，在肿瘤中最高。
对于下岗矿工，每 1000 人脑血管病、缺血性心脏病和肺癌的 YLL 率高于其他人群，尤其是男性。重视下岗矿工的健康，采取适当措施减少过早死亡，实现可持续发展目标非常重要。我们的研究结果也为其他面临或将要面临同样问题的国家提供了一定的理论参考。
