1956 年至 2021 年江苏省职业性尘肺病生存及疾病负担分析。
Survival and Disease Burden Analysis of Occupational Pneumoconiosis From 1956 to 2021 in Jiangsu Province.
出版信息
J Occup Environ Med. 2023 May 1;65(5):407-412. doi: 10.1097/JOM.0000000000002795.
OBJECTIVES
The aims of the study are to investigate the survival status and its influencing factors of pneumoconiosis patients and to analyze the disease burden and its trend in Jiangsu Province.
METHODS
We used the life table and Cox model to analyze the survival status. The disease burden and its temporal trend were examined using the disability-adjusted life years (DALY).
RESULTS
The average survival time was 16.22 ± 10.11 years. First diagnosis age, first diagnosis stage, and upgrade of stages were crucial risk factors for the survival. The cumulative DALY was 154,500.83 person-years. The DALY attributed to silicosis, coal worker pneumoconiosis, and welder's pneumoconiosis were 99,806.72 (64.60%), 35,483.21 (22.97%), and 37,85.83 (2.45%) person-years, respectively.
CONCLUSIONS
Although the disease burden of pneumoconiosis is decreasing because of the implementation of relevant health policies and improved medical standards, the prevention and control of pneumoconiosis still need greater attention.
目的
本研究旨在调查尘肺病患者的生存状况及其影响因素，并分析江苏省尘肺病的疾病负担及其变化趋势。
方法
采用寿命表和 Cox 模型分析生存状况，采用伤残调整生命年（DALY）分析疾病负担及其时间趋势。
结果
平均生存时间为 16.22±10.11 年。首次诊断年龄、首次诊断期别和期别升级是生存的关键危险因素。累积 DALY 为 154500.83 人年。矽肺、煤工尘肺和电焊工尘肺导致的 DALY 分别为 99806.72（64.60%）、35483.21（22.97%）和 3785.83（2.45%）人年。
结论
尽管由于相关卫生政策的实施和医疗水平的提高，尘肺病的疾病负担呈下降趋势，但仍需加强对尘肺病的防治。
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