Zhao W L, Li H, He Y H, Sun W
Occupational Health Department, Gansu Provincial Center for Disease Control and Prevention, Lanzhou 730000, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2023 Apr 20;41(4):276-280. doi: 10.3760/cma.j.cn121094-20220114-00022.
Through comparative analysis of the disease burden of occupational pneumoconiosis in Gansu Province from 2010 to 2020, the main influencing factors are screened, and scientific basis is provided for rational allocation of limited health resources, precise management and policy implementation. In August 2021, survey and collect information on surviving occupational pneumoconiosis patients and dead occupational pneumoconiosis patients diagnosed in Gansu Province from 2010 to 2020, and analyze and calculate indicators such as morbidity, mortality, and disability adjusted of life years (DALY). Analyzing the influencing factors of disease burden usirrg multiple linear regression. From 2010 to 2020, the average annual incidence of occupational pneumoconiosis in Gansu Province was 0.9992/100000, the average annual mortality was 0.897/100000, the cumulative case fatality rate was 25.75%, and the cumulative DALY was 28932.96 person-years. The first stage of occupational pneumoconiosis was the highest among DALY loss (19920.14 person-years), and the DALY loss was positively correlated with the stage of occupational pneumoconiosis. Among occupational pneumoconiosis in Gansu Province, silicosis (13753.66 person-years) and coal worker's pneumoconiosis (13414.73 person-years) caused the highest disease burden, followed by cement pneumoconiosis and asbestos lung. Period, length of service, type of disease, and region are all influencing factors of DALY loss (<0.05). From 2010 to 2020, the DALY losses caused by occupational pneumoconiosis in Gansu Province showed a fluctuating decrease, with the composition of DALY mainly changing from the loss of life years due to premature death to the loss of years due to injury and disability.
通过对2010年至2020年甘肃省职业性尘肺病疾病负担进行比较分析,筛选出主要影响因素,为有限卫生资源的合理配置、精准管理及政策实施提供科学依据。2021年8月,调查收集2010年至2020年甘肃省诊断的存活职业性尘肺病患者和死亡职业性尘肺病患者信息,并分析计算发病率、死亡率、伤残调整生命年(DALY)等指标。采用多重线性回归分析疾病负担的影响因素。2010年至2020年,甘肃省职业性尘肺病年均发病率为0.9992/10万,年均死亡率为0.897/10万,累计病死率为25.75%,累计DALY为28932.96人年。职业性尘肺病一期的DALY损失最高(19920.14人年),且DALY损失与职业性尘肺病分期呈正相关。甘肃省职业性尘肺病中,矽肺(13753.66人年)和煤工尘肺(13414.73人年)导致的疾病负担最高,其次是水泥尘肺和石棉肺。患病时间、工龄、病种、地区均是DALY损失的影响因素(P<0.05)。2010年至2020年,甘肃省职业性尘肺病所致DALY损失呈波动下降趋势,DALY构成主要由过早死亡导致的生命年损失转变为伤病残导致的年损失。