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[江苏省电焊工尘肺病疾病负担分析]

[Analysis of disease burden of welder's pneumoconiosis in Jiangsu Province].

作者信息

Li W, Shi Q, Zhou P, Zhou L, Gao Y, Han L

机构信息

School of Public Health, Nanjing Medical University, Nanjing 211166, China.

School of Public Health, Nantong University, Nantong 226019, China.

出版信息

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2024 May 20;42(5):340-345. doi: 10.3760/cma.j.cn121094-20230713-00248.

Abstract

To investigate the current status of disease burden and its influencing factors among welder's pneumoconiosis patients, and provide scientific basis for taking targeted intervention measures. From June 2022 to June 2023, the patients with welder's pneumoconiosis in Jiangsu Province were selected from 1956 to 2020 as the research objects, and disability adjusted life years (DALY) were used as the comprehensive index to study the disease burden. The direct and indirect economic losses caused by the diseases were calculated, and the factors affecting the disease burden were discussed by multiple linear regression method. A total of 974 cases of welder's pneumoconiosis were reported in Jiangsu Province, the cumulative loss of DALY was 6300.73 person-years, and the per capita loss was 6.47 person-years. Among them, the healthy life years lost due to disability (YLD) was 6156.50 person-years (97.71%) , and the healthy life years lost due to premature death (YLL) was 144.23 person-years (2.29%) . Multiple linear regression analysis showed that the main factors affecting DALY were disability grade, diagnostic age, pneumoconiosis grade and length of dust exposure (<0.05) . The total economic loss caused by 974 welder's pneumoconiosis patients was 1831838160.18 yuan, and the per capita loss was 1880737.33 yuan. Among them, the direct economic loss was 970917563.75 yuan (53.00%) , and the indirect economic loss was 860920596.43 yuan (47.00%) . Welder's pneumoconiosis causes serious disease burden to patients, and at the same time causes huge economic losses to individuals and society, which seriously hinders the development of society. Taking effective control measures to prevent the incidence of welder's pneumoconiosis is the key to reduce the disease burden.

摘要

为了解电焊工尘肺患者疾病负担现状及其影响因素,为采取针对性干预措施提供科学依据。选取2022年6月至2023年6月江苏省1956年至2020年的电焊工尘肺患者作为研究对象,采用伤残调整生命年(DALY)作为综合指标研究疾病负担。计算疾病所致的直接和间接经济损失,并采用多重线性回归方法探讨影响疾病负担的因素。江苏省共报告974例电焊工尘肺病例,DALY累计损失为6300.73人年,人均损失为6.47人年。其中,因伤残导致的健康生命年损失(YLD)为6156.50人年(97.71%),因过早死亡导致的健康生命年损失(YLL)为144.23人年(2.29%)。多重线性回归分析显示,影响DALY的主要因素为残疾等级、诊断年龄、尘肺病等级和接尘工龄(P<0.05)。974例电焊工尘肺患者所致的总经济损失为1831838160.18元,人均损失为1880737.33元。其中,直接经济损失为970917563.75元(53.00%),间接经济损失为860920596.43元(47.00%)。电焊工尘肺给患者造成严重的疾病负担,同时给个人和社会带来巨大经济损失,严重阻碍社会发展。采取有效防控措施预防电焊工尘肺的发生是减轻疾病负担的关键。

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