Yu Shiwen, Yang Liangwei, Xu Weiwen, Zhao Tian, Han Liyuan, Zhao Guofang, Cai Ting
School of Medicine, Shaoxing University, Shaoxing, China.
Department of Cardiothoracic Surgery, Ningbo No. 2 Hospital, Ningbo, China.
Arch Med Sci. 2024 Jan 16;20(5):1495-1503. doi: 10.5114/aoms/175219. eCollection 2024.
We analyzed trends in the tracheal, bronchial, and lung (TBL) cancer disease burdens attributable to respiratory system-related risk factors in 204 countries and territories from 1990 to 2019.
Based on the results of the 2019 Global Burden of Disease study, we calculated and analyzed the estimated annual percentage changes (EAPCs) in the age-standardized disability-adjusted life year (DALY) rates and death rates of TBL cancer attributable to total and four individual risk factors globally, regionally, and nationally.
From 1990 to 2019, the age-standardized DALY rate and death rate of TBL cancer only attributable to ambient particulate matter pollution increased globally, and in all Socio-Demographic Index (SDI) quintiles, except for high SDI quintiles. Among regions, the most significant increases in those attributable to smoking were seen in East Asia, while those attributable to ambient particulate matter pollution and secondhand smoke were observed in Western Sub-Saharan Africa. Among countries, the most significant increases in those attributable to smoking were observed in São Tomé and Príncipe (EAPC = 1.76) and Bulgaria (EAPC = 1.90), those attributable to ambient particulate matter pollution were observed in Equatorial Guinea, those attributable to secondhand smoke were found in Lesotho (EAPC = 2.01) and Lebanon (EAPC = 2.13), and those attributable to household air pollution from solid fuels were seen in Mozambique.
The burden attributable to ambient particulate matter pollution is increasing, especially in regions such as Western Sub-Saharan Africa and East Asia, and countries such as Equatorial Guinea and Bhutan.
我们分析了1990年至2019年期间204个国家和地区呼吸系统相关风险因素导致的气管、支气管和肺癌（TBL）疾病负担趋势。
基于2019年全球疾病负担研究结果，我们计算并分析了全球、区域和国家层面归因于总体及四个个体风险因素的TBL癌症年龄标准化残疾调整生命年（DALY）率和死亡率的估计年度百分比变化（EAPC）。
1990年至2019年，仅归因于环境颗粒物污染的TBL癌症年龄标准化DALY率和死亡率在全球范围内上升，且在除高社会人口指数（SDI）五分位数外的所有SDI五分位数中均如此。在各区域中，归因于吸烟的此类增长在东亚最为显著，而归因于环境颗粒物污染和二手烟的增长则在撒哈拉以南非洲西部观察到。在各国中，归因于吸烟的此类增长在圣多美和普林西比（EAPC = 1.76）和保加利亚（EAPC = 1.90）最为显著，归因于环境颗粒物污染的增长在赤道几内亚观察到，归因于二手烟的增长在莱索托（EAPC = 2.01）和黎巴嫩（EAPC = 2.13）发现，归因于固体燃料家庭空气污染的增长在莫桑比克观察到。
归因于环境颗粒物污染的负担正在增加，特别是在撒哈拉以南非洲西部和东亚等地区，以及赤道几内亚和不丹等国家。
