摘要
目的利用伤残调整寿命年分析2010—2019年芜湖市尘肺病疾病负担水平和变化趋势。方法收集2010—2019年芜湖市各职业病诊断机构报告的尘肺病病例资料,结合死因报告系统及病例随访,使用伤残调整寿命年(DALYs)、残疾生存人年(YLDs)和生命损失年(YLLs)评价芜湖市尘肺病疾病负担。结果 2010—2019年芜湖市共诊断新发尘肺病病例共380例,诊断时平均年龄为(59.16±8.50)岁,死亡49例,均为男性,病死率为12.89%;2010—2019年芜湖市尘肺病共造成DALYs损失2 125.719年,其中YLLs损失为393.364年,YLDs损失为1 732.355年,例均DALYs损失为5.594年;矽肺造成的DALYs的损失最大,为1 251.796年,例均DALYs损失以水泥尘肺最大,为10.042年;Ⅲ期尘肺的例均DALYs损失最大,为9.276年;Ⅲ期尘肺造成的YLLs损失最大,为170.23年,例均YLLs损失也最大,为11.349年;男性例均DALYs略高于女性,差异无统计学意义(P>0.05);50<55岁和55<60岁两个年龄组的DALYs损失最大,25<40岁组的例均DALYs损失最大,为11.375年。结论 2010—2019年芜湖市尘肺病疾病负担呈下降趋势,但整体依然较重,年龄越轻,尘肺病疾病负担越重。预防尘肺病的发生或推迟尘肺病的发病是降低尘肺病疾病负担的关键。
Objective To analyze the levels and trends of the burden of disease attributable to pneumoconiosis in Wuhu City from2010-2019 by Disability Adjusted Life Years(DALYs). Methods The data of pneumoconiosis cases reported by the occupational disease diagnosis institutions in Wuhu City from 2010-2019 were collected. Combined with cause of death reporting system and case follow-up,the DALYs,Years Lived with Disability(YLDs) and Years of Life Lost(YLLs) were used to assess the disease burden of pneumoconiosis in Wuhu City. Results A total of 380 new cases of pneumoconiosis were diagnosed in Wuhu City from2010-2019,the average age was(59.16±8.50) years old at diagnosis. There were 49 death cases,all of which were males,and the case fatality rate was 12.89%. It was found out that 2 125.719 years of DALYs were lost due to pneumoconiosis patients,in which YLLs were 393.364 years,YLDs was 1 732.355 years,and average DALYs of case was 5.594 years. The largest loss of DALYs was contributed by silicosis,which was 1 251.796 years. The largest loss of average case DALYs was contributed by cement pneumoconiosis,which was 10.042 years. The largest loss of the case DALYs was contributed by stage Ⅲ pneumoconiosis,which was 9.276 years. The YLLs caused by stage Ⅲ pneumoconiosis was the largest,which was 170.23 years,and the average case YLLs caused by stage Ⅲ pneumoconiosis was the largest,which was 11.349 years. The average case DALYs were slightly higher in males than in females,but there was no statistically significant difference(P>0.05). The DALYs of 50-<55 and 55-<60 age groups were the largest,and the average case DALYs of 25-<40 age group were the largest,which was 11.375 years. Conclusion The disease burden of pneumoconiosis in Wuhu City shows a downward trend from 2010-2019,but it is still heavy on the whole. The younger the age,the heavier the burden of pneumoconiosis. The key to reduce the burden of pneumoconiosis is to prevent or delay the occurrence of pneumoconiosis.
作者
曹伟
沈登辉
林超
CAO Wei;SHEN Deng-hui;LIN Chao(Department of Public Health and Occupational Disease Prevention and Control,Wuhu Center for Disease Control and Prevention,Wuhu A nhui,241000,China)
出处
《职业与健康》
CAS
2021年第10期1319-1322,共4页
Occupation and Health
关键词
尘肺病
疾病负担
伤残调整寿命年
Pneumoconiosis
Burden of disease
Disability Adjusted Life Years
