伤残调整寿命年衡量天津市2010至2019年职业性尘肺病疾病负担及趋势分析  

Analysis on disease burden and trend of occupational lung disease in Tianjin from 2010 to 2019 based on disability adjusted life years

作　　者：娄贺仁 王欣[1,2] 高雅 李培[2] 李梅莉[2] 曾强 Lou Heren;Wang Xin;Gao Ya;Li Pei;Li Meili;Zeng Qiang(School of Public Health,Tianjin Medical University,Tianjin 300070;Institute for Occupational Health,Tianjin Center for Disease Control and Prevention,Tianjin 300011)

机构地区：[1]天津医科大学公共卫生学院,天津300070 [2]天津市疾病预防控制中心职业健康研究所,天津300011

出　　处：《中华劳动卫生职业病杂志》2022年第10期765-770,共6页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：天津市自然科学基金面上项目(20JCYBJC00270);天津市医学重点建设学科(TJYXZDXK-066B)。

摘　　要：目的分析2010至2019年天津市职业性尘肺病疾病负担水平及其变化趋势,为制定尘肺病防控对策和建议提供科学依据。方法于2021年6月,从天津市职业性尘肺病患者随访调查资料和《中国疾病预防控制信息系统》子系统《健康危害监测信息系统》中选取天津市2010至2019年职业性尘肺病个案资料,用伤残调整寿命年(DALY)、早死所致的寿命损失年(YLL)和伤残所致的健康寿命损失年(YLD)指标,按地区、年份、病种、行业、性别和年龄全面衡量职业性尘肺病疾病负担;采用Kruskal-wollisH检验对职业性尘肺病DALY进行单因素分析。结果2010至2019年天津市职业性尘肺病共造成DALY 43089人年,其中YLD约占2/3(28277人年),YLL约占1/3(14812人年),人均DALY为7.34人年;天津市职业性尘肺病疾病负担行业分布主要集中在加工制造业,占全行业的90.6%,病种分布主要集中在矽肺、铸工尘肺、石棉肺和水泥尘肺分别占34.4%、16.9%、13.3%和10.5%,年龄分布主要集中在50~<85岁年龄段,占83.6%;不同尘肺病分期、伤残等级、接尘工龄的尘肺病人均DALY中位数差异均有统计学意义(P<0.05)。结论天津市职业性尘肺病疾病负担依然严重,应针对重点行业和人群采取针对性的干预措施。Objective To analyze the level and trend of occupational pneumoconiosis disease burden in Tianjin from 2010 to 2019,and to provide scientific basis for making prevention and control countermeasures and suggestions.Methods In June 2021,the data of occupational pneumoconiosis cases in Tianjin from 2010 to 2019 were selected from Follow-up survey of occupational pneumoconiosis patients in Tianjin and occupational"Health Hazardous Surveillance Information System",the subsystem of China Disease Control and Prevention Information System.Disability-adjusted life year(DALY),years of life lost(YLL)and years lost due to disability(YLD)were used to comprehensively measure the disease burden of occupational pneumoconiosis by region,year,disease type,industry,sex and age;Kruskal-wallis H test was used for univariate analysis of DALY loss in pneumdo-niosis occupational.Results A total of 43089 person-years of DALY due to pneumoconiosis in Tianjin from 2010 to 2019,of which the YLD accounted for about 2/3(28277 person-years),the YLL accounted for about 1/3(14812 person-years),and the average DALY was 7.34 person-years.The industrial distribution of pneumoconiosis burden in Tianjin was mainly concentrated in the manufacturing industry accounting for 90.6%of the whole industry.The disease types were mainly concentrated in silicosis,foundry pneumoconiosis,asbestosis and cement pneumoconiosis accounting for 34.4%,16.9%,13.3%and 10.5%,and the age distribution was mainly concentrated in the 50~<85 years old age group,accouling for 83.6%.The median DALY of occupational pneumoconiosis patients with different pneumoconiosis stages,disability grades and years of service exposed to dust were statistically significant(P<0.05).Conclusion The disease burden of occupational pneumoconiosis in Tianjin was still serious.It is necessary to take targeted intervention measures for key industries and population.

关 键 词：尘肺 流行病学 经济学 医学 疾病负担 伤残调整寿命年 早死所致的寿命损失年 伤残所致的健康寿命损失年 

分 类 号：R135.2[医药卫生—劳动卫生]