2009—2021年金华市职业性尘肺病疾病负担分析  

Disease burden of occupational pneumoconiosis in Jinhua City from 2009 to 2021

作　　者：何晓庆[1] 罗进斌 陈强[1] 魏芳 HE Xiaoqing;LUO Jinbin;CHEN Qiang;WEI Fang(Department of Environmental and Occupational Health,Jinhua Center for Disease Control and Prevention,Jinhua,Zhejiang 321002,China;Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou,Zhejiang 3210020,China)

机构地区：[1]金华市疾病预防控制中心环境与职业卫生科,浙江金华321002 [2]浙江省疾病预防控制中心,浙江杭州310051

出　　处：《预防医学》2023年第7期620-623,635,共5页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：金华市科学技术研究项目(2020-4-080)。

摘　　要：目的了解2009—2021年浙江省金华市职业性尘肺病疾病负担,为制定职业性尘肺病防治措施提供依据。方法通过职业病及健康危害因素监测信息系统收集2009—2021年金华市职业性尘肺病病例资料,包括人口学信息、伤残等级、年龄、尘肺病种类和尘肺病分期等,通过伤残损失寿命年(YLD)、早死损失寿命年(YLL)和伤残调整寿命年(DALY)指标分析不同性别、尘肺分期、尘肺种类、年龄和伤残等级病例的疾病负担水平。结果2009—2021年金华市确诊职业性尘肺病244例,其中男性225例,占92.21%。发病年龄M(QR)为44.50(23.00)岁;死亡229例,年龄M(QR)为78.00(13.00)岁。DALY为3791.88人年,其中YLD为2428.21人年,占64.04%;YLL为1363.67人年,占35.96%。男性YLD为3647.8人年,高于女性的144.08人年(P<0.05)。不同种类病例比较,石棉肺病例YLD低于硅肺、煤工尘肺和其他尘肺病例(P<0.05)。不同尘肺病分期和种类YLL差异均无统计学意义(P>0.05)。不同年龄病例比较,<40岁病例YLD较高,60~<70岁和≥70岁YLD较低(P<0.05);≥70岁病例YLL低于40~<50岁、50~<60岁和60~<70岁(P<0.05)。不同伤残等级病例比较,二/三级伤残病例YLD最高,其次为四/五级伤残,六/七级伤残病例YLD最低(P<0.05)。结论2009—2021年金华市职业性尘肺病疾病负担以疾病所致伤残为主;随着尘肺分期和伤残等级的升高,伤残寿命损失不断增加。Objective To investigate the disease burden of occupational pneumoconiosis from 2009 to 2021 in Jinhua City,Zhejiang Province,so as to provide insights into formulating occupational pneumoconiosis prevention and control measures.Methods Data on occupational pneumoconiosis in Jinhua City from 2009 to 2021 were collected through Occupational Disease and Health Hazard Monitoring Information System including demographic characteristics,disability level,age,pneumoconiosis type and stage,and analyzed years live dwith disability(YLD),years of life lost(YLL)and disability adjusted life years(DALY)by different genders,pneumoconiosis stages,pneumoconiosis types,ages and disability levels.Results A total of 244 occupational pneumoconiosis cases were diagnosed in Jinhua City from 2009 to 2021,of which 225 cases were male,accounting for 92.21%.The median age of onset was 44.50(interquartile range,23.00)years.There were 229 deaths,with a median age of 78.00(interquartile range,13.00)years.The DALY was 3791.88 person-years,YLD was 2428.21 person-years(64.04%)and YLL was 1363.67 person-years(35.96%).The YLD was 3647.8 person-years in men,which was higher than 144.08 person-years in women(P<0.05).The YLD of asbestosis cases was lower than that of silicosis,coal workers'pneumoconiosis and other pneumoconiosis(P<0.05).The YLL was not statistically significant in the stage and type of occupational pneumoconiosis(P>0.05).The YLD was higher among cases at ages of less than 40 years,and lower among cases at ages of 60 to 69 years and 70 years and over(P<0.05);the YLL was lower among cases at ages of 70 years and over(P<0.05).The cases with second/third level of disability had the highest YLD,followed by the cases with fourth/fifth level of disability,and the cases with sixth/seventh level of disability had the lowest YLD(P<0.05).Conclusions The disease burden of occupational pneumoconiosis in Jinhua City from 2009 to 2021 is mainly induced by disability,and the disease burden caused by silicosis is the highest.With the progress of pneu

关 键 词：职业性尘肺病 职业病 伤残调整寿命年 疾病负担 

分 类 号：R122.7[医药卫生—环境卫生学]