首页|我国室内氡致肺癌的疾病负担估算

我国室内氡致肺癌的疾病负担估算

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目的 估算我国室内氡暴露导致的居民肺癌疾病负担水平,为完善防氡控氡政策措施提供科学依据.方法 基于我国室内氡浓度监测调查数据和室内氡致肺癌风险归因研究结果,以及人口、吸烟等基础数据,利用归因疾病负担计算方法,估算我国室内氡致肺癌的疾病负担.结果 估计2018年我国室内氡暴露致全人群肺癌的早死寿命损失年(YLL)为510.93万人年,伤残健康寿命损失年(YLD)为5.26万人年,伤残调整寿命年(DALY)为516.19万人年.50~54岁年龄组人群的DALY最高.吸烟男性的室内氡致肺癌归因疾病负担超过吸烟女性的9倍,不吸烟女性的肺癌归因疾病负担超过不吸烟男性的5倍,吸烟与室内氡致肺癌的疾病负担关系密切.结论 我国室内氡暴露是与肺癌疾病负担相关的主要环境危险因素,室内氡的健康危害亟需引起更多关注并完善相应政策措施来应对这一挑战.
Estimation and evaluation of disease burden of indoor radon-induced lung cancer in China
Objective To estimate the lung cancer disease burden of residents caused by indoor radon exposure in living rooms in China,and to provide scientific basis for improving radon prevention and control policies and measures.Methods Based on the data from the national indoor radon monitoring survey,the study of lung cancer caused by indoor radon,and the basic data such as population and smoking,the attributable burden of disease calculation method was used to estimate the disease burden of lung cancer caused by indoor radon in China.Results In 2018,it was estimated that the years of life lost due to premature death(YLL),years of life lost due to health disability(YLD)and disability-adjusted life years(DALY)due to indoor radon exposure were 5.109 3 million,0.052 6 million and 5.161 9 million,respectively.DALY was highest in the 50-54 age group.The disease burden of indoor radon-induced lung cancer in smoking men was more than 9 times that of smoking women,and the disease burden of lung cancer in non-smoking women was more than 5 times that of non-smoking men.Smoking is closely related to the disease burden of indoor radon-induced lung cancer.Conclusions Indoor radon exposure is a major environmental risk factor associated with lung cancer burden in China.The health hazards of indoor radon require more attention and improved policy measures to address this challenge.

Indoor radonLung cancerDisease burdenEstimationPolicies and measures

苗晓翔、苏垠平、武云云、王晨冉、卓维海、孙全富

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中国疾病预防控制中心辐射防护与核安全医学所辐射防护与核应急中国疾病预防控制中心重点实验室,北京 100088

国家癌症中心癌症早诊早治办公室 中国医学科学院肿瘤医院,北京 100021

复旦大学放射医学研究所,上海 200032

室内氡 氡致肺癌 疾病负担 估算 政策措施

2024

中华放射医学与防护杂志
中华医学会

中华放射医学与防护杂志

CSTPCD北大核心
影响因子:0.706
ISSN:0254-5098
年,卷(期):2024.44(12)