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淮北煤矿煤工尘肺患者健康寿命损失

Health life loss of coal worker's pneumoconiosis patients in Huaibei coal mine

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目的 利用疾病负担综合评价指标伤残调整生命年(DALY),定量、全面地分析尘肺导致煤炭工人残疾或死亡的健康寿命损失,合理评价煤工尘肺(CWP)对特定人群健康的影响程度和对社会造成的生产力和经济损失.方法 选取1963-2014年淮北煤矿集团符合CWP标准的患者6 344名,使用全球疾病负担公式,计算由伤残和早死引起的患者健康寿命损失,查资料获得生产力权重和2014年当地人均国内生产总值(GDP),计算社会生产力损失.结果 6 344名CWP患者中有1 505人已死亡,共产生4 649.24年的死亡损失健康寿命年(YLL),每人平均损失2.91年.全部CWP患者都存在伤残损失健康寿命年(YLD),总计33 353.40年,每人平均损失5.26年(0.45~21.93年).40~<55岁年龄段造成的YLD在总YLD中所占比例最大,确诊年龄越小,造成的YLD越大.6 344名CWP患者共造成38 002.63年的健康寿命损失,每名患者平均损失5.99年.淮北市2014年人均GDP为46 531元,以此为标准计算出6 344例CWP患者因患病造成的社会生产力损失折合人民币1 290 493 577元.结论 患有尘肺的煤工由于伤残或死亡导致的健康寿命损失严重,因CWP造成的社会生产力损失巨大.预防或推迟尘肺发病是减少煤炭工人DALY和经济损失的关键.
[Objective] To quantitatively and comprehensively analyze the health life loss of disability and death caused by pneumoconiosis by comprehensive evaluation index of disease burden,that is disability adjusted life year (DALY),evaluate the influence of coal worker's pneumoconiosis (CWP) on the health of the specific population,as well as the productivity loss and economic loss.[Methods] 6 344 CWP patients were collected from Huaibei Coal Mine Group from 1963-2014.The formula from burden of disease was used to calculate the health life loss from disability and death.The loss of social productivity was calculated through productivity weighting and the national per capita gross domestic product (GDP) in 2014.[Results] 1 505 patients have died among 6 344 CWP patients,resulting in a total of 4 649.24 years of healthy life loss (YLL),and average loss was 2.91 years per capita.All CWP patients had the healthy life loss from disability (YLD),for a grand total of 33 353.40 years,and average loss was 5.26 (0.45-21.93 years) years per capita.The YLD in patients aged 40-<55 years old accounted for the largest proportion of the total YLD.The smaller age of diagnosis,the greater the YLD.6 344 CWP patients produced a total of 38 002.63 years of healthy life loss,and the average loss was 5.99 years per capita.The per capita GDP of Huaibei City in 2014 was 46 531 RMB.As a standard,the social productivity loss caused by the disease of 6 344 CWP patients reached 1 290 493 577 RMB.[Conclusion] The loss of healthy life caused by disability or death in CWP patients is serious,and the loss of social productivity caused by CWP is also huge.Preventing or delaying the onset of pneumoconiosis is the key to reduce DALY of coal miners and economic losses.

Coal worker's pneumoconiosisHealthy life lossDisability adjusted life year

刘建华、崔风涛、丁新平、吴京泽、沈福海

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华北理工大学公共卫生学院,河北唐山063000

淮北矿业集团职业病防治院尘肺科,安徽淮北235000

煤工尘肺 健康寿命损失 伤残调整生命年

河北省自然科学基金

H2017209195

2017

职业与健康
天津市疾病预防控制中心 中华预防医学会

职业与健康

CSTPCD
影响因子:0.737
ISSN:1004-1257
年,卷(期):2017.33(22)
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