目的 分析2022年辽宁省职业性尘肺病疾病负担水平,为今后尘肺病防治工作提供参考.方法 选取辽宁省截至2022年底职业性尘肺病患者为调查对象,以伤残调整寿命年(disability-adjusted life years,DALY)、过早死亡损失寿命年(years of life lost,YLL)和伤残损失寿命年(years lived with disability,YLD)为指标,按地区、病种、行业、性别、年龄和终末期别衡量职业性尘肺病疾病负担,采用方差分析进行单因素分析.结果 2022年辽宁省职业性尘肺病共造成DALY 161 794.0人年,其中YLD占98.7％,YLL占1.3％,人均DALY为8.1人/年,葫芦岛市DALY总值最多,为76 977.7人年.病种分布主要集中在矽肺和煤工尘肺,分别占85.0％和10.1％;行业分布主要在采矿业,占全行业的80.3％;年龄分布主要集中在45～＜85岁年龄段,占88.0％;不同期别、伤残等级、首诊年代的职业性尘肺病人均DALY比较,差异均有统计学意义(均P＜0.05).结论 辽宁省职业性尘肺病疾病负担严重,应针对重点地区、重点行业采取行之有效的职业病防治措施.
Study on disease burden of occupational pneumoconiosis in Liaoning Province in 2022
Objective To analyze the disease burden of occupational pneumoconiosis in Liaoning Province in 2022,provide reference for the prevention and treatment of pneumoconiosis in the future.Methods The occupational pneumoconiosis patients reported up to the end of 2022 in Liaoning Province were enrolled as respondents.The disability-adjusted life years(DALY),years of life lost(YLL)and years lived with disability(YLD)were used to comprehensively measure the disease burden of occupational pneumoconiosis by region,disease type,industry,sex,age,and the last stage.One-way analysis of variance(ANOVA)was used for univariate analysis.Results There were a total of 161 794.0 person-years of DALY due to the occupational pneumoconiosis in Liaoning Province in 2022,of which the YLD accounted for 98.7％,the YLL accounted for 1.3％,and the per capita DALY was 8.1 person-years,and Huludao City had the highest total DALY value at 76 977.7 person-years.The disease types were mainly concentrated in silicosis and coal workers'pneumoconiosis,accounting for 85.0％and 10.1％respectively.The industrial distribution was mainly concentrated in the mining industry,accounting for 80.3％.The age distribution was mainly concentrated in the 45-＜85 years old group,accounting for 88.0％.The differences in per capita DALY among occupational pneumoconiosis cases with different stage,disability grade and first visit time were statistically significant(all P＜0.05).Conclusion The disease burden of occupational pneumoconiosis in Liaoning Province is serious,and effective occupational disease prevention and control measures should be taken in the key areas and industries.
PneumoconiosisFirst visit timeLast stageBurden of diseaseDisability-adjusted life years
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