摘要
目的分析全球尘肺病发病率和患病率的变化趋势,为卫生政策制定提供科学依据。方法于2022年6月,通过全球健康数据交换(GHDx)查询工具(http://ghdx.healthdata.org/gbd-results-tool)下载并整理尘肺病发病率和患病率数据。应用年估计变化百分比(EAPC)和年龄标化率(ASR)估算1990至2019年尘肺病的趋势变化。基于ASR应用线性回归模型估算EAPC。结果在1990至2019年间,全球尘肺病发病率和患病率的ASR均呈下降趋势,EAPC分别为-0.85%(95%CI:-1.11%~-0.60%)和-0.78%(95%CI:-1.08%~-0.49%)。1990至2019年,不同社会人口指数(SDI)地区尘肺病发病率和患病率均呈下降趋势,高SDI地区尘肺病发病率和患病率下降速度均最快,EAPC分别为-1.46%(95%CI:-1.76%~ -1.15%)和-1.99%(95%CI:-2.44%~-1.53%)。110个国家/地区的尘肺病年龄标化发病率(ASIR)呈上升趋势,伊朗和格鲁吉亚的ASIR呈上升趋势最明显,EAPC分别为5.32%(95%CI:4.43%~6.22%)和4.39%(95%CI:3.81%~4.97%)。125个国家/地区的尘肺病患病率ASR呈上升趋势,伊朗患病率上升速度最快(EAPC=6.40%,95%CI:5.33%~7.49%)。结论 1990至2019年间,全球尘肺病发病趋势有所下降,但一些中低收入国家地区尘肺病负担沉重,需要更有效的策略来预防和减轻尘肺病所带来的负担。
Objective To analyze the changing trend of incidence and prevalence of pneumoconiosis globally,and provide scientific basis for the formulation of health policy.Methods In June 2022,through the Global Health Data exchange(GHDx)query tool(http://ghdx.healthdata.org/gbd-results-tool),the pneumoconiosis incidence and prevalence data was downloaded and organized.Estimated annual percentage change(EAPC)and age-standardized rate(ASR)were used to estimate the trends of pneumoconiosis from 1990 to 2019.EAPC was estimated by linear regression model based on ASR.Results The overall ASR of the incidence and prevalence of pneumoconiosis decreased from 1990 to 2019,and their EAPCs were-0.85%(95%CI:-1.11%--0.60%)and-0.78%(95%CI:-1.08%--0.49%).Over the past 30 years,the incidence and prevalence of pneumoconiosis in all SDI areas showed decreasing trends,especially in high SDI areas,their EAPCs were-1.46%(95%CI:-1.76%--1.15%)and-1.99%(95%CI:-2.44%--1.53%).110 countries/areas showed increasing trends in age standardized incidence rate(ASIR),with Iran and Georgia showing the most pronounced upward trend,their EAPCs were 5.32%(95%CI:4.43%-6.22%)and 4.39%(95%CI:3.81%-4.97%).125 countries/areas showed anincreasing trends in prevalence ASR,with Iran had the fastest rise in prevalence(EAPC=6.40%,95%CI:5.33%-7.49%).Conclusion Although decreasing trends in the burden of pneumoconiosis are observed globally from 1990 to 2019,but the burden of pneumoconiosis in low-and middle-income countries or regions are still heavy.We need more effective strategies to prevent and reduce the burden of pneumoconiosis.
作者
唐侍豪
崔佳欣
陈育全
麦秋苑
张晋蔚
王致
Tang Shihao;Cui Jiaxin;Chen Yuquan;Mai Qiuyuan;Zhang Jinwei;Wang Zhi(Guangzhou Twelfth People's Hospital,Guangzhou Occupational Disease Prevention and Treatment Hospital,Key Laboratory of Occupational Environment and Health,Guangzhou Twelfth People's Hospital,Guangzhou 510620,China;School of Public Health,Sun Yat-sen University,Guangzhou 510080,China)
出处
《中华劳动卫生职业病杂志》
CAS
CSCD
北大核心
2024年第2期123-128,共6页
Chinese Journal of Industrial Hygiene and Occupational Diseases
基金
广州市科技计划项目重点研发计划(202206010061)
广州市医学重点学科建设项目(2021-2023)
广州市市校(院)企联合资助专题(广州市职业环境与健康重点实验室)。
关键词
尘肺病
全球疾病负担
年估计变化百分比
年龄标化率
Pneumoconiosis
Global burden of disease
Estimated annual percentage change
Age-standardized rate
