环境与职业医学2025，Vol.42Issue(8)：918-925,8.DOI:10.11836/JEOM24622
中国男性不同类型尘肺病的疾病负担及变化趋势分析
Disease burden and trends of different types of pneumoconiosis among Chinese males
摘要
Abstract
[Background]Pneumoconiosis is a prevalent and severely harmful occupational disease in China. [Objective]To estimate disease burden and trends of different types of pneumoconiosis among Chinese males from 1992 to 2021,and to provide insights for pneumoconiosis prevention and control as well as the development of public health policies in China. [Methods]Based on the latest data from the Global Burden of Disease(GBD)study(2021),this study evaluated the disease burden of pneumoconiosis among Chinese males using indicators such as mortality rate and disability-adjusted life years(DALYs).Joinpoint regression model and age-period-cohort model were applied to analyze trends in the mortality rates of pneumoconiosis among Chinese males. [Results]From 1992 to 2021,the age-standardized DALYs rate,age-standardized years of life lost(YLLs)rate,age-standardized years lived with disability(YLDs)rate,and age-standardized mortality rate of pneumoconiosis among Chinese men all showed a downward trend,with average annual percentage changes(AAPC)of-2.63%,-2.81%,-0.87%,and-2.56%,respectively(P<0.05).Among the four types of pneumoconiosis,the disease burden of silicosis was the high-est.The age-standardized mortality rates for silicosis,asbestosis,coal worker's pneumoconiosis,and other types of pneumoconiosis had AAPC of-2.18%,-1.24%,-3.81%,and-3.21%(P<0.05),respectively.The age effects showed mortality rates for all types increased with age,particularly in silicosis and coal worker's pneumoconiosis.The period effects showed a general decline in mortality risk,though silicosis remained significantly higher than other types.The cohort effects indicated that later birth cohorts had progressively lower mortality risks. [Conclusion]From 1992 to 2021,the burden of pneumoconiosis among Chinese males has shown some alleviation;however,pneumoconiosis remains China's most severe occupational disease.Given that males are the primary affected group in both incidence and mortality,continued attention and targeted preventive measures are essential.Effective control strategies should be tailored to address the specific characteristics of each type of pneumoconiosis.关键词
尘肺病/疾病负担/死亡率/趋势/男性Key words
pneumoconiosis/disease burden/mortality rate/trend/male分类
预防医学引用本文复制引用
沈一纯,曾智,杨忆,杨添皓..中国男性不同类型尘肺病的疾病负担及变化趋势分析[J].环境与职业医学,2025,42(8):918-925,8.基金项目
江苏省哲学社会科学重点研究基地资助项目"重大健康风险和中医药干预技术"(JK-FXFK-001) （JK-FXFK-001）
