Trends in Occupational Diseases in Italian Industry and Services From 2006 To 2019.

IF 2.4 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Medicina Del Lavoro Pub Date : 2023-08-02 DOI:10.23749/mdl.v114i4.14637

Francesca Larese Filon, Ottavia Spadola, Claudio Colosio, Henk Van Der Molen

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Abstract

Background: There is a paucity of data on occupational disease incidence in Italy, and we analyzed the trend on time as an incidence rate ratio (IRR).

Methods: Occupational diseases reported to the Italian National Insurance for Occupational Diseases (INAIL) in industrial and services sectors from 2006 to 2019 were considered and analyzed. Annual case counts were analyzed using a Poisson regression model to estimate incidence trends.

Results: The incidence of occupational diseases in the industrial and services sectors in 2019 was 261 cases for 100,000 workers, with musculoskeletal disorders (MSDs) representing 65% of the total cases, their incidence being 169.5 cases per 100,000 workers. The incidence of ear diseases (ED) decreased to 20.8 cases for 100,000 workers. The annual change in incidence (IRR) was 1.08 (CI 95% 1.07-1.11) for MSDs, 1.08 (CI 95% 1.06-1.10) for cancers, and 1.04 (CI 95% 1.03-1.06) for respiratory diseases. The trend was significantly negative for ear diseases, 0.96 (CI 95% 0.96-0.97), and skin diseases 0.93 (CI 95% 0.92-0.93). No changes were found for asbestos and mental diseases.

Conclusions: During the study period, occupational diseases increased in Italy, mainly for MSDs, due to a changeover in eligibility criteria from 2008. However, the overall incidence was lower than in other EU Countries. More efforts are needed to harmonize the legislation for joint action in the prevention and recognition of occupational diseases.

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2006年至2019年意大利工业和服务业职业病趋势

背景:意大利职业病发病率数据缺乏，我们以发病率比(IRR)分析时间趋势。方法:对2006 - 2019年意大利国家职业病保险(INAIL)报告的工业和服务部门职业病进行分析。使用泊松回归模型对年度病例计数进行分析，以估计发病率趋势。结果:2019年工业和服务业职业病发病率为261例/ 10万名劳动者，其中肌肉骨骼疾病(MSDs)发病率为169.5例/ 10万名劳动者，占总发病率的65%。耳部疾病(ED)的发病率下降到每10万工人20.8例。MSDs的年发病率变化(IRR)为1.08 (CI 95% 1.07-1.11)，癌症为1.08 (CI 95% 1.06-1.10)，呼吸系统疾病为1.04 (CI 95% 1.03-1.06)。耳部疾病为0.96 (CI 95% 0.96 ~ 0.97)，皮肤病为0.93 (CI 95% 0.92 ~ 0.93)。石棉和精神疾病没有变化。结论:在研究期间，由于2008年以来资格标准的改变，意大利的职业病增加，主要是msd。然而，总体发病率低于其他欧盟国家。需要作出更多努力，统一预防和确认职业病的联合行动立法。

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来源期刊

Medicina Del Lavoro 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.70

自引率

7.40%

发文量

审稿时长

>12 weeks

期刊介绍： La Medicina del Lavoro is a bimonthly magazine founded in 1901 by L. Devoto, and then directed by L. Prieti, E. Vigliani, V. Foà, P.A. Bertazzi (Milan). Now directed by A. Mutti (Parma), the magazine is the official Journal of the Italian Society of Occupational Medicine (SIML), aimed at training and updating all professionals involved in prevention and cure of occupational diseases.