Global, regional, and national burden of cancers attributable to occupational risks from 1990 to 2019.

IF 2.6 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Occupational Health Pub Date : 2024-01-04 DOI:10.1093/joccuh/uiae040

Shiliang Ling, Lihong Zhou, Yanfeng Wu, Xiaoling Zhang, Wulong Han, Lihua Cui, Zhiyu Luan

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Abstract

Background: Based on data from the Global Burden of Disease study, the burden of cancer attributable to occupational risks between 1990 and 2019 was explored.

Methods: The estimated burden in different regions was compared in terms of the age-standardized death rates (ASDRs), age-standardized disability-adjusted life years (DALYs) rates, and corresponding estimated annual percentage changes (EAPCs). The comparative risk assessment framework was used to estimate the risk of death and DALYs attributable to occupational risk factors.

Results: Globally from 1990 to 2019, ASDRs decreased (EAPC = -0.69; 95% CI: -0.76 to -0.61), and age-standardized DALY rates decreased (EAPC = -0.99; 95% CI: -1.05 to -0.94). In terms of the global age distribution of cancer attributable to occupational risk factors, the death rate and DALY rates increased with age. In addition, from 1990 to 2019, the number of deaths, DALYs, ASDRs, and age-standardized DALY rates in men were higher than those in women, and the cancer burden grew fastest in Georgia (EAPC = 5.04), Croatia (EAPC = 4.01), and Honduras (EAPC = 3.54). Moreover, as the sociodemographic index (SDI) value of a country or region increased, its burden of cancer attributable to occupational risk factors rapidly increased.

Conclusions: The global cancer burden attributable to occupational risk factors declined from 1990 to 2019, was higher in men than in women, and was concentrated in middle-aged and older adults. The baseline cancer burdens of regions or countries increased as their SDI values increased and were especially high in high-SDI regions or countries.

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1990 年至 2019 年全球、地区和国家因职业风险造成的癌症负担。

背景：根据全球疾病负担研究的数据，探讨了 1990 年至 2019 年期间职业风险导致的癌症负担：方法：通过年龄标准化死亡率（ASDRs）、年龄标准化残疾调整生命年（DALYs）率以及相应的估计年度百分比变化（EAPCs）对不同地区的估计负担进行了比较。比较风险评估（CRA）框架用于估算职业风险因素导致的死亡风险和残疾调整寿命年数：从 1990 年到 2019 年，全球 ASDR 下降（EAPC = -0.69，95% 置信区间（CIs）：-0.76 至 -0.61），年龄标准化 DALY 率下降（EAPC = -0.99，-1.05 至 -0.94）。从职业风险因素导致的癌症的全球年龄分布来看，死亡率和残疾调整寿命年率随着年龄的增长而增加。此外，从 1990 年到 2019 年，男性的死亡人数、残疾调整寿命年数、年龄标准化残疾调整寿命年数和年龄标准化残疾调整寿命年数率均高于女性，癌症负担增长最快的国家是格鲁吉亚（EAPC = 5.04）、克罗地亚（EAPC = 4.01）和洪都拉斯（EAPC = 3.54）。此外，随着一个国家或地区社会人口指数（SDI）值的增加，其职业风险因素导致的癌症负担也迅速增加：结论：从 1990 年到 2019 年，职业风险因素导致的全球癌症负担有所下降，男性癌症负担高于女性，且主要集中在中老年人身上。地区或国家的基线癌症负担随着其 SDI 值的增加而增加，SDI 值高的地区或国家的基线癌症负担尤其高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Occupational Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

3.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The scope of the journal is broad, covering toxicology, ergonomics, psychosocial factors and other relevant health issues of workers, with special emphasis on the current developments in occupational health. The JOH also accepts various methodologies that are relevant to investigation of occupational health risk factors and exposures, such as large-scale epidemiological studies, human studies employing biological techniques and fundamental experiments on animals, and also welcomes submissions concerning occupational health practices and related issues.