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Survival and Disease Burden Analysis of Occupational Pneumoconiosis From 1956 to 2021 in Jiangsu Province

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Our results suggest that age of onset, first diagnosis at stage II or III, and stage II upgrade to stage III were discovered as risk factors for the pneumoconiosis patients’… Click to show full abstract

Our results suggest that age of onset, first diagnosis at stage II or III, and stage II upgrade to stage III were discovered as risk factors for the pneumoconiosis patients’ survival. Furthermore, the overall survival for silicosis and CWP were the lowest, which should pay extra attention in Jiangsu Province. Objectives The aims of the study are to investigate the survival status and its influencing factors of pneumoconiosis patients and to analyze the disease burden and its trend in Jiangsu Province. Methods We used the life table and Cox model to analyze the survival status. The disease burden and its temporal trend were examined using the disability-adjusted life years (DALY). Results The average survival time was 16.22 ± 10.11 years. First diagnosis age, first diagnosis stage, and upgrade of stages were crucial risk factors for the survival. The cumulative DALY was 154,500.83 person-years. The DALY attributed to silicosis, coal worker pneumoconiosis, and welder’s pneumoconiosis were 99,806.72 (64.60%), 35,483.21 (22.97%), and 37,85.83 (2.45%) person-years, respectively. Conclusions Although the disease burden of pneumoconiosis is decreasing because of the implementation of relevant health policies and improved medical standards, the prevention and control of pneumoconiosis still need greater attention.

Keywords: jiangsu province; pneumoconiosis; disease burden

Journal Title: Journal of Occupational and Environmental Medicine
Year Published: 2023

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