[The epidemiological characteristics of silicosis cases in Tianjin from 2001 to 2015]

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2019 May 20;37(5):366-369. doi: 10.3760/cma.j.issn.1001-9391.2019.05.010.
[Article in Chinese]

Abstract

Objective: To provide scientific evidence for the prevention and control measures of silicosis by analyzing the epidemiological characteristics of silicosis cases reported in Tianjin city during 2001-2015. Methods: The database of silicosis cases reported in Tianjin from 2001 to 2015 was established and analyzed by SPSS 24.0 software. Results: 2 213 cases of silicosis were reported during 2001~2015 in Tianjin, 2015 of them were new cases, and fewer reports of promoting stage cases and death cases, which were129 and 69 cases. The new cases were increasing by years, mainly stage I silicosis accounting for 99.2%, the years of dust exposure were concentrated from 1970 to 1989, accounting for 69.58%. From 2001 to 2015, the median length of service at the onset of silicosis was 19.30 years, the age of the onset of silicosis is decreasing. The median of onset age in new cases of silicosis was 53.28 years, and increased year by year. There were significant differences in indirect dust working age and diagnostic age in different reporting years. Most cases were distributed in non-mental mineral product industry, and ferrous metal smelting and rolling processing industry. The work types of these cases are various. Conclusion: The increasing incidence of silicosis and the shortening of dust-exposed working years suggest that the form of silicosis hazards is still severe in Tianjin. According to the epidemic characteristics of silicosis, we should strengthen the supervision and management of key industries and special investigation, carry out silicosis census and silicosis screening of dust-removal workers, and take pertinent measures to prevent and control the occurrence of silicosis.

目的: 分析天津市2001至2015年矽肺报告病例的流行病学特征,为制定矽肺防控策略提供科学依据。 方法: 收集2001年至2015年天津市各职业病诊断机构报告的矽肺病例资料,按照GB/T 4754-2017《国民经济行业分类》([4])对行业进行分类,形成分析数据库进行统计学分析。用SPSS 24.0软件进行统计分析,对2001至2015年矽肺新发病例基于诊断年统计进行描述性分析。不符合正态分布的计量资料用中位数和百分位数[M(P(0)~P(100))]描述,计数资料用构成比(%)表示,性别、行业等分布的差异用χ(2)检验,用曲线估计法对发病例数、发病年龄和发病工龄进行线性趋势检验;多组组间比较采用Kruskal-Wallis H检验,组间两两比较用中位数检验;检验水准α=0.05。 结果: 2001至2015年天津市共报告矽肺病例2 213例,其中,新发病例2 015例(91.05%),晋期病例129例;矽肺新发病例数呈逐年上升趋势,开始接尘年份集中在1970至1989年。矽肺新发病例的接尘工龄中位数为19.30年,呈逐年下降趋势;诊断年龄中位数为53.28岁,呈逐年上升趋势,不同报告年间接尘工龄中位数和诊断年龄中位数差异均有统计学意义(P<0.05);矽肺新发病例的主要集中在非金属制品业、黑色金属冶炼和压延加工业等,工种呈现多样化。 结论: 天津市矽肺发病呈现例数增长和接尘工龄缩短的趋势,矽肺危害形式依然严峻,应根据矽肺的流行特征,加强重点行业的监督管理与专项调查,开展矽肺普查和脱尘工人矽肺筛查。.

Keywords: Epidemiology; Silicosis.

MeSH terms

  • China / epidemiology
  • Dust
  • Humans
  • Incidence
  • Industry
  • Manufacturing Industry
  • Occupational Exposure*
  • Silicosis* / epidemiology

Substances

  • Dust