Global and regional burden of chronic respiratory disease in 2016 arising from non-infectious airborne occupational exposures: a systematic analysis for the Global Burden of Disease Study 2016

ObjectivesThis paper presents detailed analysis of the global and regional burden of chronic respiratory disease arising from occupational airborne exposures, as estimated in the Global Burden of Disease 2016 study.MethodsThe burden of chronic obstructive pulmonary disease (COPD) due to occupational...

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Veröffentlicht in:Occupational and environmental medicine (London, England) England), 2020-03, Vol.77 (3), p.142-150
Hauptverfasser: GBD 2016 Occupational Chronic Respiratory Risk Factors Collaborators, GBD 2016 occupational chronic respiratory risk factors collaborators, Khosravi, Mohammadhossein
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creator GBD 2016 Occupational Chronic Respiratory Risk Factors Collaborators
GBD 2016 occupational chronic respiratory risk factors collaborators
Khosravi, Mohammadhossein
description ObjectivesThis paper presents detailed analysis of the global and regional burden of chronic respiratory disease arising from occupational airborne exposures, as estimated in the Global Burden of Disease 2016 study.MethodsThe burden of chronic obstructive pulmonary disease (COPD) due to occupational exposure to particulate matter, gases and fumes, and secondhand smoke, and the burden of asthma resulting from occupational exposure to asthmagens, was estimated using the population attributable fraction (PAF), calculated using exposure prevalence and relative risks from the literature. PAFs were applied to the number of deaths and disability-adjusted life years (DALYs) for COPD and asthma. Pneumoconioses were estimated directly from cause of death data. Age-standardised rates were based only on persons aged 15 years and above.ResultsThe estimated PAFs (based on DALYs) were 17% (95% uncertainty interval (UI) 14%–20%) for COPD and 10% (95% UI 9%–11%) for asthma. There were estimated to be 519 000 (95% UI 441,000–609,000) deaths from chronic respiratory disease in 2016 due to occupational airborne risk factors (COPD: 460,100 [95% UI 382,000–551,000]; asthma: 37,600 [95% UI 28,400–47,900]; pneumoconioses: 21,500 [95% UI 17,900–25,400]. The equivalent overall burden estimate was 13.6 million (95% UI 11.9–15.5 million); DALYs (COPD: 10.7 [95% UI 9.0–12.5] million; asthma: 2.3 [95% UI 1.9–2.9] million; pneumoconioses: 0.58 [95% UI 0.46–0.67] million). Rates were highest in males; older persons and mainly in Oceania, Asia and sub-Saharan Africa; and decreased from 1990 to 2016.ConclusionsWorkplace exposures resulting in COPD, asthma and pneumoconiosis continue to be important contributors to the burden of disease in all regions of the world. This should be reducible through improved prevention and control of relevant exposures.
doi_str_mv 10.1136/oemed-2019-106013
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PAFs were applied to the number of deaths and disability-adjusted life years (DALYs) for COPD and asthma. Pneumoconioses were estimated directly from cause of death data. Age-standardised rates were based only on persons aged 15 years and above.ResultsThe estimated PAFs (based on DALYs) were 17% (95% uncertainty interval (UI) 14%–20%) for COPD and 10% (95% UI 9%–11%) for asthma. There were estimated to be 519 000 (95% UI 441,000–609,000) deaths from chronic respiratory disease in 2016 due to occupational airborne risk factors (COPD: 460,100 [95% UI 382,000–551,000]; asthma: 37,600 [95% UI 28,400–47,900]; pneumoconioses: 21,500 [95% UI 17,900–25,400]. The equivalent overall burden estimate was 13.6 million (95% UI 11.9–15.5 million); DALYs (COPD: 10.7 [95% UI 9.0–12.5] million; asthma: 2.3 [95% UI 1.9–2.9] million; pneumoconioses: 0.58 [95% UI 0.46–0.67] million). Rates were highest in males; older persons and mainly in Oceania, Asia and sub-Saharan Africa; and decreased from 1990 to 2016.ConclusionsWorkplace exposures resulting in COPD, asthma and pneumoconiosis continue to be important contributors to the burden of disease in all regions of the world. This should be reducible through improved prevention and control of relevant exposures.</description><identifier>ISSN: 1351-0711</identifier><identifier>ISSN: 1470-7926</identifier><identifier>EISSN: 1470-7926</identifier><identifier>DOI: 10.1136/oemed-2019-106013</identifier><identifier>PMID: 32054818</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject><![CDATA[Adolescent ; Adult ; Age ; Age Distribution ; Aged ; Aged, 80 and over ; Asthma ; Asthma - epidemiology ; Carcinogens ; Chronic Disease ; Chronic obstructive pulmonary disease ; COPD ; Disabled Persons ; Disabled Persons - statistics & numerical data ; Disease ; Estimates ; Exposure ; Fatalities ; Female ; Fumes ; Gases ; Global Burden of Disease ; Global Burden of Disease - statistics & numerical data ; Global Burden of Disease - trends ; Global Health ; Global Health - statistics & numerical data ; Global Health - trends ; High income ; Human health sciences ; Humans ; Life Expectancy ; Lung diseases ; Male ; Middle Aged ; Obstructive lung disease ; occupational asthma ; Occupational Diseases ; Occupational Diseases - epidemiology ; Occupational exposure ; Occupational Exposure - adverse effects ; Occupational Exposure - statistics & numerical data ; Occupational health ; Occupations ; Older people ; Particulate matter ; Passive smoking ; Pneumoconiosis ; Pneumoconiosis - epidemiology ; Public Health, Environmental and Occupational Health ; Public health, health care sciences & services ; Pulmonary Disease, Chronic Obstructive ; Pulmonary Disease, Chronic Obstructive - epidemiology ; Quality-Adjusted Life Years ; Respiration Disorders ; Respiration Disorders - epidemiology ; Respiratory diseases ; Risk analysis ; Risk Assessment ; Risk Factors ; Santé publique, services médicaux & soins de santé ; Sciences de la santé humaine ; Sex Distribution ; Silicosis ; Socioeconomic Factors ; work ; Workplace ; Young Adult]]></subject><ispartof>Occupational and environmental medicine (London, England), 2020-03, Vol.77 (3), p.142-150</ispartof><rights>Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.</rights><rights>2020 Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b508t-5316d9266dcdbfb54552912259d994f0fbe0360ac0eed334e541d606dbae3b3a3</citedby><cites>FETCH-LOGICAL-b508t-5316d9266dcdbfb54552912259d994f0fbe0360ac0eed334e541d606dbae3b3a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32054818$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>GBD 2016 Occupational Chronic Respiratory Risk Factors Collaborators</creatorcontrib><creatorcontrib>GBD 2016 occupational chronic respiratory risk factors collaborators</creatorcontrib><creatorcontrib>Khosravi, Mohammadhossein</creatorcontrib><creatorcontrib>GBD 2016 Occupational Chronic Respiratory Risk Factors Collaborators</creatorcontrib><creatorcontrib>GBD 2016 Occupational Chronic Respiratory Risk Factors Collaborators</creatorcontrib><title>Global and regional burden of chronic respiratory disease in 2016 arising from non-infectious airborne occupational exposures: a systematic analysis for the Global Burden of Disease Study 2016</title><title>Occupational and environmental medicine (London, England)</title><addtitle>Occup Environ Med</addtitle><description>ObjectivesThis paper presents detailed analysis of the global and regional burden of chronic respiratory disease arising from occupational airborne exposures, as estimated in the Global Burden of Disease 2016 study.MethodsThe burden of chronic obstructive pulmonary disease (COPD) due to occupational exposure to particulate matter, gases and fumes, and secondhand smoke, and the burden of asthma resulting from occupational exposure to asthmagens, was estimated using the population attributable fraction (PAF), calculated using exposure prevalence and relative risks from the literature. PAFs were applied to the number of deaths and disability-adjusted life years (DALYs) for COPD and asthma. Pneumoconioses were estimated directly from cause of death data. Age-standardised rates were based only on persons aged 15 years and above.ResultsThe estimated PAFs (based on DALYs) were 17% (95% uncertainty interval (UI) 14%–20%) for COPD and 10% (95% UI 9%–11%) for asthma. There were estimated to be 519 000 (95% UI 441,000–609,000) deaths from chronic respiratory disease in 2016 due to occupational airborne risk factors (COPD: 460,100 [95% UI 382,000–551,000]; asthma: 37,600 [95% UI 28,400–47,900]; pneumoconioses: 21,500 [95% UI 17,900–25,400]. The equivalent overall burden estimate was 13.6 million (95% UI 11.9–15.5 million); DALYs (COPD: 10.7 [95% UI 9.0–12.5] million; asthma: 2.3 [95% UI 1.9–2.9] million; pneumoconioses: 0.58 [95% UI 0.46–0.67] million). Rates were highest in males; older persons and mainly in Oceania, Asia and sub-Saharan Africa; and decreased from 1990 to 2016.ConclusionsWorkplace exposures resulting in COPD, asthma and pneumoconiosis continue to be important contributors to the burden of disease in all regions of the world. This should be reducible through improved prevention and control of relevant exposures.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Asthma</subject><subject>Asthma - epidemiology</subject><subject>Carcinogens</subject><subject>Chronic Disease</subject><subject>Chronic obstructive pulmonary disease</subject><subject>COPD</subject><subject>Disabled Persons</subject><subject>Disabled Persons - statistics &amp; numerical data</subject><subject>Disease</subject><subject>Estimates</subject><subject>Exposure</subject><subject>Fatalities</subject><subject>Female</subject><subject>Fumes</subject><subject>Gases</subject><subject>Global Burden of Disease</subject><subject>Global Burden of Disease - statistics &amp; numerical data</subject><subject>Global Burden of Disease - trends</subject><subject>Global Health</subject><subject>Global Health - statistics &amp; numerical data</subject><subject>Global Health - trends</subject><subject>High income</subject><subject>Human health sciences</subject><subject>Humans</subject><subject>Life Expectancy</subject><subject>Lung diseases</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Obstructive lung disease</subject><subject>occupational asthma</subject><subject>Occupational Diseases</subject><subject>Occupational Diseases - epidemiology</subject><subject>Occupational exposure</subject><subject>Occupational Exposure - adverse effects</subject><subject>Occupational Exposure - statistics &amp; numerical data</subject><subject>Occupational health</subject><subject>Occupations</subject><subject>Older people</subject><subject>Particulate matter</subject><subject>Passive smoking</subject><subject>Pneumoconiosis</subject><subject>Pneumoconiosis - epidemiology</subject><subject>Public Health, Environmental and Occupational Health</subject><subject>Public health, health care sciences &amp; 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GBD 2016 occupational chronic respiratory risk factors collaborators ; Khosravi, Mohammadhossein</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b508t-5316d9266dcdbfb54552912259d994f0fbe0360ac0eed334e541d606dbae3b3a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Asthma</topic><topic>Asthma - epidemiology</topic><topic>Carcinogens</topic><topic>Chronic Disease</topic><topic>Chronic obstructive pulmonary disease</topic><topic>COPD</topic><topic>Disabled Persons</topic><topic>Disabled Persons - statistics &amp; numerical data</topic><topic>Disease</topic><topic>Estimates</topic><topic>Exposure</topic><topic>Fatalities</topic><topic>Female</topic><topic>Fumes</topic><topic>Gases</topic><topic>Global Burden of Disease</topic><topic>Global Burden of Disease - statistics &amp; numerical data</topic><topic>Global Burden of Disease - trends</topic><topic>Global Health</topic><topic>Global Health - statistics &amp; numerical data</topic><topic>Global Health - trends</topic><topic>High income</topic><topic>Human health sciences</topic><topic>Humans</topic><topic>Life Expectancy</topic><topic>Lung diseases</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Obstructive lung disease</topic><topic>occupational asthma</topic><topic>Occupational Diseases</topic><topic>Occupational Diseases - epidemiology</topic><topic>Occupational exposure</topic><topic>Occupational Exposure - adverse effects</topic><topic>Occupational Exposure - statistics &amp; numerical data</topic><topic>Occupational health</topic><topic>Occupations</topic><topic>Older people</topic><topic>Particulate matter</topic><topic>Passive smoking</topic><topic>Pneumoconiosis</topic><topic>Pneumoconiosis - epidemiology</topic><topic>Public Health, Environmental and Occupational Health</topic><topic>Public health, health care sciences &amp; services</topic><topic>Pulmonary Disease, Chronic Obstructive</topic><topic>Pulmonary Disease, Chronic Obstructive - epidemiology</topic><topic>Quality-Adjusted Life Years</topic><topic>Respiration Disorders</topic><topic>Respiration Disorders - epidemiology</topic><topic>Respiratory diseases</topic><topic>Risk analysis</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Santé publique, services médicaux &amp; soins de santé</topic><topic>Sciences de la santé humaine</topic><topic>Sex Distribution</topic><topic>Silicosis</topic><topic>Socioeconomic Factors</topic><topic>work</topic><topic>Workplace</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>GBD 2016 Occupational Chronic Respiratory Risk Factors Collaborators</creatorcontrib><creatorcontrib>GBD 2016 occupational chronic respiratory risk factors collaborators</creatorcontrib><creatorcontrib>Khosravi, Mohammadhossein</creatorcontrib><creatorcontrib>GBD 2016 Occupational Chronic Respiratory Risk Factors Collaborators</creatorcontrib><creatorcontrib>GBD 2016 Occupational Chronic Respiratory Risk Factors Collaborators</creatorcontrib><collection>BMJ Open Access Journals</collection><collection>BMJ Journals:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; 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Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>ProQuest Engineering Collection</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Engineering Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Environmental Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>MEDLINE - Academic</collection><collection>Université de Liège - Open Repository and Bibliography (ORBI)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Occupational and environmental medicine (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>GBD 2016 Occupational Chronic Respiratory Risk Factors Collaborators</au><au>GBD 2016 occupational chronic respiratory risk factors collaborators</au><au>Khosravi, Mohammadhossein</au><aucorp>GBD 2016 Occupational Chronic Respiratory Risk Factors Collaborators</aucorp><aucorp>GBD 2016 Occupational Chronic Respiratory Risk Factors Collaborators</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Global and regional burden of chronic respiratory disease in 2016 arising from non-infectious airborne occupational exposures: a systematic analysis for the Global Burden of Disease Study 2016</atitle><jtitle>Occupational and environmental medicine (London, England)</jtitle><addtitle>Occup Environ Med</addtitle><date>2020-03-01</date><risdate>2020</risdate><volume>77</volume><issue>3</issue><spage>142</spage><epage>150</epage><pages>142-150</pages><issn>1351-0711</issn><issn>1470-7926</issn><eissn>1470-7926</eissn><abstract>ObjectivesThis paper presents detailed analysis of the global and regional burden of chronic respiratory disease arising from occupational airborne exposures, as estimated in the Global Burden of Disease 2016 study.MethodsThe burden of chronic obstructive pulmonary disease (COPD) due to occupational exposure to particulate matter, gases and fumes, and secondhand smoke, and the burden of asthma resulting from occupational exposure to asthmagens, was estimated using the population attributable fraction (PAF), calculated using exposure prevalence and relative risks from the literature. PAFs were applied to the number of deaths and disability-adjusted life years (DALYs) for COPD and asthma. Pneumoconioses were estimated directly from cause of death data. Age-standardised rates were based only on persons aged 15 years and above.ResultsThe estimated PAFs (based on DALYs) were 17% (95% uncertainty interval (UI) 14%–20%) for COPD and 10% (95% UI 9%–11%) for asthma. There were estimated to be 519 000 (95% UI 441,000–609,000) deaths from chronic respiratory disease in 2016 due to occupational airborne risk factors (COPD: 460,100 [95% UI 382,000–551,000]; asthma: 37,600 [95% UI 28,400–47,900]; pneumoconioses: 21,500 [95% UI 17,900–25,400]. The equivalent overall burden estimate was 13.6 million (95% UI 11.9–15.5 million); DALYs (COPD: 10.7 [95% UI 9.0–12.5] million; asthma: 2.3 [95% UI 1.9–2.9] million; pneumoconioses: 0.58 [95% UI 0.46–0.67] million). Rates were highest in males; older persons and mainly in Oceania, Asia and sub-Saharan Africa; and decreased from 1990 to 2016.ConclusionsWorkplace exposures resulting in COPD, asthma and pneumoconiosis continue to be important contributors to the burden of disease in all regions of the world. This should be reducible through improved prevention and control of relevant exposures.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>32054818</pmid><doi>10.1136/oemed-2019-106013</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; JSTOR Archive Collection A-Z Listing
subjects Adolescent
Adult
Age
Age Distribution
Aged
Aged, 80 and over
Asthma
Asthma - epidemiology
Carcinogens
Chronic Disease
Chronic obstructive pulmonary disease
COPD
Disabled Persons
Disabled Persons - statistics & numerical data
Disease
Estimates
Exposure
Fatalities
Female
Fumes
Gases
Global Burden of Disease
Global Burden of Disease - statistics & numerical data
Global Burden of Disease - trends
Global Health
Global Health - statistics & numerical data
Global Health - trends
High income
Human health sciences
Humans
Life Expectancy
Lung diseases
Male
Middle Aged
Obstructive lung disease
occupational asthma
Occupational Diseases
Occupational Diseases - epidemiology
Occupational exposure
Occupational Exposure - adverse effects
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Pulmonary Disease, Chronic Obstructive
Pulmonary Disease, Chronic Obstructive - epidemiology
Quality-Adjusted Life Years
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Respiration Disorders - epidemiology
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Santé publique, services médicaux & soins de santé
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work
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title Global and regional burden of chronic respiratory disease in 2016 arising from non-infectious airborne occupational exposures: a systematic analysis for the Global Burden of Disease Study 2016
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