Global and regional burden of disease and injury in 2016 arising from occupational exposures: a systematic analysis for the Global Burden of Disease Study 2016
Copyright policy )Global and regional burden of disease and injury in 2016 arising from occupational exposures: a systematic analysis for the Global Burden of Disease Study 2016
ObjectivesThis study provides an overview of the influence of occupational risk factors on the global burden of disease as estimated by the occupational component of the Global Burden of Disease (GBD) 2016 study.MethodsThe GBD 2016 study estimated the burden in terms of deaths and disability-adjusted life years (DALYs) arising from the effects of occupational risk factors (carcinogens; asthmagens; particulate matter, gases and fumes (PMGF); secondhand smoke (SHS); noise; ergonomic risk factors for low back pain; risk factors for injury). A population attributable fraction (PAF) approach was used for most risk factors.ResultsIn 2016, globally, an estimated 1.53 (95% uncertainty interval 1.39–1.68) million deaths and 76.1 (66.3–86.3) million DALYs were attributable to the included occupational risk factors, accounting for 2.8% of deaths and 3.2% of DALYs from all causes. Most deaths were attributable to PMGF, carcinogens (particularly asbestos), injury risk factors and SHS. Most DALYs were attributable to injury risk factors and ergonomic exposures. Men and persons 55 years or older were most affected. PAFs ranged from 26.8% for low back pain from ergonomic risk factors and 19.6% for hearing loss from noise to 3.4% for carcinogens. DALYs per capita were highest in Oceania, Southeast Asia and Central sub-Saharan Africa. On a per capita basis, between 1990 and 2016 there was an overall decrease of about 31% in deaths and 25% in DALYs.ConclusionsOccupational exposures continue to cause an important health burden worldwide, justifying the need for ongoing prevention and control initiatives.
- University of Helsinki Finland
- Wrocław Medical University Poland
- University of Technology Sydney Australia
- Imperial College London United Kingdom
- University of Liège Belgium
Male, Persons with Disabilities, 1599 Other Commerce, Global Health, ergonomic, Global Burden of Disease, Ergonomic, GBD 2016 Occupational Risk Factors Collaborators, 1599 Other Commerce, Management, Tourism and Services, Risk Factors, Neoplasms, 80 and over, METABOLIC RISKS, Human health sciences, Workplace, Public, Environmental & Occupational Health, Cancer, Aged, 80 and over, Public, Middle Aged, Management, Occupational Diseases, COMPARATIVE RISK-ASSESSMENT, Female, Quality-Adjusted Life Years, Life Sciences & Biomedicine, COUNTRIES, Adult, noise, Adolescent, Public health, health care sciences & services, 610, cancer; ergonomic; noise; respiratory tract diseases; workplace, Global Burden of Disease/statistics & numerical data, Sciences de la santé humaine, Risk Assessment, Santé publique, services médicaux & soins de santé, Environmental & Occupational Health, 1117 Public Health and Health Services, Young Adult, Age Distribution, Life Expectancy, Disabled Persons/statistics & numerical data, Occupational Exposure, XXXXXX - Unknown, cancer, Humans, Disabled Persons, Tourism and Services, Sex Distribution, Aged, Global Burden of Disease/trends, Global Health/trends, Respiratory tract diseases, Science & Technology, Occupational Exposure/adverse effects, 1103 Clinical Sciences, TRENDS, Wounds and Injuries/epidemiology, respiratory tract diseases, Global Health/statistics & numerical data, Occupational Diseases/epidemiology, workplace, Socioeconomic Factors, Low Back Pain/epidemiology, Wounds and Injuries, Occupational Exposure/statistics & numerical data, CLUSTERS, Noise, Neoplasms/epidemiology, Low Back Pain
Male, Persons with Disabilities, 1599 Other Commerce, Global Health, ergonomic, Global Burden of Disease, Ergonomic, GBD 2016 Occupational Risk Factors Collaborators, 1599 Other Commerce, Management, Tourism and Services, Risk Factors, Neoplasms, 80 and over, METABOLIC RISKS, Human health sciences, Workplace, Public, Environmental & Occupational Health, Cancer, Aged, 80 and over, Public, Middle Aged, Management, Occupational Diseases, COMPARATIVE RISK-ASSESSMENT, Female, Quality-Adjusted Life Years, Life Sciences & Biomedicine, COUNTRIES, Adult, noise, Adolescent, Public health, health care sciences & services, 610, cancer; ergonomic; noise; respiratory tract diseases; workplace, Global Burden of Disease/statistics & numerical data, Sciences de la santé humaine, Risk Assessment, Santé publique, services médicaux & soins de santé, Environmental & Occupational Health, 1117 Public Health and Health Services, Young Adult, Age Distribution, Life Expectancy, Disabled Persons/statistics & numerical data, Occupational Exposure, XXXXXX - Unknown, cancer, Humans, Disabled Persons, Tourism and Services, Sex Distribution, Aged, Global Burden of Disease/trends, Global Health/trends, Respiratory tract diseases, Science & Technology, Occupational Exposure/adverse effects, 1103 Clinical Sciences, TRENDS, Wounds and Injuries/epidemiology, respiratory tract diseases, Global Health/statistics & numerical data, Occupational Diseases/epidemiology, workplace, Socioeconomic Factors, Low Back Pain/epidemiology, Wounds and Injuries, Occupational Exposure/statistics & numerical data, CLUSTERS, Noise, Neoplasms/epidemiology, Low Back Pain
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