Aug 2026· Journal of Occupational and Environmental Medicine· 0 citations
Medicine
TL;DR
Although China has substantially reduced occupational disease burden, chronic conditions and vulnerable populations require greater attention through targeted strategies through targeted strategies.
Abstract
Objective
To evaluate the temporal trends and future burden of six occupational risk factors in China from 1990 to 2035.
Methods
Data were obtained from the Global Burden of Disease Study 2021. Age-standardized rates, age-period-cohort analysis, and Bayesian age-period-cohort models were used to assess trends and project disease burden.
Results
In 2021, six occupational risk factors accounted for 17.90 million disability-adjusted life years in China. The age-standardized rate declined by 58.8%, from 2,362.18 in 1990 to 974.00 per 100,000 population in 2021. Chronic obstructive pulmonary disease, low back pain, and age-related and other hearing loss accounted for 59.5% of the burden. Age-standardized rates attributable to occupational asthmagens and carcinogens were projected to increase through 2035, particularly among women.
Conclusions
Although China has substantially reduced occupational disease burden, chronic conditions and vulnerable populations require greater attention through targeted strategies.
From 1990 to 2021, China experienced faster declines in standardized smoking burden than the global average, yet its absolute burden and global share increased substantially, suggesting sustained, targeted tobacco control-especially among older males and for cancer prevention-is urgently needed.
Although age-standardised rates of occupational asthma have improved, the overall burden remains substantial, largely due to population growth and ageing, which continue to place considerable pressure on occupational health systems.
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BACKGROUND
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METHODS
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