The global burden of occupationally related low back pain: estimates from the Global Burden of Disease 2010 study
The global burden of occupationally related low back pain: estimates from the Global Burden of Disease 2010 study
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DOI：
10.1136/annrheumdis-2013-204631
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发表时间：
2014-06-01
影响因子：
27.4
通讯作者：
Punnett, L.
中科院分区：
文献类型：
--
作者：
Driscoll, T.;Jacklyn, G.;Punnett, L.
Objectives这项研究是2010年全球疾病负担研究的一部分，旨在量化由于职业暴露于人体工程学风险factors.Methods暴露患病率的基础上，从腰痛（LBP）所产生的负担，职业分布的相对风险的估计来自相关出版文献的荟萃分析。与工作有关的负担估计为残疾调整生命年。估计为21个世界地区和187个国家，分别为1990年和2010年使用一致的methods.Results全球范围内，LBP所产生的人体工程学暴露在工作中，估计造成2170万DALYS在2010年。总体人群归因分数为26%，随年龄、性别和地区而变化很大。62%的LBP患者为男性，其中年龄在35-55岁之间的人数最多。农业部门的相对风险最高（3.7）。东亚和南亚的失业人数最多，但按人均计算，大洋洲的失业人数最多。由于人口增长，1990年至2010年期间，由于职业暴露，整体LBP DALUES增加了22%;同期，LBP的发病率下降了14%。结论：工作中人体工程学暴露引起的LBP是残疾的重要原因。有必要改进关于接触分布和相对风险的信息，特别是在发展中国家。
Objectives The study was part of the Global Burden of Disease 2010 study and aimed to quantify the burden arising from low back pain (LBP) due to occupational exposure to ergonomic risk factors.Methods Exposure prevalence was based on occupation distribution; estimates of relative risk came from a meta-analysis of relevant published literature. The work-related burden was estimated as disability-adjusted life years (DALYs). Estimates were made for each of 21 world regions and 187 countries, separately for 1990 and 2010 using consistent methods.Results Worldwide, LBP arising from ergonomic exposures at work was estimated to cause 21.7 million DALYs in 2010. The overall population attributable fraction was 26%, varying considerably with age, sex and region. 62% of LBP DALYs were in males-the largest numbers were in persons aged 35-55 years. The highest relative risk (3.7) was in the agricultural sector. The largest number of DALYs occurred in East Asia and South Asia, but on a per capita basis the biggest burden was in Oceania. There was a 22% increase in overall LBP DALYs arising from occupational exposures between 1990 and 2010 due to population growth; rates dropped by 14% over the same period.Conclusions LBP arising from ergonomic exposures at work is an important cause of disability. There is a need for improved information on exposure distributions and relative risks, particularly in developing countries.