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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
Open accessAbstract
OBJECTIVES: This 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. METHODS: The 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. RESULTS: The 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. CONCLUSIONS: Workplace 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.
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American thoracic society statement: occupational contribution to the burden of airway disease
(2003) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.167.5.787 · Cited by 874
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Metadata
- Authors
- Collaborators, G. 2. O. C. R. R. F.
- Corresponding author
- GBD 2016 Occupational Chronic Respiratory Risk Factors Collaborators
- Venue
- Occupational and Environmental Medicine
- Publisher
- BMJ
- Published
- 2020-02-13
- Volume
- 77
- Issue
- 3
- Pages
- 142-150
- ISSN
- 0007-1072 (ISSN-L)
- 1351-0711
- 1470-7926
- PMC
- PMC7035690
- OpenAlex
- W3088201845
- Cited by
- 100
- References
- 1
- Citations by year
- 2026: 10 · 2025: 15 · 2024: 17 · 2023: 14 · 2022: 17 · 2021: 13 · 2020: 14
- FWCI
- 10.87
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Occupational and Environmental Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, cc-by)
- ePrints Soton (University of Southampton) (acceptedVersion, other-oa)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- Monash University Research Portal (Monash University) (submittedVersion, other-oa)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion, other-oa)
- Federal Open Science Repository of Canada / Le Dépôt fédéral de science ouverte du Canada (submittedVersion, cc-by)
- Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna) (submittedVersion, cc-by)
- Deakin Research Online (Deakin University) (submittedVersion)
- QUT ePrints (Queensland University of Technology) (submittedVersion, cc-by)
- Figshare (submittedVersion, cc-by)
- NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
- HighWire Press Open Archive (submittedVersion)
- Open Repository and Bibliography (University of Liège) (submittedVersion, other-oa)
- Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, other-oa)
- Spiral (Imperial College London) (submittedVersion, cc-by-nc-nd)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, cc-by)
- Funders
- Physical Activity and Nutrition (IPAN), Deakin University (Senior Research Fellowship)
- Bill and Melinda Gates Foundation
- Ministry of Education Science and Technological Development of the Republic of Serbia (OI 175 014)
- Public Health Agency of Canada
- Egyptian Fulbright Mission Program
- Office of Research & Innovation, Xiamen University Malaysia
- ISCIII-FEDER (PI17/00719)
- Generalitat Valenciana (PROMETEOII/2015/021)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational exposure and asthma
- Social Sciences › Health › Occupational Health and Global Justice
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Occupational and environmental lung diseases
- Keywords
- chronic respiratory disease, chronic obstructive pulmonary disease, asthma, passive smoking, particulate matter, population attributable fraction, disability-adjusted life years, regional variation, gender differences, age differences, Oceania, Asia, sub-Saharan Africa
- MeSH terms
- Global Burden of Disease, Adolescent, Adult, Aged, Aged, 80 and over, Asthma, Chronic Disease, Female, Disabled Persons, Persons with Disabilities, Humans, Life Expectancy, Male, Middle Aged, Occupational Diseases, Pneumoconiosis, Respiration Disorders, Risk Factors, Socioeconomic Factors, Global Health, Occupational Exposure, Age Distribution, Sex Distribution, Risk Assessment, Quality-Adjusted Life Years, Pulmonary Disease, Chronic Obstructive, Young Adult
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