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To analyze the spatiotemporal trends of occupational noise-induced hearing loss (ONIHL) in the Chinese working population, predict its medium- and long-term disease burden, and provide scientific evidence for occupational disease prevention and control strategies.
Based on the Global Burden of Disease (GBD) 2021 database, data on Years Lived with Disability (YLDs) due to ONIHL in the Chinese working population between 1990 and 2021 were obtained. Joinpoint regression analysis was employed to assess temporal trends in disease burden, while an age-period-cohort (APC) model was developed to examine shifts in epidemiological patterns. Additionally, an Autoregressive Integrated Moving Average (ARIMA) model was applied to project the future burden of disease through 2040.
From 1990 to 2021, the average annual percentage change (AAPC) in the age-standardized rate of YLDs for ONIHL among the Chinese working population was 0.22%(95% CI: 0.19%-0.24%), with sex-specific rates of 0.15%(95% CI:0.13%-0.17%) in males and 0.33%(95% CI: 0.29%-0.37%) in females. In 2021, the age-standardized rate of YLDs was higher in males than in females, reaching a peak of 510.61 per 100 000 in individuals aged 60-64 years. According to the APC model, the YLDs rate increased with age and calendar period, and exhibited an initial increase followed by a decline across successive birth cohorts. Projections using the ARIMA model suggest that the overall age-standardized rate of YLDs is projected to increase to 166.66 per 100 000 by 2040.
From 1990 to 2021, the age-standardized rate of YLDs for ONIHL among the Chinese working population demonstrated a consistent upward trend, with males bearing a higher burden than females. The disease burden also escalated with increasing age. Over the next 19 years, the disease burden is expected to persist in rising, underscoring the urgent need to strengthen workplace noise control measures to mitigate the adverse health effects of occupational noise on the labor force.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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