Trends in occupational diseases in the Italian agricultural sector, 2004–2017
| Autor: | Chiara Marsili, Claudio Colosio, Henk F. van der Molen, Andrea Vitali |
|---|---|
| Přispěvatelé: | Coronel Institute of Occupational Health, APH - Quality of Care, APH - Societal Participation & Health |
| Rok vydání: | 2020 |
| Předmět: |
INCREASED EFFECT
Disease Rate ratio Annual incidence 03 medical and health sciences symbols.namesake 0302 clinical medicine Environmental health Humans Medicine Prospective Studies 030212 general & internal medicine Poisson regression Workplace business.industry Incidence Incidence (epidemiology) Public Health Environmental and Occupational Health Agriculture 030210 environmental & occupational health Occupational Diseases Italy Clinical diagnosis Chronic Disease symbols epidemiology business |
| Zdroj: | Occupational and Environmental Medicine Occupational and environmental medicine, 77(5):106168, 340-343. BMJ Publishing Group |
| ISSN: | 1470-7926 1351-0711 |
| DOI: | 10.1136/oemed-2019-106168 |
| Popis: | ObjectiveTo estimate the incidence of, trends in and effect of change in reporting rules on occupational diseases (ODs) in the Italian agricultural sector.MethodsOver a 14-year period (2004–2017), ODs among Italian agricultural workers were diagnosed by physicians and reported to the National Institute for Insurance against Workplace Accidents and Occupational Diseases. OD was defined as a disease with a specific clinical diagnosis (International Classification of Diseases) and was predominantly caused by work-related factors. Trends in incidence and effects of changed eligibility criteria for reporting occupational musculoskeletal disorders (MSDs) and noise-induced hearing loss (NIHL) were estimated using a Poisson regression model.ResultsIn 2017, the incidence of all ODs was 1295 per 100 000 agricultural workers. MSDs (961 per 100 000 workers) were the most frequently occurring ODs. MSDs and NIHL showed statistically significant increasing time trends, 26% and 7% annual increase, respectively, during the 2004–2017 period. There was no statistically significant change in the incidence of occupational respiratory, skin and cancer diseases during the 14-year period. After changes in reporting rules, the incidence of MSDs showed an immediate increased effect, with an incidence rate ratio (IRR) of 2.9 (95% CI 2.65 to 3.14) and a significant annual decreasing trend of −9% (95% CI −6% to −12%) over the years after the changed reporting rules (from 2008 to 2017), and an immediate effect on NIHL with an IRR of 1.3 (95% CI 1.13 to 1.53).ConclusionIn total, 1.3% of the Italian agricultural workers were diagnosed in 2017 as having an OD. Over a 14-year period, the annual incidence of ODs showed a considerable increasing trend consistent with changed eligibility reporting criteria for occupational MSDs and to a lesser extent for NIHL. |
| Databáze: | OpenAIRE |
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