Abstract
OBJECTIVE: To assess the years of life lost due to premature death and disability-adjusted life years (DALY) as a result of chronic noncommunicable diseases attributable to occupational hazard factors, and to compare their position according to the risk ranking for chronic noncommunicable diseases in 1990 and 2016. METHODS: Data for the DALY indicator, estimated from the Global Burden of Disease 2016 (GBD 2016) study, were analyzed for noncommunicable chronic diseases attributable to occupational, and other risk factors, selected in Brazil. A descriptive analysis was performed comparing the proportion of DALY by sex and age group (15 to 49 and 50 to 69 years old), as well as the ranking of occupational hazard factors in 1990 and 2016. RESULTS: In 2016, ergonomic risk factors, carcinogenic agents, and noise in the workplace were among the 25 largest contributors to DALY for chronic noncommunicable diseases affecting the age group between 15 and 49 years. The contribution of all occupational hazard factors increased in 2016, except for occupational aerodispersoids affecting men. Concerning the age group between 50 and 69, occupational carcinogens stand out, with an increase of 26.0% for men, and 17.1% for women in 2016. Risk factors evaluated according to their 1990 and 2016 ranking show that occupational hazards have all scored higher on the second evaluation (2016), especially when compared with other risks. CONCLUSIONS: The global burden of chronic noncommunicable diseases attributed to occupational hazard factors has become increasingly important. We suggest the strengthening of the approach of occupational hazard factors in the agendas for tackling these diseases in Brazil.
Highlights
Noncommunicable chronic diseases (NCD) cause 41 million deaths worldwide
The global burden of chronic noncommunicable diseases attributed to occupational hazard factors has become increasingly important
We suggest the strengthening of the approach of occupational hazard factors in the agendas for tackling these diseases in Brazil
Summary
Noncommunicable chronic diseases (NCD) cause 41 million deaths worldwide. 15 million people aged 30 to 69 die from cardiovascular disease, cancer, chronic respiratory disease, and diabetes. Poor/inadequate diet, physical inactivity, alcohol abuse, and smoking are behaviors that increase the risk of CNCD. These modifiable risk factors are addressed in Brazil by the Strategic Action Plan to Combat CNCDa, which is in line with the guidelines of the World Health Organization (WHO)[1]. Under the Brazilian Social Security (BSS), in 2016, musculoskeletal diseases were the main cause of leave from work, which justified 407,000 sick leaves, followed by digestive tract diseases (279,000), mental illness (185,000), neoplasms (165,000), and diseases of the circulatory system (159,000)b
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