Trends in occupational diseases in the Italian agricultural sector, 2004-2017.
Agriculture
epidemiology
occupational diseases
Journal
Occupational and environmental medicine
ISSN: 1470-7926
Titre abrégé: Occup Environ Med
Pays: England
ID NLM: 9422759
Informations de publication
Date de publication:
05 2020
05 2020
Historique:
received:
22
08
2019
revised:
06
01
2020
accepted:
14
01
2020
pubmed:
31
1
2020
medline:
25
6
2020
entrez:
31
1
2020
Statut:
ppublish
Résumé
To estimate the incidence of, trends in and effect of change in reporting rules on occupational diseases (ODs) in the Italian agricultural sector. Over 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. In 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). In 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.
Identifiants
pubmed: 31996472
pii: oemed-2019-106168
doi: 10.1136/oemed-2019-106168
pmc: PMC7231438
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
340-343Informations de copyright
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Int J Technol Assess Health Care. 2003 Fall;19(4):613-23
pubmed: 15095767
Med Lav. 2006 Mar-Apr;97(2):420-9
pubmed: 17017380
Work. 2018;61(3):413-420
pubmed: 30373985
Occup Environ Med. 2015 Apr;72(4):294-303
pubmed: 25575531
Am J Ind Med. 2012 Feb;55(2):143-58
pubmed: 22069159
Appl Ergon. 2020 Feb;83:102796
pubmed: 30611466
Eur J Pain. 2014 Jul;18(6):873-82
pubmed: 24375895
Eur J Gen Pract. 2014 Sep;20(3):240-1
pubmed: 25145912