我国膳食无机砷致癌症及心血管疾病的疾病模型构建
作者:
作者单位:

1.华中科技大学同济医学院公共卫生学院流行病与卫生统计学系,湖北 武汉 430030;2.武汉大学中南医院循证与转化医学中心,湖北 武汉 430071;3.国家食品安全风险评估中心卫生部食品安全 风险评估重点实验室,北京 100022

作者简介:

李依玲 女 在读研究生 研究方向为食品安全风险评估 E-mail:1324061340@qq.com

通讯作者:

魏晟 男 教授 研究方向为食品安全风险评估 E-mail:shengwei@hust.edu.cn

中图分类号:

R155

基金项目:

国家重点研究发展计划(2018YFC1603105)


Construction of disease models for cancer and cardiovascular disease induced by dietary inorganic arsenic in China
Author:
Affiliation:

1.Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Hubei Wuhan 430030, China;2.Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Hubei Wuhan 430071, China;3.Key Laboratory of Food Safety Risk Assessment, Ministry of Health, National Food Safety Risk Assessment Center, Beijing 100022, China

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    摘要:

    目的 构建我国膳食无机砷致癌症及心血管疾病的疾病模型。方法 首先确立膳食无机砷导致的不同健康危害终点。根据我国人群相关疾病的流行病学数据,分别采用风险评估法和反事实分析法计算膳食无机砷暴露致癌症及心血管疾病的归因发病率、死亡率,结合疾病的伤残权重及病程等特点,构建膳食无机砷暴露致癌症及心血管疾病的疾病模型。结果 人群终身持续经膳食暴露于1.41 μg/(kg?d)无机砷时,引起皮肤癌、膀胱癌和肺癌的发病率分别为0.135%、0.010%以及0.034%,死亡率分别为0.015%、0.004%以及0.138%。人群终身持续经膳食暴露于1 μg/(kg?d)无机砷时,引起的心血管疾病发病率及死亡率分别为0.082%、0.025%。结论 疾病模型可用于计算食品污染物导致的疾病负担,对食品污染物的健康危害进行量化。

    Abstract:

    Objective To construct disease models of dietary inorganic arsenic-induced cancer and cardiovascular disease in China.Methods The different health hazard endpoints due to dietary inorganic arsenic should be identified. Based on the epidemiological data of related diseases in the Chinese population, the risk assessment method and counterfactual analysis method were used to calculate the attributable morbidity and mortality of cancer and cardiovascular disease caused by dietary inorganic arsenic exposure. Combined with disability weight and disease course characteristics, a disease model of cancer and cardiovascular disease caused by dietary inorganic arsenic exposure was established.Results Lifetime persistent dietary exposure to 1.41 μg/(kg?d) of inorganic arsenic in the population resulted in 0.135%, 0.010% and 0.034% of skin, bladder, and lung cancer incidence with 0.015%, 0.004% and 0.138% of mortality, respectively. The incidence and mortality of cardiovascular diseases caused by 1 μg/(kg?d) of dietary inorganic arsenic exposure were 0.082% and 0.025%, respectively.Conclusion The disease model can be used to calculate the burden of disease caused by food contaminants and quantify the health hazards caused by food contaminants.

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李依玲,刘佳琳,黄娇,王彝白纳,魏晟.我国膳食无机砷致癌症及心血管疾病的疾病模型构建[J].中国食品卫生杂志,2022,34(5):974-981.

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  • 收稿日期:2022-02-22
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  • 在线发布日期: 2022-12-01
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