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Table 1 Global deaths attributable to occupational asbestos exposure in 1990 and 2019, and the temporal trend from 1990 to 2019

From: Global, regional, and national burden of non-communicable diseases attributable to occupational asbestos exposure 1990–2019 and prediction to 2035: worsening or improving?

Cause of deaths

1990

2019

1990–2019

Deaths No.×103 (95%UI)

ASMR per 100,000 (95%UI)

Age-standardized PAF,% (95%UI)

Deaths No.×103 (95%UI)

ASMR per 100,000 (95%UI)

Age-standardized PAF,% (95%UI)

AAPC of ASMR (95%CI)

AAPC of Age-standardized PAF (95%CI)

Overall

144.48

(107.16, 182.09)

3.97

(2.97, 4.98)

0.36

(0.27, 0.45)

239.33

(179.52, 299.21)

3.05

(2.29, 3.82)

0.42

(0.31, 0.52)

− 0.92

(− 1.12, − 0.73)

0.52

(0.33, 0.72)

Sex

Female

20.62

(14.64, 27.47)

1.01

(0.72, 1.34)

0.10

(0.07, 0.14)

40.79

(26.14, 53.16)

0.93

(0.60, 1.21)

0.15

(0.10, 0.2)

− 0.28

(− 0.46, − 0.09)

1.25

(1.10, 1.39)

Male

123.86

(88.46, 160.07)

8.17

(5.87, 10.49)

0.63

(0.45, 0.81)

198.55

(141.47, 258.12)

5.88

(4.18, 7.59)

0.67

(0.48, 0.87)

− 1.13

(− 1.32, − 0.95)

0.25

(0.13, 0.36)

Disease type

All

144.48

(107.16, 182.09)

3.97

(2.97, 4.98)

0.54

(0.41, 0.68)

239.33

(179.52, 299.21)

3.05

(2.29, 3.82)

0.57

(0.42, 0.71)

− 0.92

(− 1.12, − 0.73)

0.13

(− 0.01, 0.28)

Neoplasms

143.02

(105.80, 180.41)

3.93

(2.93, 4.94)

2.66

(1.99, 3.35)

235.76

(176.17, 295.88)

3.01

(2.24, 3.77)

2.4

(1.79, 3.02)

− 0.94

(− 1.13, − 0.75)

− 0.36

(− 0.53, − 0.19)

Larynx cancer

2.74

(1.52, 4.10)

0.08

(0.04, 0.11)

3.45

(1.93, 5.11)

3.68

(2.04, 5.53)

0.05

(0.03, 0.07)

3.12

(1.75, 4.64)

− 1.62

(− 1.77, − 1.47)

− 0.34

(− 0.48, − 0.19)

Tracheal, bronchus, and lung cancer

122.21

(86.78, 158.14)

3.37

(2.41, 4.34)

12.34

(8.73, 15.89)

198.7

(140.37, 257.41)

2.54

(1.80, 3.28)

10.09

(7.14, 12.97)

− 0.99

(− 1.20, − 0.78)

− 0.71

(− 0.77, − 0.65)

Ovarian cancer

4.03

(1.86, 6.54)

0.12

(0.05, 0.19)

4.64

(2.14, 7.50)

6.56

(2.95, 10.66)

0.08

(0.04, 0.14)

3.47

(1.61, 5.69)

− 1.12

(− 1.33, − 0.91)

− 1.04

(− 1.20, − 0.88)

Mesothelioma

14.04

(12.48, 15.70)

0.37

(0.33, 0.42)

92.74

(90.96, 94.33)

26.82

(24.31, 28.62)

0.33

(0.30, 0.36)

91.91

(90.02, 93.59)

− 0.37

(− 0.47, − 0.27)

− 0.03

(− 0.04, − 0.02)

Chronic respiratory diseases

1.46

(1.18, 1.75)

0.04

(0.03, 0.05)

0.05

(0.04, 0.06)

3.57

(2.58, 4.05)

0.05

(0.03, 0.05)

0.09

(0.06, 0.10)

0.49

(0.22, 0.75)

2.39

(2.17, 2.62)

Asbestosis

1.46

(1.18, 1.75)

0.04

(0.03, 0.05)

6.50

(5.23, 8.03)

3.57

(2.58, 4.05)

0.05

(0.03, 0.05)

16.04

(10.91, 18.10)

0.49

(0.22, 0.75)

3.23

(3.09, 3.36)

Location

SDI region

High SDI

100.2

(75.02, 123.86)

9.21

(6.88, 11.40)

1.36

(1.02, 1.68)

141.21

(107.98, 174.15)

6.77

(5.18, 8.37)

1.51

(1.16, 1.87)

− 1.05

(− 1.20, − 0.89)

0.37

(0.25, 0.48)

High-middle SDI

32.22

(23.49, 41.54)

3.11

(2.27, 3.99)

0.32

(0.24, 0.41)

56.64

(40.97, 73.96)

2.78

(2.01, 3.62)

0.46

(0.33, 0.59)

− 0.39

(− 0.77, 0.00)

1.18

(1.03, 1.33)

Middle SDI

7.72

(5.50, 10.63)

0.90

(0.65, 1.24)

0.08

(0.06, 0.11)

26.9

(18.86, 37.06)

1.23

(0.86, 1.69)

0.17

(0.12, 0.23)

1.08

(0.80, 1.37)

2.51

(2.37, 2.65)

Low-middle SDI

3.06

(2.08, 4.78)

0.61

(0.42, 0.95)

0.04

(0.03, 0.07)

11.54

(8.27, 15.31)

0.95

(0.68, 1.26)

0.10

(0.07, 0.13)

1.57

(1.23, 1.92)

3.16

(2.99, 3.32)

Low SDI

1.20

(0.61, 2.96)

0.58

(0.30, 1.45)

0.03

(0.02, 0.08)

2.93

(1.73, 6.26)

0.68

(0.40, 1.44)

0.06

(0.04, 0.13)

0.49

(0.34, 0.64)

2.12

(1.87, 2.37)

GBD region

Andean Latin America

0.37

(0.20, 0.54)

1.99

(1.07, 2.92)

0.21

(0.11, 0.31)

0.51

(0.32, 0.77)

0.97

(0.60, 1.46)

0.17

(0.11, 0.23)

− 2.42

(− 3.16, − 1.68)

− 0.73

(− 2.04, 0.59)

Australasia

3.37

(2.65, 4.04)

13.86

(10.88, 16.61)

2.14

(1.68, 2.56)

5.1

(4.11, 6.01)

9.53

(7.69, 11.27)

2.41

(1.95, 2.83)

− 1.26

(− 1.47, − 1.05)

0.37

(0.26, 0.47)

Caribbean

0.30

(0.20, 0.41)

1.20

(0.81, 1.66)

0.13

(0.09, 0.18)

0.53

(0.34, 0.77)

1.02

(0.65, 1.49)

0.13

(0.09, 0.19)

− 0.47

(− 1.24, 0.30)

− 0.07

(− 0.48, 0.34)

Central Asia

0.66

(0.42, 0.99)

1.41

(0.91, 2.06)

0.14

(0.09, 0.20)

0.94

(0.64, 1.29)

1.43

(0.98, 1.96)

0.14

(0.10, 0.19)

0.08

(− 0.52, 0.68)

0.20

(− 0.16, 0.56)

Central Europe

2.86

(1.93, 3.97)

1.88

(1.28, 2.60)

0.19

(0.13, 0.26)

7.73

(5.06, 10.99)

3.42

(2.23, 4.86)

0.52

(0.36,0.73)

2.07

(1.74, 2.41)

3.60

(3.07, 4.12)

Central Latin America

0.7

(0.52, 0.91)

0.94

(0.69, 1.23)

0.11

(0.08, 0.14)

2.03

(1.44, 2.74)

0.89

(0.64, 1.21)

0.14

(0.11, 0.19)

− 0.24

(− 0.99, 0.52)

0.88

(0.18, 1.59)

Central Sub-Saharan Africa

0.22

(0.09, 0.72)

1.16

(0.45, 3.76)

0.06

(0.02, 0.20)

0.43

(0.16, 1.32)

1.00

(0.38, 3.07)

0.08

(0.03, 0.25)

− 0.5

(− 0.70, − 0.30)

0.89

(0.75, 1.04)

East Asia

6.49

(4.34, 9.7)

0.92

(0.62, 1.37)

0.08

(0.06, 0.12)

27.16

(17.91, 39.36)

1.47

(0.97, 2.10)

0.23

(0.16, 0.33)

1.58

(1.25, 1.91)

3.58

(3.19, 3.96)

Eastern Europe

5.27

(3.63, 7.26)

1.83

(1.26, 2.51)

0.18

(0.13, 0.25)

6.34

(4.28, 8.79)

1.8

(1.22, 2.49)

0.21

(0.15, 0.29)

0.11

(− 1.16, 1.4)

0.77

(0.15, 1.39)

Eastern Sub-Saharan Africa

0.52

(0.22, 1.64)

0.79

(0.33, 2.49)

0.04

(0.02, 0.13)

1.12

(0.48, 3.52)

0.83

(0.35, 2.59)

0.07

(0.03, 0.22)

0.15

(0.05, 0.24)

2.10

(1.85, 2.35)

High-income Asia Pacific

6.54

(4.58, 8.6)

3.47

(2.45, 4.54)

0.58

(0.41, 0.76)

22.61

(15.55, 29.83)

4.05

(2.80, 5.35)

1.21

(0.84, 1.60)

0.52

(0.08, 0.95)

2.55

(2.21, 2.90)

High-income North America

38.04

(27.91, 47.52)

10.16

(7.43, 12.74)

1.53

(1.12, 1.92)

47.21

(35.47, 59.26)

7.06

(5.30, 8.87)

1.37

(1.03, 1.72)

− 1.20

(− 1.43, − 0.98)

− 0.38

(− 0.51, − 0.26)

North Africa and Middle East

3.51

(2.20, 5.07)

2.21

(1.43, 3.17)

0.19

(0.12, 0.27)

7.18

(4.36, 10.97)

1.90

(1.18, 2.86)

0.25

(0.15, 0.36)

− 0.58

(− 1.18, 0.04)

0.73

(0.23, 1.23)

Oceania

0.03

(0.02, 0.05)

1.30

(0.81, 2.06)

0.10

(0.06, 0.15)

0.11

(0.06, 0.18)

1.86

(1.11, 3.06)

0.15

(0.09,0.23)

1.24

(1.09, 1.39)

1.55

(1.35, 1.74)

South Asia

2.50

(1.62, 4.09)

0.55

(0.36, 0.90)

0.04

(0.02, 0.06)

9.51

(6.72, 13.23)

0.77

(0.55, 1.06)

0.08

(0.06, 0.11)

1.22

(0.45, 1.99)

3.07

(2.82, 3.32)

Southeast Asia

1.64

(1.07, 2.37)

0.72

(0.47, 1.05)

0.06

(0.04, 0.09)

5.20

(3.32, 7.75)

1.00

(0.63, 1.48)

0.12

(0.08, 0.18)

1.21

(0.81, 1.62)

2.41

(1.92, 2.91)

Southern Latin America

1.18

(0.80, 1.59)

2.59

(1.76, 3.50)

0.32

(0.21, 0.43)

2.48

(1.65, 3.40)

2.90

(1.93, 3.98)

0.48

(0.33,0.66)

0.50

(− 0.10, 1.11)

1.48

(1.07, 1.90)

Southern Sub-Saharan Africa

1.16

(0.81, 1.62)

4.59

(3.23, 6.45)

0.40

(0.27, 0.56)

2.26

(1.69, 2.88)

4.50

(3.36, 5.67)

0.37

(0.28, 0.47)

− 0.08

(− 0.85, 0.69)

− 0.27

(− 0.73, 0.18)

Tropical Latin America

1.57

(1.20, 1.99)

2.01

(1.52, 2.54)

0.20

(0.15, 0.25)

4.35

(3.32, 5.45)

1.89

(1.43, 2.37)

0.30

(0.23, 0.38)

− 0.19

(− 0.40, 0.03)

1.43

(1.21, 1.65)

Western Europe

67.24

(51.12, 82.28)

11.09

(8.39, 13.61)

1.63

(1.24, 2.01)

85.99

(67.03, 105.05)

8.68

(6.71, 10.64)

2.05

(1.59, 2.52)

− 0.85

(− 0.95,− 0.75)

0.79

(0.68, 0.90)

Western Sub-Saharan Africa

0.31

(0.17, 0.59)

0.39

(0.22, 0.74)

0.02

(0.01, 0.04)

0.54

(0.32, 1.01)

0.34

(0.20, 0.63)

0.03

(0.02, 0.05)

− 0.42

(− 0.63, − 0.21)

0.76

(0.52, 1.00)

  1. Note ASMR, age-standardized mortality rate; PAF, population attributable fraction; AAPC, average annual percentage change; UI, uncertainty interval; CI, confidence interval