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. 2023 Apr 25;59:101936. doi: 10.1016/j.eclinm.2023.101936

Table 2.

Global age-standardised rates (per 100,000) of deaths and DALYs from chronic respiratory diseases attributed to risk factors in both sexes combined with percent change.

Measure Year Risk factor CRDs Cause specific
COPD Pneumoconiosis Asthma
Deaths % Changea Environmental/occupational risks −52.1 (−58.1 to −42.3) −52.0 (−58.2 to −42.2) −53.3 (−60.9 to −38.6) −55.1 (−62.3 to −45.6)
 Air pollution −57.4 (−64.3 to −47.8) −57.4 (−64.3 to −47.8)
 Particulate matter pollution −61.8 (−68.4 to −52.2) −61.8 (−68.4 to −52.2)
 Ambient particulate matter pollution −12.1 (−39.9 to 32.0) −12.1 (−39.9 to 32.0)
 Household air pollution from solid fuels −80.9 (−85.8 to −74.1) −80.9 (−85.8 to −74.1)
 Ambient ozone pollution −21.6 (−31.6 to −6.3) −21.6 (−31.6 to −6.3)
 Non-optimal temperature −49.7 (−57.1 to −35.2) −49.7 (−57.1 to −35.2)
 Occupational risks −46.9 (−53.8 to −35.2) −45.9 (−53.0 to −34.2) −53.3 (−60.9 to −38.6) −55.1 (−62.3 to −45.6)
 Occupational carcinogens −52.0 (−61.1 to −33.5) −52.0 (−61.1 to −33.5)
 Occupational exposure to asbestos 15.6 (−8.5 to 33.6) 15.6 (−8.5 to 33.6)
 Occupational exposure to silica −58.9 (−67.9 to −39.4) −58.9 (−67.9 to −39.4)
 Occupational asthmagens −55.1 (−62.3 to −45.6)  −55.1 (−62.3 to −45.6)
 Occupational particulate matter, gases, and fumes −46.1 (−53.1 to −34.2) −45.9 (−53 to −34.2) −56.5 (−63.5 to −40.9)
Behavioral risks −45.7 (−51.9 to −37.2) −45.0 (−51.3 to −36.2) −62.5 (−69.5 to −54.8)
 Tobacco −45.7 (−51.9 to −37.2) −45.0 (−51.3 to −36.2) −62.5 (−69.5 to −54.8)
 Smoking −44.9 (−51.4 to −36.7) −44.0 (−50.5 to −35.8) −62.5 (−69.5 to −54.8)
 Secondhand smoke −51.8 (−58.7 to −38.0) −51.8 (−58.7 to −38.0)
Metabolic risks −20.1 (−35.6 to 5.2)  −20.1 (−35.6 to 5.2)
 High body-mass index −20.1 (−35.6 to 5.2)  −20.1 (−35.6 to 5.2)
2019 Environmental/occupational risks 24.2 (20.6 to 27.5) 23.5 (20.0 to 26.8) 0.3 (0.3 to 0.3) 0.4 (0.3 to 0.5)
 Air pollution 16.8 (13.3 to 20.3) 16.8 (13.3 to 20.3)
 Particulate matter pollution 14.0 (10.9 to 17.4) 14.0 (10.9 to 17.4)
 Ambient particulate matter pollution 9.0 (7.1 to 11.1) 9.0 (7.1 to 11.1)
 Household air pollution from solid fuels 5.1 (3.0 to 7.8) 5.1 (3.0 to 7.8)
 Ambient ozone pollution 4.7 (2.2 to 7.3) 4.7 (2.2 to 7.3)
 Non-optimal temperature 5.1 (4.0 to 6.3) 5.1 (4.0 to 6.3)
 Occupational risks 7.3 (5.9 to 8.9) 6.6 (5.2 to 8.2) 0.3 (0.3 to 0.3) 0.4 (0.3 to 0.5)
 Occupational carcinogens 0.2 (0.2 to 0.2) 0.2 (0.2 to 0.2)
 Occupational exposure to asbestos 0 (0 to 0.1) 0 (0 to 0.1)
 Occupational exposure to silica 0.2 (0.1 to 0.2) 0.2 (0.1 to 0.2)
 Occupational asthmagens 0.4 (0.3 to 0.5)  0.4 (0.3 to 0.5)
 Occupational particulate matter, gases, and fumes 6.7 (5.3 to 8.3) 6.6 (5.2 to 8.2) 0.1 (0.1 to 0.1)
Behavioral risks 23.1 (20.3 to 25.8) 22.5 (19.7 to 25.0) 0.7 (0.4 to 1.0)
 Tobacco 23.1 (20.3 to 25.8) 22.5 (19.7 to 25.0) 0.7 (0.4 to 1.0)
 Smoking 21.1 (18.8 to 23.4) 20.4 (18.1 to 22.6) 0.7 (0.4 to 1.0)
 Secondhand smoke 3.6 (1.9 to 5.5) 3.6 (1.9 to 5.5)
Metabolic risks 0.9 (0.5 to 1.5)  0.9 (0.5 to 1.5)
 High body-mass index 0.9 (0.5 to 1.5)  0.9 (0.5 to 1.5)
DALYs % Changea Environmental/occupational risks −51.6 (−57.2 to −42.9) −52.0 (−57.7 to −43.0) −44.4 (−52.9 to −31.2) −45.9 (−52.8 to −38.7)
 Air pollution −56.9 (−63.3 to −47.6) −56.9 (−63.3 to −47.6)
 Particulate matter pollution −60.0 (−66.2 to −50.7) −60.0 (−66.2 to −50.7)
 Ambient particulate matter pollution −8.8 (−35.8 to 34.2) −8.8 (−35.8 to 34.2)
 Household air pollution from solid fuels −79.4 (−84.4 to −72.6) −79.4 (−84.4 to −72.6)
 Ambient ozone pollution −26.5 (−36.2 to −11.0) −26.5 (−36.2 to −11.0)
 Non-optimal temperature −55.1 (−62.7 to −40.5) −55.1 (−62.7 to −40.5)
 Occupational risks −44.7 (−50.5 to −34.4) −44.5 (−50.7 to −33.5) −44.4 (−52.9 to −31.2) −45.9 (−52.8 to −38.7)
 Occupational carcinogens −40.9 (−51.3 to −25.9) −40.9 (−51.3 to −25.9)
 Occupational exposure to asbestos −6.1 (−18.3 to 5.9) −6.1 (−18.3 to 5.9)
 Occupational exposure to silica −43.3 (−54.2 to −27.1) −43.3 (−54.2 to −27.1)
 Occupational asthmagens −45.9 (−52.8 to −38.7)  −45.9 (−52.8 to −38.7)
 Occupational particulate matter, gases, and fumes −44.7 (−50.8 to −33.6) −44.5 (−50.7 to −33.5) −54.3 (−61.5 to −39.9)
Behavioral risks −45.5 (−50.8 to −37.9) −44.5 (−49.8 to −36.7) −59.6 (−65.3 to −54.1)
 Tobacco −45.5 (−50.8 to −37.9) −44.5 (−49.8 to −36.7) −59.6 (−65.3 to −54.1)
 Smoking −45.2 (−50.8 to −37.8) −43.9 (−49.7 to −36.4) −59.6 (−65.3 to −54.1)
 Secondhand smoke −49.3 (−55.1 to −37.5) −49.3 (−55.1 to −37.5)
Metabolic risks −11.9 (−26.1 to 8.9)  −11.9 (−26.1 to 8.9)
 High body-mass index −11.9 (−26.1 to 8.9)  −11.9 (−26.1 to 8.9)
2019 Environmental/occupational risks 510.9 (446.5 to 574.1) 476.9 (411.7 to 538.6) 11.1 (9.2 to 13.5) 22.9 (18.2 to 28.2)
 Air pollution 349.8 (280.2 to 413.2) 349.8 (280.2 to 413.2)
 Particulate matter pollution 305.0 (239.7 to 369.2) 305.0 (239.7 to 369.2)
 Ambient particulate matter pollution 190.8 (153.5 to 234.8) 190.8 (153.5 to 234.8)
 Household air pollution from solid fuels 114.2 (69.8 to 172.4) 114.2 (69.8 to 172.4)
 Ambient ozone pollution 77.0 (37.0 to 119.5) 77.0 (37.0 to 119.5)
 Non-optimal temperature 77.9 (59.9 to 96.8) 77.9 (59.9 to 96.8)
 Occupational risks 177.0 (151.8 to 203.6) 143.0 (118.6 to 168.7) 11.1 (9.2 to 13.5) 22.9 (18.2 to 28.2)
 Occupational carcinogens 8.8 (7.1 to 10.9) 8.8 (7.1 to 10.9)
 Occupational exposure to asbestos 0.9 (0.7 to 1.0) 0.9 (0.7 to 1.0)
 Occupational exposure to silica 7.9 (6.2 to 10.0) 7.9 (6.2 to 10.0)
 Occupational asthmagens 22.9 (18.2 to 28.2)  22.9 (18.2 to 28.2)
 Occupational particulate matter, gases, and fumes 145.4 (120.9 to 171.1) 143 (118.6 to 168.7) 2.3 (1.9 to 2.9)
Behavioral risks 495.4 (444.3 to 546.0) 469.9 (418.1 to 519.1) 25.5 (13.6 to 36.2)
 Tobacco 495.4 (444.3 to 546.0) 469.9 (418.1 to 519.1) 25.5 (13.6 to 36.2)
 Smoking 449.5 (403.9 to 493.6) 424.0 (380.2 to 465.7) 25.5 (13.6 to 36.2)
 Secondhand smoke 78.8 (39.2 to 118.7) 78.8 (39.2 to 118.7)
Metabolic risks 44.8 (26.4 to 68.6)  44.8 (26.4 to 68.6)
 High body-mass index 44.8 (26.4 to 68.6)  44.8 (26.4 to 68.6)

Data in parentheses are 95% Uncertainty Intervals (95% UIs).

COPD = Chronic Obstructive Pulmonary Disease, CRDs = Chronic Respiratory Diseases, DALYs = Disability-Adjusted Life Years.

a

% Change (1990–2019).