[Analysis of occurrence characteristics and influencing factors of new occupational diseases in Tianjin city from 2008 to 2017].

Objective: To analyze the characteristics and influencing factors of new occupational diseases in Tianjin from 2008 to 2017, and to provide scientific basis for the formulation of prevention and control measures for occupational diseases in Tianjin. Methods: In 2018, data on the new occupational disease in Tianjin from 2008 to 2017 were collected from the China Disease Prevention and Control Information System. Statistical analysis was performed on the basic situation, the nature of the company, and the distribution of the industry. Results: A total of 5201 cases of occupational diseases were reported in Tianjin from 2008 to 2017, mainly including pneumoconiosis (92.37%) , followed by occupational poisoning (2.88%) , and the third occupational ENT disease (2.31%) . The male cases were higher than females, with a median age of 56 years and a median of 20 years of service. The most reported area was Hedong District (26.86%) . The economic type and scale of the cases belonged to state-owned large and medium-sized enterprises. The industry is mainly composed of non-metallic mineral products, and there are significant differences in the composition ratios of its economic type (χ(2)=19240.00, P<0.01) , enterprise size (χ(2)=3883.00, P<0.01) and industry (χ(2)=52050.00, P<0.01) . Conclusion: Pneumoconiosis, occupational poisoning and occupational ENT diseases are the key prevention and control occupational diseases in Tianjin city. It is necessary to strengthen the prevention and control of occupational diseases in large and medium-sized state-owned enterprises, and to respond to occupational disease hazards in such key industries as the manufacturing industry so as to protect the health of occupational groups.目的： 分析天津市2008~2017年新发职业病发病特征及影响因素，为制定该市职业病预防控制措施提供科学依据。 方法： 于2018年，收集中国疾病预防控制信息系统2008~2017年天津市新发职业病病例资料，对其基本情况、企业性质以及行业分布等信息进行统计分析。 结果： 该市2008~2017年共报告新发职业病病例5 201例，主要为尘肺病（92.37%，4 804/5 201）、职业中毒（2.88%，150/5 201）、职业性耳鼻喉口腔疾病（2.31%，120/5 201）；男性病例多于女性，年龄中位数为56岁，工龄中位数为20年；报告病例最多的地区为河东区（26.86%，1 397/5 201），病例所属经济类型和企业规模主要为国有大中型企业，所属行业主要为非金属矿物制品业，其经济类型、企业规模以及行业差异均有统计学意义（χ(2)=19 240.00、3 883.00、52 050.00，P<0.01）。 结论： 尘肺病、职业中毒和职业性耳鼻喉口腔疾病是天津市需重点防控职业病，应加强国有大中型企业的职业病防控，同时应对制造业等重点行业存在的各类职业病危害因素采取针对性防治措施，保护职业人群健康。.