Miao Xiaoxiang,Su Yinping,Wu Yunyun,et al.Estimation and evaluation of disease burden of indoor radon-induced lung cancer in China[J].Chinese Journal of Radiological Medicine and Protection,2024,44(12):1069-1076
Estimation and evaluation of disease burden of indoor radon-induced lung cancer in China
Received:September 24, 2024  
DOI:10.3760/cma.j.cn112271-20240924-00374
KeyWords:Indoor radon  Lung cancer  Disease burden  Estimation  Policies and measures
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Author NameAffiliationE-mail
Miao Xiaoxiang Key Laboratory of Radiological Protection and Nuclear Emergency, China CDC, National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088, China  
Su Yinping Key Laboratory of Radiological Protection and Nuclear Emergency, China CDC, National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088, China  
Wu Yunyun Key Laboratory of Radiological Protection and Nuclear Emergency, China CDC, National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088, China  
Wang Chenran Office of Cancer Screening, National Cancer Center, Cancer Hospital, Chinese Academy of Medical Sciences, Beijing 100021, China  
Zhuo Weihai Institute of Radiation Medicine, Fudan University, Shanghai 200032, China  
Sun Quanfu Key Laboratory of Radiological Protection and Nuclear Emergency, China CDC, National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088, China sunquanfu@nirp.chinacdc.cn 
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Abstract::
      Objective To estimate the lung cancer disease burden of residents caused by indoor radon exposure in living rooms in China, and to provide scientific basis for improving radon prevention and control policies and measures. Methods Based on the data from the national indoor radon monitoring survey, the study of lung cancer caused by indoor radon, and the basic data such as population and smoking, the attributable burden of disease calculation method was used to estimate the disease burden of lung cancer caused by indoor radon in China. Results In 2018, it was estimated that the years of life lost due to premature death (YLL), years of life lost due to health disability (YLD) and disability-adjusted life years (DALY) due to indoor radon exposure were 5.109 3 million, 0.052 6 million and 5.161 9 million, respectively. DALY was highest in the 50-54 age group. The disease burden of indoor radon-induced lung cancer in smoking men was more than 9 times that of smoking women, and the disease burden of lung cancer in non-smoking women was more than 5 times that of non-smoking men. Smoking is closely related to the disease burden of indoor radon-induced lung cancer. Conclusions Indoor radon exposure is a major environmental risk factor associated with lung cancer burden in China. The health hazards of indoor radon require more attention and improved policy measures to address this challenge.
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