Impact of the implementation of the Occupational Safety and Health Management System on the mortality and potential years of life lost caused by work-related and occupational accidents in Colombia, 2009-2021
DOI:
https://doi.org/10.17533/udea.rfnsp.e352686Keywords:
work-related deaths, workplace accident, economic loss, Years of Potential Life Lost (YPLL)Abstract
Objective: Evaluate the effect of the implementation of the Occupational Health and Safety Management System on the reduction of mortality due to occupational accidents in Colombia during the period from 2009 to 2021. Methodology: An ecological study and an analysis of years of life lost from records of work-related accident deaths were conducted. Two sources of information were used: data recorded on the website of the Colombian Federation of Insurance Companies (Fasecolda) and records from the Integrated Social Protection Information System (sispro). Population projections from the National Administrative Department of Statistics (dane) were utilized. The estimation of the impact on the Gross Domestic Product (GDP) was carried out, and prevalence ratios were estimated using Poisson regression. Results: 97.31% of workplace accident-related deaths were male, with 41.81% of them being between the ages of 27 and 44. As years increase, the risk of mortality due to workplace accidents decreases, with an annual mortality reduction of 6.12%. It was found that men between the ages of 20 and 40, residing in the departments of Antioquia and Cauca, have a higher risk of death compared to the capital. During the analyzed period, a total of 229,573 workplace accidents were recorded, resulting in 7,968 deaths. A reduction in the workplace accident mortality rate was observed from 2009 compared to 2021. Conclusion: The annual decrease in occupational mortality was 6.12% according to Fasecolda data, whereas using sispro data, an annual decrease of 17.75% was recorded.
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References
1. World Health Organization (WHO), International Labour Organization (ILO). WHO/ILO joint estimates of the work-related burden of disease and injury, 2000-2016: Technical report with data sources and methods. WHO/ILO [internet]; 2021 [citado 2023 oct. 13]. Disponible en: https://www.who.int/publications-detail-redirect/9789240034921
2. James SL, Castle CD, Dingels ZV, et al. Global injury morbidity and mortality from 1990 to 2017: Results from the Global Burden of Disease Study 2017. Inj Prev. 2020;26(Supl. 2):i96-i114. DOI: https://doi.org/10.1136/injuryprev-2019-043494
3. Consejo Colombiano de Seguridad. Accidentes de trabajo y enfermedades laborales en Colombia 1.er semestre de 2022 [internet]; 2022 [citado 2023 oct. 13]. Disponible en: https://ccs.org.co/atel-col-1er-semestre-2022/
4. Departamento Nacional de Planeación. Seguridad social integral: afiliados al sistema de riesgos laborales. Aseguramiento al sistema general de salud [interent]; s. f. [citado 2023 oct. 13]. Disponible en: https://www.minsalud.gov.co/proteccionsocial/Regimensubsidiado/Paginas/aseguramiento-al-sistema-general-salud.aspx
5. Organización Internacional del Trabajo (OIT), Oficina Regional para América Latina y el Caribe. Desarrollo productivo, formalización laboral y normas del trabajo. Áreas prioritarias de trabajo de la OIT en América Latina y el Caribe. Lima: OIT [internet]; 2016 [citado 2023 oct. 13]. Disponible en: http://www.ilo.org/americas/publicaciones/WCMS_534139/lang--es/index.htm
6. Toccalino D, Colantonio A, Chan V. Update on the epidemiology of work-related traumatic brain injury: A systematic review and meta-analysis. Occup Environ Med. 2021;78(10):769-76. DOI: https://doi.org/10.1136/oemed-2020-107005
7. Lozano R, Fullman N, Mumford JE, et al. Measuring universal health coverage based on an index of effective coverage of health services in 204 countries and territories, 1990-2019: A systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396(10258):1250-84. DOI: https://doi.org/10.1016/S0140-6736(20)30750-9
8. Ariza J, Retajac FA. Composición y evolución de la informalidad laboral en Colombia durante el período 2009-2019. Apuntes CENES 2021;40 (72):115-48. DOI: https://doi.org/10.19053/01203053.v40.n72.2021.12598
9. Colombia, Ministerio de Salud y Protección Social. Plan Decenal de Salud Pública 2012-2021 [internet]; 2012 [citado 2023 oct. 9]. Disponible en: https://www.minsalud.gov.co/PlanDecenal/Paginas/home2013.aspx
10. Riaño-Casallas MI, Palencia-Sánchez F. Los costos de la enfermedad laboral: revisión de literatura. Rev. Fac. Nal. Salud Públcia; 2015;33(2):2018-27. DOI: https://doi.org/10.17533/udea.rfnsp.v33n2a09
11. Pega F, Momen NC, Ujita Y, et al. Systematic reviews and meta-analyses for the WHO/ILO Joint Estimates of the Work-related Burden of Disease and Injury. Environ Int. 2021;155:106605. DOI: https://doi.org/10.1016/j.envint.2021.106605
12. Ryen L, Bonander C, Svensson M. From loss of life to loss of years: A different view on the burden of injury fatalities in Sweden 1972-2014. Eur J Public Health. 2018;28(5):853-8. DOI: https://doi.org/10.1093/eurpub/cky083
13. Nery FSD, Souza IM de, Araujo EM de, et al. Tendência temporal dos anos potenciais de vida perdidos por acidentes de trabalho fatais segundo raça/cor da pele na Bahia, 2000-2019. Rev. Bras. Saúde Ocup. 2022:47;1-10. DOI: https://doi.org/10.1590/2317-6369/18719PT2022V47E1
14. Organización Internacional del Trabajo (OIT). Convenio C187 - Convenio sobre el marco promocional para la seguridad y salud en el trabajo, 2006 (núm. 187) [internet]; 2006 [citado 2023 oct. 9]. Disponible en: https://www.ilo.org/dyn/normlex/es/f?p=NORMLEXPUB:12100:0::NO::P12100_ILO_CODE:C187
15. International Labour Organization. ILOSTAT data tools to find and download labour statistics. ILOSTAT, [internet]; 2022 [citado 2023 oct. 13]. Disponible en: https://ilostat.ilo.org/data/
16. International Labour Organization. INTEROSH - global database on OSH agencies, institutions and organizations: Database on OSH Agencies, Institutions and Organizations [internet]; 2022 [citado 2022 sep. 13]. Disponible en: https://www.ilo.org/safework/info/publications/WCMS_618077/lang--en/index.htm
17. Hernández V. Estudios epidemiológicos: tipos, diseño e interpretación. Enferm. Inflamatoria Intest. al Día. 2017;16(3): 98-105. DOI: https://doi.org/10.1016/j.eii.2017.03.001
18. Augustovski F, García Martí S, Espinoza MA, et al. Estándares Consolidados de Reporte de Evaluaciones Económicas Sanitarias: adaptación al español de la lista de comprobación CHEERS 2022. Value in Health Regional Issues 2022;27:110-4. DOI: https://doi.org/10.1016/j.vhri.2021.11.001
19. Fasecolda. Reporte por clase de riesgo y actividad económica. RL Datos Riesgos Laborales [internet]; 2021 [citado 2022 sep. 15]. Disponible en: https://sistemas.fasecolda.com/rldatos/
20. Departamento Administrativo Nacional de Estadística (DANE). Proyecciones y retroproyecciones de población nacional para el periodo 1950-2017 y 2018-2070 con base en el CNPV 2018. Proyecciones de población [internet]; 2023 [citado 2023 sep. 5]. Disponible en: https://www.dane.gov.co/index.php/estadisticas-por-tema/demografia-y-poblacion/proyecciones-de-poblacion
21. Departamento Administrativo Nacional de Estadística (DANE). Fuerza laboral y educación [internet]; 2022 [citado 2023 jun. 10]. Disponible en: https://www.dane.gov.co/index.php/estadisticas-por-tema/mercado-laboral/fuerza-laboral-y-educacion
22. Thomsen JL, Parner ET. Methods for analysing recurrent events in health care data. Examples from admissions in Ebeltoft Health Promotion Project. Fam Pract. 2006;23(4):407-13. DOI: https://doi.org/10.1093/fampra/cml012
23. Puig X, Ginebra J, Gispert R. Análisis de la evolución temporal de la mortalidad mediante modelos lineales generalizados. Gac Sanit 2005;19(6):481-5. DOI: https://doi.org/10.1016/s0213-9111(05)71401-1
24. Colombia, Presidencia de la República. Decreto 1607, por el cual se modifica la Tabla de Clasificación de Actividades Económicas para el Sistema General de Riesgos Profesionales y se dictan otras disposiciones [internet]; (2022, jul. 31) [citado 2023 oct. 13]. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/Decreto-1607-de-2002.pdf
25. Colombia, Congreso de la República. Ley 1562, por la cual se modifica el sistema de riesgos laborales y se dictan otras disposiciones en materia de salud ocupacional [internet]; (2012, jul. 11) [citado 2023 oct. 13]. Disponible en: http://www.secretariasenado.gov.co/senado/basedoc/ley_1562_2012.html
26. González LD, Vega V del RS V, Covarrubias D, et al. Utilización del BMA en el modelo de regresión logística y su comparación con otros criterios de selección de modelos. Investigación Operacional [internet] 2016 [citado 2023 oct. 9]; 37(1):103-11. Disponible en: https://revistas.uh.cu/invoperacional/article/view/4546
27. Chamorro F, Bayard V, Rivera A de, et al. Muertes prematuras en Panamá: una estimación de la mortalidad evitable en 1990 y 2000. Panamá: Instituto Conmemorativo Gorgas de Estudios de la Salud; 2006.
28. Colombia, Banco de la República. Índice de la tasa de cambio real (ITCR) [internet]; s. f. [citado 2023 ago. 3]. Disponible en: https://www.banrep.gov.co/es/estadisticas/indice-tasa-cambio-real-itcr
29. Departamento Administrativo Nacional de Estadística (DANE). Dirección de Síntesis y Cuentas Nacionales (DSCN) [internet]; 2023 [citado 2023 oct. 13]. Disponible en: https://www.dane.gov.co/index.php/acerca-del-dane/informacion-institucional/organigrama/direccion-de-sintesis-y-cuentas-nacionales-dscn
30. Vásquez R. Tasa de descuento. Definición. Economipedia®.[internet]; s. f. [citado 2023 ago. 3], Disponible en: https://economipedia.com/definiciones/tasa-descuento.html
31. Cortés L, Alvis L, Alvis N. Mortalidad por enfermedades cardiovasculares y su impacto económico en Colombia, 2000-2010. Salud Uninorte. 2016;32(2):208-17. DOI: https://doi.org/10.14482/sun.32.2.8827
32. Abdalla S, Apramian SS, et al. Occupation and risk for injuries. En: Mock CN, Nugent R, Kobusingye O, et al., editors. Injury prevention and environmental health. 3rd ed. Washington: The International Bank for Reconstruction and Development / The World Bank [internet]; 2017 [citado 2023 oct. 13]. Disponible en: http://www.ncbi.nlm.nih.gov/books/NBK525209/
33. Fonte Fernández MM. Informe anual de accidentes de trabajo en España 2021. Madrid: Instituto Nacional de Seguridad y Salud en el Trabajo (INSST), O.A. MP. [internet]; 2022 [citado 2023 oct. 13]. Disponible en: https://www.insst.es/documents/94886/0/Informe+anual+de+accidentes+de+trabajo+en+Espa%C3%B1a+2021.pdf/aaf6aad0-6f07-7a37-b829-d691acbcf54e?t=1664536373485
34. Álvarez S, Palencia F, Riaño M. Comportamiento de la accidentalidad y enfermedad laboral en Colombia 1994-2016, Rev Asoc Esp Espec Med Trab [internet]; 2019 [citado 2023 oct. 13]; 28(1):10-19. Disponible en: http://repository.javeriana.edu.co/handle/10554/51706
35.The World Bank, World Bank Open Data [internet]; 2022 [citado 2023 oct. 13]. Disponible en: https://data.worldbank.org
36. Hughes D, Warhurst C, Duarte ME. Decent work, inclusion and sustainability: A new era lies ahead. British Journal of Guidance & Counselling 2021;49(2):145-52. DOI: https://doi.org/10.1080/03069885.2021.1898540
37. Silva-Peñaherrera M, López-Ruiz M, Merino-Salazar P, et al. Association between informal employment and mortality rate by welfare regime in Latin America and the Caribbean: An ecological study. BMJ Open 2021;11(8):e044920. DOI: http://dx.doi.org/10.1136/bmjopen-2020-044920
38. Benavides FG, Serra C, Delclos GL. What can public health do for the welfare state? Occupational health could be an answer. J Epidemiol Community Health 2019; 73(12):1141-4. DOI: http://dx.doi.org/10.1136/jech-2018-211561
39. Montero-Moraga JM, Benavides FG, Lopez-Ruiz M. Association Between Informal Employment and Health Status and the Role of the Working Conditions in Spain. Int J Health Serv. 2020;50(2):199-208. DOI: https://doi.org/10.1177/0020731419898330
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