摘要
目的 分析通州区水痘门诊病例经济负担及其影响因素。方法 通过中国传染病报告信息管理系统收集通州区2020-2021年报告的水痘门诊病例,开展直接和间接经济负担调查,采用多因素Logistic回归模型分析其影响因素。结果 本研究共纳入391例水痘门诊病例,总经济负担中位数(四分位数间距)为2 374(1 831-2 822)元,其中直接、间接经济负担分别为350(230-510)元、1 914(1 392-2 436)元。多因素Logistic回归分析显示,就诊次数≥2次、伴发热、出疹时间≥8d、二级和三级医院病例的直接经济负担高[OR(95%CI):6.05(2.79-13.09)、1.84(1.18-2.86)、2.10(1.18-3.73)、3.12(1.04-9.34)、3.91(1.38-11.03)],农村地区病例的直接经济负担低[OR(95%CI):0.52(0.03-0.83)];出疹时间≥8d病例的间接经济负担高[OR(95%CI):1.89(1.12-3.20)]。结论 通州区2020-2021年水痘门诊病例经济负担特别是间接经济负担较重;需进一步提高水痘疫苗接种率以降低水痘发病率和减少水痘经济负担。。
Objective To estimate economic burden of outpatient varicella cases and factors influencing economic burden in Tongzhou district.Methods We obtained data on outpatient varicella cases during 2020-2021 in Tongzhou from the China Infectious Disease Reporting System and conducted a survey on direct and indirect economic burden. We identified factors influencing economic burden using multivariate logistic regression.Results A total of 391 outpatient varicella cases were included in the study. The median(interquartile range) total economic burden was 2 374(1 831-2 822) yuan, with direct and indirect economic burdens of 350(230-510) and 1 914(1 392-2 436) yuan, respectively. Multivariate logistic regression showed that the direct economic burden for cases who had ≥2 medical visits, who had fever, whose rash lasted ≥8 days, who visited secondary hospitals, or who visited tertiary hospital was high [OR(95%CI): 6.05(2.79-13.09), 1.84(1.18-2.86), 2.10(1.18-3.73), 3.12(1.04-9.34), and 3.91(1.38-11.03)], and for cases from rural areas was low [OR(95%CI): 0.52(0.03-0.83)];the indirect economic burden for cases with rashes lasting ≥8 days was high [OR(95%CI): 1.89(1.12-3.20)].Conclusions The economic burden, especially the indirect economic burden, of outpatient varicella cases was heavy in Tongzhou in 2020-2021. We should increase varicella vaccination coverage to reduce varicella incidence and its economic burden.
作者
赵春艳
张建明
张国峰
石晶
刘阳
刘波
Zhao Chunyan;Zhang Jianming;Zhang Guofeng;Shi Jing;Liu Yang;Liu Bo(Tongzhou District Center for Disease Control and Prevention,Beijing 101100,China)
出处
《中国疫苗和免疫》
CSCD
北大核心
2022年第2期174-178,共5页
Chinese Journal of Vaccines and Immunization
基金
中华预防医学会疫苗与免疫青年人才托举项目(CPMAQT_YM021)。
关键词
水痘
水痘疫苗
门诊病例
经济负担
影响因素
Varicella
Varicella vaccine
Outpatient case
Economic burden
Influencing factor
