长春市乙型肝炎相关疾病经济负担及其影响因素分析  

Analysis of the economic burden of Hepatitis B related diseases and its influencing factors in Changchun City

作　　者：付思美[1] 康国俊 田鑫[1] 程涛[1] 曹凤瑞[1] FU Si-mei;KANG Guo-jun;TIAN Xin;CHENG Tao;CAO Feng-rui(Jilin Provincial Center for Disease Control and Prevention,Jilin,Changchun 130062,China;不详)

机构地区：[1]吉林省疾病预防控制中心,吉林长春130062 [2]吉林大学公共卫生学院

出　　处：《中国公共卫生管理》2021年第2期172-175,共4页Chinese Journal of Public Health Management

基　　金：中国肝炎防治基金会乙肝防控科研基金(GYFK20190030)。

摘　　要：目的了解长春市乙肝相关疾病(乙型肝炎、肝硬化和肝癌)的经济负担及其影响因素。方法通过问卷调查的方式获得2019年7—12月乙肝相关疾病患者的经济负担情况,运用χ2检验、多元线性回归等方法分析评价乙型肝炎、肝硬化和肝癌患者的经济负担情况。结果乙肝肝癌患者的中位年住院天数最长(59.5d),乙肝相关疾病患者年住院经济负担合计为29641.60元。肝癌、肝硬化失代偿期、代偿期、慢性乙肝和急性乙肝的经济负担分别为53383.60元、32738.50元、25282.80元、24709.90元和24127.60元。疾病类型、住院时长是影响乙肝相关疾病经济负担的因素。结论长春市乙肝相关疾病给患者带来了严重的经济负担,超过长春市家庭年收入。早期发现治疗疾病、减少住院次数和缩短住院时长可以减轻乙肝相关疾病患者的经济负担。Objective To understand the economic burden of type B related diseases(hepatitis B,cirrhosis and liver cancer)and its influencing factors in Changchun City.Methods The economic burden of patients with Hepatitis B related diseases from July to December,2019 was obtained by questionnaire survey.χ2 tests and multiple linear stepwise regression were used to evaluate economic burden of patients with hepatitis B,liver cirrhosis and liver cancer.Results The median annual hospitalization days of patients with hepatitis B and liver cancer was the longest(59.5 days),and the annual economic burden of patients with hepatitis B related diseases was 29641.6 yuan.The economic burden of liver cancer,decompensated liver cirrhosis,compensated stage,chronic hepatitis B and acute hepatitis B were 53383.60 yuan,32738.50 yuan,25282.80 yuan,24709.90 yuan and 24127.60 yuan respectively.Type of disease and length of hospital stay were the factors that affected the economic burden of hepatitis B related diseases.Conclusions Hepatitis B related diseases in Changchun City have brought serious economic burden to patients,which exceeds the annual income of families in Changchun City.Early detection and control of disease progression,reduction of hospitalization times and length of hospitalization can reduce the economic burden of patients with hepatitis B related diseases.

关 键 词：乙型肝炎 肝硬化 肝癌 经济负担 

分 类 号：R512.6[医药卫生—内科学]