2021年北京市房山区手足口病经济负担及影响因素调查  

Survey on the economic burden and influence factors of hand-foot-andmouth disease in Fangshan district of Beijing city,in 2021

作　　者：崔冉 李丽丽[1] 田竞[1] 李海娇[1] 龚海英 史秋月 于海柱[1] CUI Ran;LI Lili;TIAN Jing;LI Haijiao;GONG Haiying;SHI Qiuyue;YU Haizhu(Fangshan District Center for Disease Control and Prevention,Beijing 102488,China)

机构地区：[1]北京市房山区疾病预防控制中心,北京102488

出　　处：《现代疾病预防控制》2023年第10期746-751,共6页MODERN DISEASE CONTROL AND PREVENTION

摘　　要：目的了解房山区手足口病(hand,foot and mouth disease,HFMD)门诊病例的经济负担现状,判断其影响因素,为科学防控提供依据。方法对2021年6-8月房山区210例手足口病门诊病例开展调查,通过问卷调查收集患者一般情况及因手足口病造成的经济损失情况,通过实验室检测得到患者的手足口病病原学分型,采用Mann-Whitney检验、Kruskal-Wallis检验及多元线性回归采用广义线性模型进行分析,估算手足口病造成的经济负担并分析影响因素。结果2021年6-8月房山区210例手足口病门诊病例的总体经济负担共计20.00万元,M(P25,P75)为700.00(364.70,1181.32)元/人,其中直接经济负担共计13.48万元,M(P25,P75)为429.74(252.22,719.19)元/人,间接经济负担共计6.52万元,M(P25,P75)为117.32(0.00,498.62)元/人。家庭月收入>3万元的患者比家庭月收入<1万元的患者总体经济负担增加了2365.82元,病程天数≥10天的患者比病程天数<5天的患者总体经济负担增加了999.19元,发热患者比不发热患者总体经济负担增加了306.45元,病原学分型为CVA6的患者比病原学阴性的患者总体经济负担增加了558.80元(P均<0.05)。结论手足口病对家庭和社会造成的经济损失不容忽视,推进医保普及、加强手足口病病例的早期识别和诊断、及时关注患者体温变化、加强CVA6型手足口病的健康教育工作能够有效降低手足口病造成的经济损失。Objective To understand the current status of economic burden of hand-foot-and-mouth disease(HFMD)among outpatients in Fangshan district,China,and identify its influencing factors for providing scientific evidence to the prevention and control of HFMD.Methods A total of 210 HFMD outpatients were recruited for the survey in Fangshan district from June to August 2021.The patients'general conditions and the economic losses caused by HFMD were collected through questionnaires,the etiology of HFMD was determined by laboratory tests.Mann-Whitney test,Kruskal-Wallis test and multiple linear regression were used to analyze the generalized linear model;the economic burden caused by HFMD was estimated,and the influencing factors were analyzed.Results The total economic burden of 210 HFMD outpatients in Fangshan district from June to August 2021 was 200000 yuan,with a median(interquartile range)of 700.00 yuan(364.70,1181.32)per person;the direct economic burden amounted to 134800 yuan,with the median(interquartile range)of 429.74 yuan(252.22,719.19)per person;the indirect economic burden amounted to 65200 yuan,with the median(interquartile range)of 117.32 yuan(0.00,498.62)per person.The total economic burden of the patients whose monthly family income was more than 30000 yuan was 2365.82 yuan,higher than that of the patients whose monthly family income was less than 10000 yuan.The total economic burden of patients with the duration of disease≥10 days was 999.19 yuan,higher than that of patients with the duration of disease<5 days,and the total economic burden of patients with fever was 306.45 yuan,higher than that of patients without fever.The total economic burden of patients with pathogen type of CVA6 was 558.80 yuan,higher than that of patients with negative pathogen test(P<0.05).Conclusions The economic losses caused by HFMD to families and communities should not be ignored;the economic losses caused by HFMD can be effectively reduced by promoting the popularization of health insurance,strengthening the early identifi

关 键 词：手足口病 门诊病例 经济负担 

分 类 号：R183[医药卫生—流行病学]