2018—2019年安徽省手足口病患儿经济负担及影响因素分析  

Economic burden and its associates of childhood hand,foot,and mouth disease in Anhui province,2018–2019 season:a cross-sectional survey

作　　者：马婉婉[1] 龚磊[1] 陈芳[1] 肖永康[1] 陈国平[1] 侯赛[1] 孙袁芳 宋丹丹[1] 朱梦 吴家兵[1] MA Wanwan;GONG Lei;CHEN Fang;XIAO Yongkang;CHEN Guoping;HOU Sai;SUN Yuanfang;SONG Dandan;ZHU Meng;WU Jiabing(Anhui Provincial Center for Disease Control and Prevention,Hefei 230000,China)

机构地区：[1]安徽省疾病预防控制中心,合肥230000

出　　处：《中国公共卫生》2024年第4期423-429,共7页Chinese Journal of Public Health

基　　金：安徽省自然科学基金(1708085QH186)。

摘　　要：目的了解安徽省2018—2019年手足口病(HFMD)患儿经济负担及其影响因素,为进一步制定医疗卫生政策提供科学依据。方法于2018年1月采用多阶段分层随机抽样方法在安徽省抽取14家县级和市级医院作为研究点,通过问卷调查、医院收费系统查询和电话随访相结合的方式收集2018年1月—2019年12月在研究点就诊的2941例HFMD门诊患儿和住院患儿信息,计算HFMD患儿的直接经济负担和间接经济负担并分析疾病经济负担的主要影响因素。结果安徽省2018—2019年最终纳入分析的2140例HFMD患儿中,门诊患儿1119例(52.3%),住院患儿1021例(47.7%);门诊患儿和住院患儿的直接经济负担分别为216.0(138.4,339.0)元和2740.0(1870.6,3627.6)元,间接经济负担分别为66.0(0.0,132.0)元和264.0(198.0,429.0)元,总经济负担分别为299.8(216.0,452.0)元和3088.4(2173.1,4072.9)元;多因素非条件logistic回归分析结果显示,家庭月均收入较高HFMD门诊患儿的总经济负担较高,幼托儿童和小学生HFMD门诊患者的总经济负担较低,12~36月龄、监护人最高文化程度本科及以上和住院时间≥6 d HFMD住院患儿的总经济负担较高。结论HFMD可增加安徽省患儿家庭和社会的经济负担,患儿的年龄、类型、家庭月均收入、监护人文化程度和住院时间均为其经济负担的主要影响因素。Objective To investigate the situation and influencing factors of the economic burden of childhood hand,foot,and mouth disease(HFMD)in Anhui province in the 2018–2019 season to provide evidence for health policy development.Methods In January 2018,14 county-level and municipal hospitals in Anhui province were selected as research sites using a multistage stratified random sampling method.The information of 2941 outpatients and hospitalized children with HFMD who visited the research site from January 2018 to December 2019 was collected by a combination of questionnaire survey,hospital billing system query,and telephone follow-up.The direct and indirect economic burden(median[M],25th percentile,75th percentile[P25,P75]in Chinese yuan)of children with HFMD was calculated,and the main influencing factors of the disease economic burden were analyzed.Results A total of 2140 children with HFMD were included in the analysis,including 1119 outpatients(52.3%)and 1021 inpatients(47.7%).The direct economic burden of outpatients and inpatients was 216.0(138.4,339.0)yuan and 2740.0(1870.6,3627.6)yuan,the indirect economic burden was 66.0(0.0,132.0)yuan and 264.0(198.0,429.0)yuan,and the total economic burden was 299.8(216.0,452.0)yuan and 3088.4(2173.1,4072.9)yuan,respectively.The results of multivariate unconditional logistic regression analysis showed that the HFMD outpatients with higher average monthly family income were more likely to have a significantly higher total economic burden,but those who were kindergarten children and primary school students were more likely to have a significantly lower total economic burden;while the likelihood of having a higher total economic burden was significantly higher for HFMD inpatients aged 12–36 months,whose guardians had a college education and above,and with a hospitalization duration of 6 days and more.Conclusion Childhood HFMD can increase the economic burden of the patient′s family and the society in Anhui province.The age,identity,average monthly family income,guardian�

关 键 词：手足口病(HFMD) 患儿 经济负担 影响因素 

分 类 号：R725.1[医药卫生—儿科]