2017—2022年南昌市肺结核疾病负担调查分析  

Disease Burden of Pulmonary Tuberculosis in Nanchang City from 2017 to 2022:an Analytical Report

作　　者：谢煜相 刘月凤 黄鹏[1] 杨树 XIE Yu-xiang;LIU Yue-feng;HUANG Peng;YANG Shu(School of Public Health of Nanchang University,Jiangxi Provincial Key Laboratory of Preventive Medicine,Nanchang 330006,China;Research Base of State Key Laboratory of Infectious Disease Prevention and Control,Jiangxi Provincial Health Commission Key Laboratory of Pathogenic Diagnosis and Genomics of Emerging Infectious Diseases,Nanchang City’s Center for Disease Control and Prevention,Nanchang 330038,China)

机构地区：[1]南昌大学公共卫生学院,江西省预防医学重点实验室,南昌330006 [2]传染病预防控制国家重点实验室研究基地,江西省卫生健康新发传染病病原学诊断及基因组学重点实验室,南昌市疾病预防控制中心,南昌330038

出　　处：《南昌大学学报（医学版）》2024年第4期93-98,共6页Journal of Nanchang University：Medical Sciences

基　　金：南昌市医疗技术支撑计划一般项目(2022-KJZC-018)。

摘　　要：目的分析2017—2022年南昌市肺结核造成的疾病负担和经济负担,为制定合理有效的防控措施提供依据。方法采用描述性流行病学方法对2017—2022南昌市肺结核发病资料进行统计分析,应用世界卫生组织疾病负担Excel模板评估肺结核造成的伤残调整寿命年(DALY),并结合人力资本法评估肺结核造成的间接经济负担。结果2017—2022年南昌市共登记肺结核21900例,其中死亡43例,男女性别比为2.41∶1,年均发病率为63.16/10万。DALY总损失为27738.72人年,DALY强度为0.74人年·千人-1;男性DALY及其强度均高于女性,男女DALY强度均随年龄增加而上升;肺结核疾病负担主要集中在>60岁年龄段,占总DALY的43.47%。南昌市每年因肺结核造成的间接经济负担为12824.99万元,其中45~59岁年龄组占比最高。结论南昌市肺结核患者疾病负担和经济负担水平较高,应加强对重点人群的结核病防控工作,同时优化肺结核患者的减免政策。Objective To analyze the disease burden and economic burden of pulmonary tuberculosis(PTB)in Nanchang city from 2017 to 2022,and to provide a basis for the development of rationa l and effective prevention and control strategies.Methods Descriptive epidemiological methods were employed to statistically analyze the epidemic data of pulmonary tuberculosis in Nanchang city from 2017 to 2022;the Disease Burden Excel template of the World Health Organization was used to measure the disability-adjusted life years;human capital method was adopted to estimate economic burden.Results From 2017 to 2022,a total of 21900 PTB cases were registered in Nanchang city,including 43 deaths,with a male-to-female ratio of 2.41∶1 and an average annual incidence rate of 63.16 per 100000 people.The estimated total DALY loss was 27738.72 person-years,with a DALY intensity of 0.74 person-years per 1000 population;both male DALYs and their intensities were higher than those of females,and both male and female DALY intensities increased with age;the burden of disease for PTB was mainly concentrated in the ages of 60 years and older,which accounted for 43.47 per cent of total DALYs.The annual indirect economic burden caused by PTB was 12824.99 yuan,and the highest proportion of the indirect economic burden was attributable to the 45-59 age group.Conclusions This research suggests that the disease burden and economic burden of PTB patients in Nanchang city are relatively high,and that PTB prevention and control should be strengthened for key populations with the optimization of the reduction and exemption policy for PTB patients.

关 键 词：肺结核 疾病负担 伤残调整寿命年 间接经济负担 

分 类 号：R195[医药卫生—卫生统计学]