摘要
目的探讨云南省昆明市官渡区农村居民缺血性心脏病经济负担及其影响因素。方法采用自行设计调查问卷对云南省昆明市官渡区随机抽取的4 011名18岁～农村常住居民进行面访调查。结果昆明市官渡区农村居民缺血性心脏病的患病率为3.3%;男性和女性患病率分别为3.8%和2.6%,男性高于女性(χ2=2.36,P<0.05);缺血性心脏病损失34.0个伤残调整寿命年(DALYs)/千人,男性损失37.0个DALYs/千人,女性损失28.6个DALYs/千人;缺血性心脏病患者的总疾病经济负担为63 852.3万元,例均疾病经济负担为14 336.0元;例均直接、间接、无形疾病经济负担分别为7 690.8、1 246.2、5 399.0元;住院天数越长、缺血性心脏病对家庭影响越大、居住村收入水平越高的居民患缺血性心脏病的经济负担越重(P<0.05)。结论缺血性心脏病给昆明市官渡区农村居民造成沉重经济负担;住院天数、对家庭影响程度和居住村年人均收入水平是造成经济负担的主要影响因素。
Objective To study the economic burden of ischemic heart disease（IHD） and to examine the effects of contextual and individual determinants on economic burden of IHD in a rural area of Kunming.Methods A representative sample of 4 011 residents aged 18 years and over was selected from Guandu district.Information was obtained from a cross-sectional questionnaire survey.Direct,indirect and intangible economic burdens of IHD were measured.The data was analyzed using multilevel linear model.Results The overall prevalence of IHD was 3.3% in the adults.The males had a higher prevalence of IHD than the females（3.8% vs 2.6%,χ2=2.36,P0.05）.The disability adjusted life year（DALY）/1 000 population of IHD was 34.0,and the males had obviously higher DALY than the females（37.0 vs 28.6,t=3.67,P0.01）.The per capita direct,indirect and intangible economic burden of IHD was 7 690.8,1 246.2,and 5 399.0 RMB yuan,respectively.The total economic burden of IHD was 63 852.3 yuan.The males had higher per capita direct economic burden and total economic burden of IHD than the females,whereas the males had a lower per capita intangible economic burden of IHD than the females（P0.01）.The IHD patients with longer period of hospitalization and worse effect on household had higher probability of having higher economic burden.Living in a higher income village was associated with higher economic burden of IHD.Conclusion IHD is a serious disease for the rural residents and induces heavy economic burden in the study area.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2011年第2期170-171,共2页
Chinese Journal of Public Health
基金
国家自然科学基金(30960335)
云南省自然科学基金(2008CD115)
关键词
缺血性心脏病
经济负担
影响因素
农村居民
ischemic heart disease
economic burden
influencing factor
rural resident
