王铁强, 郑庆鸣, 吴云杰, 姚云英, 旷翠萍, 李雪梅. 广东省深圳市学龄儿童水痘病例的疾病经济负担调查[J]. 疾病监测, 2021, 36(10): 1092-1095. DOI: 10.3784/jbjc.202104130193
引用本文: 王铁强, 郑庆鸣, 吴云杰, 姚云英, 旷翠萍, 李雪梅. 广东省深圳市学龄儿童水痘病例的疾病经济负担调查[J]. 疾病监测, 2021, 36(10): 1092-1095. DOI: 10.3784/jbjc.202104130193
Wang Tieqiang, Zheng Qingming, Wu Yunjie, Yao Yunying, Kuang Cuiping, Li Xuemei. Investigation of economic burden caused by varicella in school aged children in Shenzhen[J]. Disease Surveillance, 2021, 36(10): 1092-1095. DOI: 10.3784/jbjc.202104130193
Citation: Wang Tieqiang, Zheng Qingming, Wu Yunjie, Yao Yunying, Kuang Cuiping, Li Xuemei. Investigation of economic burden caused by varicella in school aged children in Shenzhen[J]. Disease Surveillance, 2021, 36(10): 1092-1095. DOI: 10.3784/jbjc.202104130193

广东省深圳市学龄儿童水痘病例的疾病经济负担调查

Investigation of economic burden caused by varicella in school aged children in Shenzhen

  • 摘要:
      目的   了解广东省深圳市学校水痘病例的疾病经济负担,比较不同水痘疫苗免疫策略的疾病负担,为制订水痘防控策略及防控效果评价提供依据。
      方法   采取回顾性调查方式对深圳市24所暴发水痘疫情学校中的水痘患者及有水痘患病史者开展问卷调查,所有数据采用SPSS 25.0软件进行分析,采用非参数检验(Kruskal Wallis检验比较多组和Mann-Whitney U检验比较两组)分析不同性别、年龄、病例类型、不同接种史的患者因水痘疾病带来的直接费用、间接费用及总负担的差异,同时采用Spearman秩相关检验分析有序变量(年龄、陪护人数、陪护天数)与经济负担的相关性。
      结果   共收集水痘病例515例。 水痘门诊病例与住院病例疾病经济负担的差异具有统计学意义(P<0.05),门诊病例共426例,经济负担810.00(400.00~1 452.00)元,其中直接费用260.00(200.00~350.00)元,平均间接费用500.00(200.00~1 100.00)元;住院水痘病例共23例,经济负担3 020.00(2 050.00~3 508.00)元,其中直接费用1 100.00(1 000.00~1 340.00)元,平均间接费用1 900.00(1 200.00~2 200.00)元。 陪护天数和陪护人数与疾病负担正相关。 不同性别间经济负担差异无统计学意义。 不同水痘疫苗接种史的水痘病例经济负担差异有统计学意义,接种1次的经济负担高于接种0次的经济负担(P<0.05)。
      结论   深圳市水痘疾病因病情不同经济负担存在差异,不同水痘疫苗接种史的水痘病例经济负担不同。

     

    Abstract:
      Objective   To understand the economic burden caused by varicella in school aged children in Shenzhen, compare the economic burden under different varicella immunization strategies and provide evidence for the development of targeted varicella prevention and control strategies.
      Methods   A retrospective survey was conducted in 24 primary schools of Shenzhen where varicella outbreaks had been reported. Software SPSS 25.0 was used for analysis, the gender, age and case type specific direct cost, indirect cost and overall cost of varicella cases and the influence of their vaccination status on the economic burden were analyzed by non-parametric test (Kruskal Wallis test for multi-group comparison and Mann Whitney U test for pairwise comparison). Spearman rank correlation test was used to analyze the correlation between ordered variables (age, number of caregivers, number of care days) and the economic burden.
      Results   A total of 515 cases of varicella were surveyed. The difference in economic burden between outpatients and inpatients of varicella was significant. Among the varicella cases surveyed, 426 were not hospitalized, and their average medical cost was 810.00 (400.00–1452.00) yuan, in which 260.00 (200.00–350.00) yuan was direct cost, and 500.00 (200.00–1100.00) yuan was indirect cost, and 23 varicella cases were hospitalized, and their average medical cost was 3020.00 (2050.00–3508.00) yuan, in which 1100.00 (1000.00–1340.00) yuan was direct cost, and 1900.00 (1200.00–2200.00) yuan was indirect cost. Spearman rank correlation test showed a positive correlation between the number of care days, number of caregivers and the medical cost of the varicella cases. There was no gender specific difference in medical cost. The difference in medical cost between the cases with different varicella vaccination status was significant. The medical cost was higher in the cases with 1 dose varicella vaccination than in the cases with 0 dose varicella vaccination.
      Conclusion   The economic burden caused by varicella in school-aged children in Shenzhen was serious. Cases of varicella under different immunization strategy of varicella vaccine had different economic burden.

     

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