浙江省平湖市1起D8基因型麻疹暴发疫情病例的经济负担分析Economic burden of an outbreak of D8 genotype measles in Pinghu city, Zhejiang province
姚凤燕;向泽林;
摘要(Abstract):
目的了解浙江省平湖市1起D8基因型麻疹暴发疫情病例的疾病经济负担。方法收集平湖市2017年1起D8基因型麻疹暴发疫情病例信息,分析经济负担及其影响因素,并与2015年浙江省嘉兴市本土流行株麻疹病例的经济负担进行比较。结果 10例D8基因型麻疹病例的平均直接、间接和总经济负担分别为9 418.55元、2 430.92元和11 849.47元;其中男性、常住人口、住院病例的总经济负担分别高于女性、非常住人口、未住院病例(Z=-2.19,P=0.032;Z=-2.09,P=0.044;Z=-2.09,P=0.044)。45例本土流行株麻疹病例的平均直接、间接和总经济负担分别为4598.12元、2720.76元、7 318.88元(与D8基因型病例相比,Z=-2.53,P=0.011;Z=-0.31,P=0.760;Z=-1.81,P=0.070)。多重线性回归分析显示,所有55例病例的总经济负担以住院、有医保、常住人口病例分别高于未住院、无医保、非常住人口病例(t=3.11,P=0.003;t=2.38,P=0.021;t=2.38,P=0.021),而D8基因型与本土流行株病例之间无显著性差异(t=1.69,P=0.097)。结论 D8基因型麻疹病例经济负担较高,且直接经济负担高于本土流行株病例,而麻疹病例总经济负担与基因型别无关。
关键词(KeyWords): 麻疹;D8基因型;经济负担
基金项目(Foundation): 嘉兴麻疹、流感样病例与气象因素、空气污染的关系(2016AY23090)
作者(Authors): 姚凤燕;向泽林;
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