CAJ | 학술논문

目的了解慢性血吸虫病家庭负担和经济负担.方法收集2006年湖北省阳新县监测点226例慢性血吸虫病确诊病例的有关资料,并对其中219例愿意配合的患者进行问卷调查.采用家庭负担量表(FBS)评价其家庭负担.直接经济负担由现场调查获得,间接经济负担采用健康寿命损失年(YLD)与人力资本法相结合估计.结果调查发现,FBS量表的家庭经济负担和家庭娱乐活动2个维度的阳性回答率较高,分别为54.8%和47.0%.其他4个维度的阳性同答率较低,均低于40.0%.219例慢性血吸虫病患者当年经济损失总计353 480.59元,人均1614.07元;其中直接经济损失为61 679元,人均281.64元;间接经济损失为291 801.59元,占总负担的82.55%,人均1332.43元.结论慢性血吸虫病的家庭负担较重,其经济负担相对于当地居民的家庭年纯收入水平较重,尤以间接经济负担为主,应作为重点干预对象.
목적 료해만성혈흡충병가정부담화경제부담.방법 수집2006년호북성양신현감측점226례만성혈흡충병학진병례적유관자료,병대기중219례원의배합적환자진행문권조사.채용가정부담량표(FBS)평개기가정부담.직접경제부담유현장조사획득,간접경제부담채용건강수명손실년(YLD)여인력자본법상결합고계.결과 조사발현,FBS량표적가정경제부담화가정오악활동2개유도적양성회답솔교고,분별위54.8%화47.0%.기타4개유도적양성동답솔교저,균저우40.0%.219례만성혈흡충병환자당년경제손실총계353 480.59원,인균1614.07원;기중직접경제손실위61 679원,인균281.64원;간접경제손실위291 801.59원,점총부담적82.55%,인균1332.43원.결론 만성혈흡충병적가정부담교중,기경제부담상대우당지거민적가정년순수입수평교중,우이간접경제부담위주,응작위중점간예대상.
Objective To evaluate the family and economic burden of chronic Schistosomiasis japonica. Methods Relevant information on 226 chronic schistosomiasis patients from four surveillance sites in Yangxin county was collected. A questionnaire survey was conducted on 219 of them who agreed to corporate. Family burden was estimated with standard Family Burden Scale of Disease (FBS). Direct economic burden was calculated by questionnaire survey. Human capital method combined with Years Lived with Disability (YLDs) was adopted to evaluate the indirect economic burden. Results The positive rates on the dimensions of family economic burden and family entertainment were 54.8 percent and 47.0 percent respectively. The remaining dimensions were lower than 40.0 percent. Results of the questionnaire survey among 219 chronic Schistosomiasis patients showed that the total economic burden was 353 480.59 Chinese Yuan, which was 1614.07 Yuan per person. The direct and indirect economic burden were 61 679 and 291 801.59 Yuan respectively. The average direct and indirect economic burden when counted on money losses, were 281.64 and 1332.43 Yuan per person, respectively. Conclusion The family burden caused by chronic Schistosomiasis japonica was serious, economically in particular. With regard to the income level of local residents, the economic burden of chronic Schistosomiasis was heavy to every household with indirect economic burden accounted for major proportion, suggesting close attention to be paid.