吉林大学学报(医学版) ›› 2015, Vol. 41 ›› Issue (02): 410-415.doi: 10.13481/j.1671-587x.20150241

• 调查研究 • 上一篇    下一篇

吉林省食源性疾病患者就诊情况及疾病经济负担的评估

刘璐1, 白光大2, 邢扬1, 孙平辉1, 翟前前2, 张迪2, 翁熹君2, 寇泊洋2, 白冰1, 杨成程1   

  1. 1. 吉林大学公共卫生学院流行病与卫生统计学教研室, 吉林 长春 130021;
    2. 吉林省疾病预防控制中心营养 与食品安全评价所, 吉林 长春 130062
  • 收稿日期:2014-10-13 出版日期:2015-03-28 发布日期:2015-04-04
  • 通讯作者: 白光大, 主任医师(Tel:0431-87965738, E-mail:baigd100@163.com) E-mail:baigd100@163.com
  • 作者简介:刘璐(1989-), 女, 吉林省松原市人, 在读医学硕士, 主要从事现场研究中的统计学应用和评价方面的研究。
  • 基金资助:

    吉林省卫生厅科研基金资助课题(3R209L623427)

Assessment of hospital visiting situation and disease burden of patients with foodborne diseases in Jilin Province

LIU Lu1, BAI Guangda2, XING Yang1, SUN Pinghui1, ZHAI Qianqian2, ZHANG Di2, WENG Xijun2, KOU Poyang2, BAI Bing1, YANG Chengcheng1   

  1. 1. Department of Epidemiology and Health Statistics, School of Public Health, Jilin University, Changchun 130021, China;
    2. Office of Nutrition and Food Safety Evaluation, Jilin Provincial Center for Disease Concrol and Prevention, Changchun 130062, China
  • Received:2014-10-13 Online:2015-03-28 Published:2015-04-04

摘要:

目的:了解吉林省食源性疾病患者就诊和疾病经济负担情况并分析疾病经济负担的影响因素,为食源性疾病的防治提供依据。方法:以2012-2013年在吉林省内连续居住6个月及以上的常住人口为调查对象,采用多阶段分层随机抽样方法,选取吉林省10个监测地区内7 353人(2012年3 065人,2013年4 288人)进行入户面对面调查。分析不同类型食源性疾病患者的就诊率和疾病经济负担情况;采用单因素和多重线性回归分析食源性疾病经济负担的影响因素。结果:吉林省食源性疾病患者就诊率为13.10%,不同年龄、文化程度、过去4周内发生急性胃肠炎次数和患病持续天数的患者就诊率比较差异有统计学意义(P<0.05),35~44岁年龄组患者就诊率高于其他年龄组(P<0.05),大学及以上文化程度的患者就诊率高于其他文化程度者(P<0.05),过去4周内发生急性胃肠炎2次以上的患者的就诊率高于其他患者(P<0.05),患病持续4 d及以上的患者就诊率高于其他患者(P<0.05)。157例食源性疾病患者的总经济负担为5 847.82元,人均疾病经济负担为37.25元。首次就诊机构级别和患病持续天数是食源性疾病经济负担的主要影响因素。结论:食源性疾病的就诊率不高,但给患者带来一定的经济负担,应提高基层医疗机构的利用率和诊疗能力,以降低食源性疾病患者的经济负担。

关键词: 食源性疾病, 疾病经济负担, 影响因素

Abstract:

Objective To understand the hospital visiting situation and disease burden and to analyze the influencing factors of disease burden of the patients with foodborne diseases in Jilin Province,and to provide the basis for prevention and control of foodborne diseases.Methods 7 353 people (3 065 for 2012 year and 4 288 for 2013 year) lived for 6 consecutive months and above from 2012 to 2013 were selected from ten monitoring areas of Jilin Province by multi-stage stratified random sampling method, and the data of these residents were collected with questionnaire by face-to-face interview. The hospital visiting and disease burden situation of the patients with different kinds of foodborne diseases were analyzed; the influencing factors of disease burden of the patients with foodborne diseases were detected by univariate and multiple linear regression analysis.Results The rate of hospital visiting of the patients with foodborne diseases was 13.10%,and there were significant differences of the rates of hospital visiting of the patients with different ages,culture degrees,numbers of acute gastroenteritis over the past 4 weeks and disease durations(P<0.05). The rate of hospital visiting in the patients of 35-44 age group was higher than those in other groups(P<0.05);the rates of hospital visiting of the patients with university and above degree,occurring 2 times and above over the past 4 weeks or illness lasting 4 d and above were higher than those in other groups(P<0.05). The total economic burden and per capita economic burden of 157 patients with foodborne diseases were 5 847.82 and 37.25 yuan.The first hospital level and disease duration were the main influencing factors of economic burden of foodborne diseases.Conclusion The rate of hospital visiting of the patients with foodborne diseases is not high,but it still brings certain economic burden in the patients.It is important to improve the rate of capacity utilization and the treatment of primary health care institutions to reduce the economic burden of the patients with foodborne diseases.

Key words: foodborne diseases, economic burden of the disease, influencing factor

中图分类号: 

  • R155.3