桂林市居民高血压糖尿病患病情况与疾病经济负担研究

A study on the prevalence and economic burden of disease of hypertension and diabetes in Guilin City

目的了解广西桂林市居民高血压、糖尿病的患病情况及其疾病经济负担,为今后高血压、糖尿病的防控工作提供科学的决策依据。方法采取分层整群抽样的方法,随机抽取广西桂林市6 063名社区居民,调查其高血压、糖尿病的患病与费用支出等情况,采用二步模型法和人力资本法,测算疾病经济负担。结果高血压、糖尿病的患病率为14.83%、4.84%,Logistic回归分析结果显示高血压的影响因素有职业类型、年龄、民族、体型、婚姻状况等,糖尿病的影响因素有年龄、体型、婚姻状况、家庭经济水平、居住类型以及文化程度等。高血压、糖尿病患者的疾病经济负担(直接经济负担、间接经济负担)分别为3 330.45(1 131.67、2 198.78)元/人年、4 609.59(3 254.83、1 354.76)元/人年;高血压、糖尿病对桂林市的总经济负担为7.28亿元/年,占居民年总收入的4.04%。结论广西桂林市居民高血压、糖尿病的患病率高于全国平均水平,疾病经济负担较重,对患者、家庭和社会造成了较大的经济损失。

Objective To investigate the prevalence and economic burden of disease of hypertension and diabetes in Guilin city of Guangxi for the prevention and decision of health policy. Methods Using stratified cluster sampling method,we selected 6 063 community residents randomly from the Guilin in Guangxi City,and investigated the prevalence and expenditure situation of diabetes and hypertension,and used the two step model and human capital method to calculates the economic burden of disease in residents. Results The prevalence rate of hypertension and diabetes were 14. 83% and4. 84%. The influencing factors of hypertension were occupation,age,nationolity,weight and marriage. The influencing factors of diabetes were age,weight,marriage,economic level,residence and education. The economic burden of diseases（ direct,indirect） of hypertension and diabetes were 3 330. 45（ 1 131. 67,2 198. 78） yuan/person years,4 609. 59（ 3 254. 83,1 354. 76） yuan/person years. They conbributed to 7. 28 billion RMB economic burden to Guilin every year,which was 4. 04 percent of income. Conclusions Residents of Guilin community has higher prevalence rate of hypertension and diabetes than the average level of China. The economic burden of diseases of hypertension and diabetes was heavy and caused a big economic loss to patients,family and the society.