陕西省2020—2021年度新冠肺炎疾病负担研究

Study on disease burden of COVID-19 from 2020 to 2021 in Shaanxi Province

目的 根据陕西省2020—2021年度新型冠状病毒肺炎疫情,对新冠肺炎病例进行疾病负担定量分析,并结合基于伤残调整寿命年的人力资本法估计新冠肺炎造成的间接经济损失。方法 将陕西省2020—2021年度新冠肺炎确诊病例按不同年龄、性别和地域进行分组,并用伤残调整寿命年DALYs计算法对不同特征病例进行疾病负担定量分析;同时根据陕西省人均生产力水平,通过对不同年龄段人群进行生产力赋权,采用基于DALYs的人力资本法估算陕西省2020—2021年度新冠肺炎造成的间接经济负担。结果 陕西省2020年度新冠肺炎确诊病例245例,死亡3例;2021年度确诊病例2 098例,无死亡病例。2020年度总疾病负担为11.82年,其中西安市DALYs损失占全省总疾病负担的97.63%,且主要在71~90岁年龄段,以男性患者为主;2021年度总DALYs损失为0.89年,其中西安市DALYs损失占96.63%,且主要在21~40岁年龄段,男性患者占比仍相对较高。陕西省2020—2021年度新冠肺炎引起的总疾病负担为12.71年(2.71×10^(-3)DALYs/人/年),总间接经济负担717 624.16元。结论陕西省2020—2021年度新冠肺炎引起的疾病负担主要集中在西安市,应加强重点地区和人群的疫情防控。

Objective According to the epidemic situation of COVID-19 from 2020 to 2021 in Shaanxi Province,the disease burden of COVID-19 cases was quantitatively analyzed,and the indirect economic loss caused by COVID-19 was estimated by the human capital method based on disability-adjusted life years.Methods The confirmed cases in COVID-19 from 2020 to 2021 in Shaanxi Province were divided into groups according to different ages,genders and regions,and the DALY calculation method of disability-adjusted life years was used to quantitatively analyze the disease burden of different charac-teristic cases.At the same time,according to the per capita productivity level of Shaanxi Province,by empowering people of different ages,the indirect economic burden caused by COVID-19 in Shaanxi Province in 2020-2021 is estimated by DA-LY-based human capital method.Results There were 245 confirmed cases and 3 deaths in COVID-19,Shaanxi Province in 2020.In 2021,there were 2098 confirmed cases and 0 deaths.The total disease burden in 2020 is 11.82 years,of which the DALYs loss in Xi'an accounted for 97.63%of the total disease burden in the whole province,and the DALYs loss was mainly concentrated in the age group of 71-90 years,with male patients as the majority.The total loss of DALYs in 2021 was 0.89 years,of which the loss of DALYs in Xi'an accounted for 96.63%,and it was mainly concentrated in the age group of 21-40 years,and the proportion of male patients was still relatively high.It was estimated that the total disease bur-den caused by COVID-19 in Shaanxi Province in 2020-2021 is 12.71years(2.71×10^(-3)DALYs per person per year),and the total indirect economic burden was about 717624.16 yuan.Conclusion The disease burden caused by COVID-19 in Shaanxi Province in 2020-2021 was mainly concentrated in Xi'an.The epidemic prevention and control in key areas and people should be strengthened.