2017-2019年湖北省某市艾滋病疾病经济负担研究

Economic burden of HIV/AIDS in a city of Hubei Province

目的通过测算2017-2019年湖北省某市艾滋病疾病经济负担,分析疾病经济负担的构成,为减轻艾滋病家庭疾病经济负担、优化湖北省某市艾滋病防治资源配置提供政策建议。方法从家庭视角出发,进行基于患病率的回顾性研究,使用自下而上法测量直接经济负担,使用人力资本法计算间接经济负担。结果湖北省某市艾滋病家庭的户均疾病经济负担在2017-2019年依次为5148.18元、7389.46元和7056.59元,占户均家庭非食品性支出的比例依次为10.90%、12.81%和10.10%,未达到灾难性卫生支出标准。其中,因艾滋病患病导致的户均疾病经济负担依次为4346.85元、4608.03元和4670.09元,其以直接经济负担为主。死亡导致的间接经济负担在2017-2019年依次为772.00万元、1946.51万元和2002.99万元,对于因艾滋病相关疾病死亡的患者家庭而言,户均经济负担依次为59.38万元、77.86万元和77.04万元。结论2017-2019年,湖北省某市艾滋病家庭疾病经济负担尚在家庭可支付能力范围内,但后续干预需要重点关注直接经济负担,同时应加强艾滋病的宣传教育工作。

Objective To estimate and analyze the economic burden of HIV/AIDS in one city of Hubei Province from 2017 to 2019,to provide policy indications to reduce the economic burden of HIV/AIDS families and optimize the allocation of HIV/AIDS prevention and control resources.Methods From the perspective of households,a retrospective study based on prevalence was conducted.The direct economic burden was measured by the bottom-up approach.The indirect economic burden was measured by the human capital method.Results The average economic burden of HIV/AIDS per household in one selected city of Hubei Province from 2017 to 2019 was 5148.18 yuan in 2017,7389.46 yuan in 2018,and 7056.59 yuan in 2019,accounting for 10.90%,12.81%,and 10.10%of the average non-food household expenditure,respectively.However,none of the figures met the standard of catastrophic health expenditure.The economic burden of HIV/AIDS per household caused by prevalence was 4346.85 yuan in 2017,4608.03 yuan in 2018,and 4670.09 yuan in 2019.The direct economic burden was the main one.The indirect economic burdens caused by death were 7.7200 million yuan in 2017,19.4651 million yuan in 2018,and 20.0299 million yuan in 2019.For the families with members who died from AIDS-related illnesses,the economic burdens per household were 593,800 yuan in 2017,778,600 yuan in 2018,and 770,400 yuan in 2019.Conclusions From 2017 to 2019,the economic burden of HIV/AIDS in one selected city of Hubei province from the family perspective is still within the families affordability,but further interventions need to focus on direct economic burdens.At the same time,the publicity and education on HIV/AIDS prevention and treatment should be strengthened.