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林玫, 董柏青, 梁大斌, 李永红, 吴兴华, 殷凯, 蒙增慧, 秦卫文, 钟柳青, 潘绵方. 广西感染性腹泻发病及疾病负担分析[J]. 中国公共卫生, 2009, 25(3): 346-348. DOI: 10.11847/zgggws2009-25-03-49
引用本文: 林玫, 董柏青, 梁大斌, 李永红, 吴兴华, 殷凯, 蒙增慧, 秦卫文, 钟柳青, 潘绵方. 广西感染性腹泻发病及疾病负担分析[J]. 中国公共卫生, 2009, 25(3): 346-348. DOI: 10.11847/zgggws2009-25-03-49
LIN Mei, DONG Bai-qing, LIANG Da-bin, . Study on prevalence and disease burden of infectious diarrhea in Guangxi[J]. Chinese Journal of Public Health, 2009, 25(3): 346-348. DOI: 10.11847/zgggws2009-25-03-49
Citation: LIN Mei, DONG Bai-qing, LIANG Da-bin, . Study on prevalence and disease burden of infectious diarrhea in Guangxi[J]. Chinese Journal of Public Health, 2009, 25(3): 346-348. DOI: 10.11847/zgggws2009-25-03-49

广西感染性腹泻发病及疾病负担分析

Study on prevalence and disease burden of infectious diarrhea in Guangxi

  • 摘要: 目的 了解广西壮族自治区感染性腹泻实际发病情况及疾病负担。方法 采用整群随机抽样的方法进行抽样,对抽中的社区或村屯的所有居民共2万余人分别于2007年8月和12月进行2次入户调查,数据录入并进行发病率、伤残调整损失寿命年(DALYs)和经济负担等指标的计算。结果 两周发病率和病死率分别为1.04%和0.00%,夏季两周发病率(1.21%)高于冬季(0.89%)(χ2=10.0578,P=0.0015)。推算的全人群年发病率为0.2887次/人年,以<5岁年龄组为高,其中0岁~组为1.4428次/人年;男、女性分别为0.3091次/人年和0.2673次/人年。腹泻病人就诊率28.05%、住院率2.04%,自己买药、使用家庭药箱治疗和不作任何治疗者分别占37.10%,13.80%和21.04%。总DALYs为0.1935/千人年,以中青年为高,其中20~49岁为0.2971/千人年。所导致的直接经济损失和间接经济损失人均分别为43.02和18.35元,总经济损失人均61.37元,推算出广西因腹泻导致的年经济损失为87896.61万元。结论 广西腹泻病以<5岁儿童为高危人群,患病后不就诊现象相当普遍,依然导致一定的疾病负担。

     

    Abstract: Objective To reveal the prevalence and disease burden of infectious diarrhea in Guangxi.Methods Home visits were carried out in more than 20,000 residents living in communities or villages selected by method of random cluster sampling in August and December of 2007 in Guangxi.With the data computerized,incidencerates,DALYs and disease burden were calculated.Results Two week incidence rate was 1.04% and casefatality rate was 0.00%.The two-week incidence rate was higher in summer(1.21%)than that in winter(0.89%,χ2=10.0578,P=0.0015).The estimated incidence rate was 0.2887 episode per person-year,with the highest rate found in children younger than 5 years of age.Of those,incidencerate of 1.4428 episode per person-year was observed in children at age group 0-4.9.The incidence rate was 0.3091 episodes per person-year in the male and 0.2673 episode per person-year in the female.The frequency of seeking medical consultation was 28.05% and of hospitalization was 2.04%.37.10% of patients bought drugs by them selves;13.8% took self-medication at home and 21.04% took notreatment as they had diarrhea.The general DALYs was 0.1935 per thousand person-year,with the highest of 0.2971 per thousand person-year in youth and midlife at age group 20-49.The direct and indirect economic loss(GDP)per capita were 43.02 Yuan and 18.35 Yuan,respectively.And the general economic loss per capita was measured as 61.37 Yuan.It is estimated that the economic loss caused by diarrhea was 87896.61 million Yuan in Guagnxi.Conclusion Decreasing prevalence of diarrhea has been observed in Guangxi compared with that in previous years.Children under 5 years of age is the population at high risk of the disease.It is common that patients do not seek medical consultation when they suffer from diarrhea,which still causes some disease burden.

     

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