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预防医学  2017, Vol. 29 Issue (7): 689-693    DOI: 10.19485/j.cnki.issn1007-0931.2017.07.009
  论著 本期目录 | 过刊浏览 | 高级检索 |
杭州市吸烟相关疾病归因于吸烟的直接非医疗费用分析
杨洛贤1, 李金涛2, 汤静3, 陈芳1, 马海燕3
1. 杭州市疾病预防控制中心,浙江 杭州 310021;
2. 杭州市健康城市建设指导中心;
3. 杭州师范大学
An analysis on non-medical cost contributed by smoking of smoking related diseases in main urban districts of Hangzhou
YANG Luo-xian, LI Jin-tao, TANG Jing, CHEN Jun-fang, MA Hai-yan
The Center for Disease Control and Prevention of Hangzhou City,Hangzhou,Zhejiang ,310021,China
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摘要 目的分析杭州市吸烟相关疾病归因于吸烟的直接非医疗费用。方法采用典型抽样法抽取杭州市属4家综合医院和1家肿瘤医院的肺癌、胃癌、乳腺癌、脑血管疾病、冠心病和慢性阻塞性肺疾病(COPD)6种吸烟相关疾病患者,对其交通费、营养费、看护费等直接非医疗费用支出情况进行问卷调查,结合2013年6种疾病的就诊信息、人群归因危险度(PAR)和年度物价指数,估算2013年杭州市居民吸烟相关疾病归因于吸烟的直接非医疗费用。结果2013年杭州市居民肺癌、胃癌、乳腺癌、脑血管疾病、冠心病和COPD的直接非医疗费用分别为119.22、241.09、232.19、4 108.24、98 744.04和550.78万元,归因于吸烟的直接非医疗费用分别为42.71、24.31、7.16、156.46、9 263.23和125.20万元,分别占直接非医疗费用的35.83%、10.08%、3.08%、3.81%、9.38%和22.73%。男性肺癌患者归因于吸烟的人均直接非医疗费用最高,为267.67元,占城乡居民最低生活保障收入的3.79%。结论归因于吸烟的直接非医疗费用占总直接非医疗费用比例由高到低为肺癌、COPD、胃癌、冠心病、脑血管疾病和乳腺癌。
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杨洛贤
李金涛
汤静
陈芳
马海燕
关键词 吸烟疾病负担直接非医疗费用    
Abstract:Objective The paper aims to leavn the direct non-medical costs of the major diseases associated with smoking in Hangzhou. Methods We investigated four general hospitals and a cancer hospital in Hangzhou by typical sampling method. The survey included fee of transportation, nutrition,care,travel and so on. Six major Smoking-related diseases were identified through literature review,and the attributable risk(AR)and the price index were obtained. Results In 2013,the direct non-medical costs of tobacco-related diseases in Hangzhou were as follows:lung cancer,gastric cancer,breast cancer,cerebrovascular diseases cost 427.1,243.1,71.6 ,1 564.6 thousand yuan, respec tively and coronary heart disease cost 92 632.3 thousand yuan and COPD cost 11 252.0 thousand yuan. Conclusion The direct non-medical cost contributed by smoking is an important part of the burden of Smoking-related diseases and should be taken seriously.
Key wordsTobacco    Burden of disease    Direct non-medical costs
收稿日期: 2017-02-16      出版日期: 2017-11-15
ZTFLH:  R195.4  
通讯作者: 马海燕,E-mail:mhynym@163.com   
作者简介: 杨洛贤,本科,副主任医师,主要从事健康教育工作
引用本文:   
杨洛贤, 李金涛, 汤静, 陈芳, 马海燕. 杭州市吸烟相关疾病归因于吸烟的直接非医疗费用分析[J]. 预防医学, 2017, 29(7): 689-693.
YANG Luo-xian, LI Jin-tao, TANG Jing, CHEN Jun-fang, MA Hai-yan. An analysis on non-medical cost contributed by smoking of smoking related diseases in main urban districts of Hangzhou. Preventive Medicine, 2017, 29(7): 689-693.
链接本文:  
http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn1007-0931.2017.07.009      或      http://www.zjyfyxzz.com/CN/Y2017/V29/I7/689
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