| 城市地区肺癌经济负担影响因素分析 |
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| 引用本文： | 刘帅, 张歆, 刘国祥, 黄卫东, 徐涵, 徐岳, 吴群红, 毛正中, Teh-Wei Hu. 城市地区肺癌经济负担影响因素分析[J]. 中国公共卫生, 2017, 33(8): 1224-1228. DOI: 10.11847/zgggws2017-33-08-17 |
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| 作者姓名： | 刘帅 张歆 刘国祥 黄卫东 徐涵 徐岳 吴群红 毛正中 Teh-Wei Hu |
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| 作者单位： | 1.哈尔滨医科大学公共卫生学院, 黑龙江 哈尔滨 150081;2.四川大学华西公共卫生学院;3.美国加州大学伯克利分校 |
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| 基金项目： | 国家自然科学基金重点项目（71333003）;美国国家卫生研究院资助项目（R01TW009295）;教育部人文社会科学研究项目（13YJCZH259） |
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| 摘 要： | 目的 分析不同特征肺癌患者的疾病经济负担，探讨其影响因素，为相关政策制定提供科学依据。方法 通过哈尔滨市南岗区疾病预防控制中心的肿瘤登记信息系统，找出其下辖的10个社区中在2010-2014年主要诊断为肺癌的存活病例资料，剔除失访病例，对最终纳入的195例患者进行回顾性问卷调查，应用SPSS 18.0软件对肺癌的经济负担及其影响因素进行统计描述，单因素方差分析和多重回归分析。结果 不同婚姻状况、教育程度、家庭人均收入及医疗保险类型的肺癌患者，其总经济负担的对数值差异有统计学意义（P<0.05）；已婚/同居患者的总经济负担为（167 052.63±161 064.79）元，是其他婚姻状况患者[（93 343.90±65 745.69）元]的1.79倍；随着患者受教育程度和家庭人均收入的提高，总经济负担均呈上升趋势；参加城镇职工医疗保险的肺癌患者总经济负担最高，为（181 866.35±165 885.28）元，无医保患者的最低，为（77 698.64±72 372.87）元；多因素分析显示，患者的婚姻状况、家庭人均收入和医疗保险类型是肺癌患者经济负担的主要影响因素。结论 应重点关注影响肺癌经济负担的主要因素，提高低收入人群和无医保人群的卫生服务利用可及性，完善社会各种保障制度，切实减轻肺癌患者的经济负担。
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| 关 键 词： | 肺癌 经济负担 影响因素 |
| 收稿时间： | 2015-11-30 |
Influencing factors of economic burden in urban community lung cancer patients |
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| LIU Shuai, ZHANG Xin, LIU Guo-xiang.et al, . Influencing factors of economic burden in urban community lung cancer patients[J]. Chinese Journal of Public Health, 2017, 33(8): 1224-1228. DOI: 10.11847/zgggws2017-33-08-17 |
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| Authors: | LIU Shuai ZHANG Xin LIU Guo-xiang.et al |
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| Affiliation: | 1.Department of Health Economics, School of Public Health, Harbin Medical University, Harbin, Heilongjiang Province 150000, China |
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| Abstract: | Objective To analyze the economic burden of lung cancer patients with different characteristics and its main influencing factors and to provide evidences for relevant policy-making.Methods A retrospective questionnaire survey was conducted among 195 alive lung cancer patients diagnosed between 2010 through 2014;the patients were recruited from 10 communities in Nangang district of Harbin city via the dataset of National Cancer Registry System of Chinese Center for Disease Control and Prevention from May to July 2015.Analysis of variance (ANOVA) and multivariate regression analysis were adopted in the study using SPSS 18.0.Results The economic burden differed significantly by marital status,education level,per capita household income,and type of health insurance among the patients(all P<0.05).The economic burden of the patients married or living with unmarried cohabiters was 1.79 times higher than those with other marital status (167 052.63±161 064.79 vs.93 343.90±65 745.69 RMB Yuan);the total economic burden of the patients was positively related to their education level and household income per capita,with the highest burden for the patients covered by Urban Employee Basic Medical Insurance (181 866.35±165 885.28 RMB Yuan) and the lowest among those without medical insurance (77 698.64±72 372.87 RMB Yuan).The results of multivariate analysis showed that marital status,household income per capita,and the type of health insurance were main influencing factors for total economic burden among the lung cancer patients.Conclusion Major influencing factors for economic burden of lung cancer patients should be concerned;improving accessibility of health service for the patients with low income or without medical insurance and upgrading social security system could effectively reduce economic burden of lung cancer patients. |
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| Keywords: | lung cancer economic burden influencing factor |
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