文章摘要
杨娟,冯录召,郑亚明,余宏杰.中国2012年疾病相关过早死亡的间接经济负担估计[J].中华流行病学杂志,2014,35(11):1256-1262
中国2012年疾病相关过早死亡的间接经济负担估计
Estimation on the indirect economic burden of disease-related premature deaths in China, 2012
投稿时间:2014-08-05  
DOI:10.3760/cma.j.issn.0254-6450.2014.11.018
中文关键词: 过早死亡;间接经济负担;人力资本法;摩擦成本法
英文关键词: Premature death;Indirect economic burden;Human capital approach;Friction cost method
基金项目:
作者单位E-mail
杨娟 102206 北京, 中国疾病预防控制中心传染病预防控制处 传染病监测预警重点实验室  
冯录召 102206 北京, 中国疾病预防控制中心传染病预防控制处 传染病监测预警重点实验室  
郑亚明 102206 北京, 中国疾病预防控制中心传染病预防控制处 传染病监测预警重点实验室  
余宏杰 102206 北京, 中国疾病预防控制中心传染病预防控制处 传染病监测预警重点实验室 yuhj@chinacdc.cn 
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中文摘要:
      目的 了解2012年中国疾病相关过早死亡(早亡)所致间接经济负担。方法 利用2012年全国疾病监测系统死因监测、中国统计年鉴、2010年人口普查和WHO生命表等数据,分别采用人力资本法和摩擦成本法测算不同疾病相关早亡的间接经济负担。结果 采用人力资本法估计,2012年我国早亡所致间接经济负担为4 251亿元,约占同期GDP 8‰。其中慢性非传染性疾病(慢病)相关早亡的间接经济负担所占比例最高(67.1%,2 954亿元);其次为伤害(25.6%,1 089亿元);传染病、母婴疾病和营养缺乏性疾病最低(6.4%,269亿元)。前五位早亡所致间接经济负担顺位依次为恶性肿瘤、心血管疾病、意外伤害、故意伤害和呼吸系统疾病。早亡所致间接经济负担主要集中在20~59岁人群。与人力资本法估计结果相比,采用摩擦成本法估计值为其0.11%~3.49%。结论 目前中国疾病相关早亡所致间接经济负担较重。其中慢病是主要疾病负担,其次为伤害,且主要集中在劳动年龄人口。
英文摘要:
      Objective To estimate the indirect economic burden of disease-related premature deaths in China,2012. Methods Both human capital approach and friction cost methods were used to compute the indirect economic burden of premature deaths from the following sources:mortality from the national disease surveillance system in 2012, average annual income per capita from the China Statistic Yearbook in 2012,population size from the 2010 China census,and life expectancy in China from the World Health Organization life table. Results Data from the Human Capital Approach Estimates showed that the indirect economic burden of premature deaths in China was 425.1 billion in 2012 ,accounting for 8‰ of the GDP. The indirect economic burden of chronic non-communicable diseases associated premature deaths was accounted for the highest proportion (67.1%, 295.4 billion),followed by those of injuries related premature deaths (25.6%,108.9 billion),infectious diseases,maternal and infants diseases,and malnutrition related deaths (6.4%,26.9 billion). The top five premature deaths that cause the indirect economic burden were malignancy,cardiovascular diseases,unintentional injuries, intentional injuries,and diseases of the respiratory system. The indirect economic burden of premature deaths mainly occurred in the population of 20-59 year-olds. Under the Friction Cost method,the estimates appeared to be 0.11%-3.49% of the total human capital approach estimates. Conclusion Premature death caused heavy indirect economic burden in China. Chronic non-communicable diseases and injuries seemed to incur the major disease burden. The indirect economic burden of premature deaths mainly occurred in the working age group.
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