文章摘要
张夏燕,李萌,冯一冰,步凯,傅更锋,刘晓燕,陈禹衡,史灵恩,柏春琴,魏洪霞,还锡萍,王璐.南京市艾滋病抗病毒治疗患者疾病负担及其影响因素分析[J].中华流行病学杂志,2015,36(5):440-444
南京市艾滋病抗病毒治疗患者疾病负担及其影响因素分析
Study on economic burden caused by antiretroviral treatment for people living with HIV/AIDS and influencing factors in Nanjing
投稿时间:2014-11-05  
DOI:10.3760/cma.j.issn.0254-6450.2015.05.007
中文关键词: 艾滋病;费用;家庭;负担;影响因素
英文关键词: AIDS;Cost;Family;Expenditure;Influencing factor
基金项目:
作者单位E-mail
张夏燕 102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心  
李萌 102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心  
冯一冰 102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心  
步凯 102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心  
傅更锋 江苏省疾病预防控制中心  
刘晓燕 江苏省疾病预防控制中心  
陈禹衡 江苏省疾病预防控制中心  
史灵恩 江苏省疾病预防控制中心  
柏春琴 南京市第二医院  
魏洪霞 南京市第二医院  
还锡萍 江苏省疾病预防控制中心 huanxip@vip.sina.com 
王璐 102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心 wanglu64@163.com 
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中文摘要:
      目的 分析南京市艾滋病抗病毒治疗患者因艾滋病造成的经济负担及其影响因素。方法 按疾病名称将接受抗病毒治疗患者分为HIV感染者和AIDS患者(HIV/AIDS), 收集两者过去一年因艾滋病直接医疗费用、直接非医疗费用和间接经济损失。对总费用和直接医疗费用进行单因素和多因素分析, 探寻其影响因素。结果 133例HIV感染者年直接医疗费用和总费用中位数分别为1 200元和1 972元, 145例AIDS患者年直接医疗费用和总费用中位数分别为1 060元和2 826元。HIV/AIDS直接医疗费用和总费用差异无统计学意义。单因素分析结果显示, 样本来源不同, 总费用不同。多因素分析结果表明, 发病时间与CD4+T淋巴细胞计数水平、直接医疗费用呈负相关, 经同性性接触感染者医疗费用低于异性性接触者, 样本来源为其他就诊的检测者直接医疗费用高于自愿检测咨询者。结论 应进一步扩大检测和治疗覆盖面, 以期尽早发现感染者, 尽快给予抗病毒治疗, 维持患者免疫功能, 进而降低HIV/AIDS医疗费用。
英文摘要:
      Objective To understand the economic burden caused by antiretroviral treatment for people living with HIV/AIDS and influencing factors in Nanjing. Methods People living with HIV/AIDS were divided into two groups, HIV infected patients and AIDS patients. The data about their direct medical expenditure, direct non-medical expenditure and indirect economic loss in the past year were collected. Univariate and multivariate analysis were conducted to identify the potential influencing factors. Results The median of direct medical expenditure and total costs for 133 HIV infected patients were 1 200 yuan RMB and 1 972 yuan RMB respectively. The median of direct medical expenditure and total costs for 145 AIDS patients were 1 060 yuan RMB and 2 826 yuan RMB respectively. The differences in direct medical expenditure and total costs between HIV infected patients and AIDS patients showed no statistical significance. The results from univariate analysis indicated that the sample source influenced total costs significantly. Multivariate analysis showed that onset time and CD level were negatively correlated with direct medical expenditure. The patients infected through heterosexual contact had more direct medical expenditure than those infected through homosexual contact. The patients receiving HIV test in hospitals had more direct medical expenditure than those receiving volunteer counseling and testing. Conclusion Further efforts should be made to expand HIV testing and treatment coverage in order to detect HIV infections as early as possible. Early antiretroviral treatment should be given to HIV infected patients to maintain their immunity and reduce
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