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目的探讨云南省昆明市官渡区农村居民缺血性心脏病经济负担及其影响因素。方法采用自行设计调查问卷对云南省昆明市官渡区随机抽取的4 011名18岁～农村常住居民进行面访调查。结果昆明市官渡区农村居民缺血性心脏病的患病率为3.3%;男性和女性患病率分别为3.8%和2.6%,男性高于女性(χ2=2.36,P<0.05);缺血性心脏病损失34.0个伤残调整寿命年(DALYs)/千人,男性损失37.0个DALYs/千人,女性损失28.6个DALYs/千人;缺血性心脏病患者的总疾病经济负担为63 852.3万元,例均疾病经济负担为14 336.0元;例均直接、间接、无形疾病经济负担分别为7 690.8、1 246.2、5 399.0元;住院天数越长、缺血性心脏病对家庭影响越大、居住村收入水平越高的居民患缺血性心脏病的经济负担越重(P<0.05)。结论缺血性心脏病给昆明市官渡区农村居民造成沉重经济负担;住院天数、对家庭影响程度和居住村年人均收入水平是造成经济负担的主要影响因素。
Objective To investigate the economic burden of rural residents with ischemic heart disease and its influencing factors in Guandu District of Kunming City, Yunnan Province. Methods A total of 4 011 18-year-old rural residents who were randomly selected from Guandu District of Kunming City, Yunnan Province, were interviewed by their own design questionnaires. Results The prevalence rate of rural residents with ischemic heart disease was 3.3% in Guandu District of Kunming City. The prevalence rates of male and female were 3.8% and 2.6%, respectively, higher in males than in females (χ2 = 2.36, P <0.05) 34.0 disability-adjusted life years (DALYs) per thousand people for STD, 37.0 DALYs per person for men, 28.6 DALYs for women, and 63,852.3 for those with ischemic heart disease Million, the average economic burden of disease was 14 336.0 yuan; the economic burden of direct, indirect and invisible diseases were 7 690.8, 1 246.2 and 5 399.0 yuan respectively; the longer the hospitalization days, the greater impact of ischemic heart disease on the family , The higher the income level of residents living residents suffering from ischemic heart disease, the more economic burden (P <0.05). Conclusions Ischemic heart disease caused a heavy financial burden on rural residents in Guandu District of Kunming City. The number of days of hospitalization, the degree of impact on families and the per capita income level of living villages are the main factors that cause economic burden.