Objective: To analyze the direct economic burden caused by measles cases in Shanghai from 2017 to 2019 and its influencing factors. Methods: A total of 161 laboratory-confirmed measles cases reported from January 1, 2017, to December 31, 2019, in Shanghai were included in the study through the "Measles Surveillance Information Reporting and Management System" of the "China Disease Surveillance Information Reporting and Management System". Through telephone follow-up and consulting hospital data, the basic information of population, medical treatment situation, medical treatment costs and other information were collected, and the direct economic burden of cases was calculated, including registration fees, examination fees, hospitalization fees, medical fees and other disease treatment expenses, as well as transportation and other expenses of cases. The multiple linear regression model was used to analyze the main influencing factors of the direct economic burden. Results: The age of 161 measles cases M (Q1, Q3) was 28.21 (13.33, 37.00) years. Male cases (56.52%) were more than female cases (43.48%). The largest number of cases was≥18 years old (70.81%). The total direct economic burden of 161 measles cases was 540 851.14 yuan, and the per capita direct economic burden was 3 359.32 yuan. The direct economic burden M (Q1, Q3) was 873.00 (245.01, 4 014.79) yuan per person. The results of multiple linear regression model analysis showed that compared with other and unknown occupations, central areas and non-hospitalized cases, the direct economic burden of measles cases was higher in scattered children, childcare children, students, and cadre staff in the occupational distribution, suburban areas and hospitalized, with the coefficient of β (95%CI) values of 0.388 (0.150-0.627), 0.297 (0.025-0.569), 0.327 (0.148-0.506) and 1.031 (0.853-1.209), respectively (all P values<0.05). Conclusion: The direct economic burden of some measles cases in Shanghai is relatively high. Occupation, area of residence and hospitalization are the main factors influencing the direct economic burden of measles cases.
目的： 分析上海市2017—2019年麻疹病例所造成的直接经济负担及其影响因素。 方法： 通过“中国疾病监测信息报告管理系统”的“麻疹监测信息报告管理系统”，将上海市2017年1月1日至2019年12月31日期间报告的161例麻疹实验室确诊病例纳入研究。通过电话随访和查阅医院资料的方式，收集人口基本信息、就诊情况、就诊费用等信息，测算病例的直接经济负担，主要包括挂号费、检查费、住院费、医药费等治疗疾病的费用以及病例交通费和其他费用。采用多重线性回归模型分析直接经济负担的主要影响因素。 结果： 161例麻疹病例的年龄M（Q1，Q3）为28.21（13.33，37.00）岁；男性病例（56.52%）多于女性（43.48%）；≥18岁病例（70.81%）最多。161例麻疹病例的直接经济负担合计为540 851.14元，人均直接经济负担为3 359.32元；直接经济负担M（Q1，Q3）为873.00（245.01，4 014.79）元/人。多重线性回归模型分析结果显示，与其他及不详职业、中心地区、非住院病例相比，散居、幼托儿童及学生、干部职员、近郊地区、住院麻疹病例的直接经济负担较高，β（95%CI）值分别为0.388（0.150~0.627）、0.297（0.025~0.569）、0.327（0.148~0.506）、1.031（0.853~1.209）（均P<0.05）。 结论： 上海市部分麻疹病例的直接经济负担较高；职业、居住地区和是否住院是麻疹病例直接经济负担的主要影响因素。.