Economic burden and associated factors of measles patients in Zhejiang Province, China
This study aimed to figure out the economic burden of measles patients and explore the associated factors for total cost in measles cases that occurred in the year 2015 from Jiaxing, Jinhua, and Taizhou cities in Zhejiang Province, China. Direct interviews were conducted to collect information on pa...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2019-11-01
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| Series: | Human Vaccines & Immunotherapeutics |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/21645515.2019.1599673 |
| _version_ | 1827809702823591936 |
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| author | Xuan Deng Hanqing He Yang Zhou Shuyun Xie Ya Fang Yanbing Zeng Rui Yan Xuewen Tang Jian Fu |
| author_facet | Xuan Deng Hanqing He Yang Zhou Shuyun Xie Ya Fang Yanbing Zeng Rui Yan Xuewen Tang Jian Fu |
| author_sort | Xuan Deng |
| collection | DOAJ |
| description | This study aimed to figure out the economic burden of measles patients and explore the associated factors for total cost in measles cases that occurred in the year 2015 from Jiaxing, Jinhua, and Taizhou cities in Zhejiang Province, China. Direct interviews were conducted to collect information on patient expenses during treatment, including outpatient expenses, hospitalization expenses, self-treatment fees, productivity loss, and transportation fees. Descriptive epidemiological methods and chi-square tests were used to assess the direct and indirect cost of measles patients. Ordinal logistic regression was applied to explore the possible factors contributing to cost. A total of 136 measles cases were investigated and the average direct cost, indirect cost, and total cost were #747.14, #520.12, and #1,267.26, respectively. Direct cost accounted for 58.96% of the total cost, which was significantly higher than the indirect cost (P < 0.001). In 2015, 1,386 confirmed cases were reported in the Zhejiang Province, and the overall direct, indirect, and total economic burden reached #1.04 million, #0.72 million, and #1.76 million, respectively. Quality-adjusted life years for measles patient were calculated to be 76.06 in Zhejiang, 2015. Hospitalization, occupation, complication, disease duration, age, and site had a significant influence on the total cost according to ordinal logistic regression, with the maximum contribution from hospitalization. Measles resulted in heavy economic burdens, and local public health departments or community health service centers should spare no effort to maintain a high rate of vaccination coverage and protect susceptible populations. |
| first_indexed | 2024-03-11T22:44:36Z |
| format | Article |
| id | doaj.art-36438bcf4cd740b0845a371d59672992 |
| institution | Directory Open Access Journal |
| issn | 2164-5515 2164-554X |
| language | English |
| last_indexed | 2024-03-11T22:44:36Z |
| publishDate | 2019-11-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Human Vaccines & Immunotherapeutics |
| spelling | doaj.art-36438bcf4cd740b0845a371d596729922023-09-22T08:45:31ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2019-11-0115112571257710.1080/21645515.2019.15996731599673Economic burden and associated factors of measles patients in Zhejiang Province, ChinaXuan Deng0Hanqing He1Yang Zhou2Shuyun Xie3Ya Fang4Yanbing Zeng5Rui Yan6Xuewen Tang7Jian Fu8Zhejiang Provincial Center for Disease Control and PreventionZhejiang Provincial Center for Disease Control and PreventionZhejiang Provincial Center for Disease Control and PreventionZhejiang Provincial Center for Disease Control and PreventionXiamen UniversityXiamen UniversityZhejiang Provincial Center for Disease Control and PreventionZhejiang Provincial Center for Disease Control and PreventionZhejiang Provincial Center for Disease Control and PreventionThis study aimed to figure out the economic burden of measles patients and explore the associated factors for total cost in measles cases that occurred in the year 2015 from Jiaxing, Jinhua, and Taizhou cities in Zhejiang Province, China. Direct interviews were conducted to collect information on patient expenses during treatment, including outpatient expenses, hospitalization expenses, self-treatment fees, productivity loss, and transportation fees. Descriptive epidemiological methods and chi-square tests were used to assess the direct and indirect cost of measles patients. Ordinal logistic regression was applied to explore the possible factors contributing to cost. A total of 136 measles cases were investigated and the average direct cost, indirect cost, and total cost were #747.14, #520.12, and #1,267.26, respectively. Direct cost accounted for 58.96% of the total cost, which was significantly higher than the indirect cost (P < 0.001). In 2015, 1,386 confirmed cases were reported in the Zhejiang Province, and the overall direct, indirect, and total economic burden reached #1.04 million, #0.72 million, and #1.76 million, respectively. Quality-adjusted life years for measles patient were calculated to be 76.06 in Zhejiang, 2015. Hospitalization, occupation, complication, disease duration, age, and site had a significant influence on the total cost according to ordinal logistic regression, with the maximum contribution from hospitalization. Measles resulted in heavy economic burdens, and local public health departments or community health service centers should spare no effort to maintain a high rate of vaccination coverage and protect susceptible populations.http://dx.doi.org/10.1080/21645515.2019.1599673measleseconomic burdencost associated factorszhejiang provincepublic health |
| spellingShingle | Xuan Deng Hanqing He Yang Zhou Shuyun Xie Ya Fang Yanbing Zeng Rui Yan Xuewen Tang Jian Fu Economic burden and associated factors of measles patients in Zhejiang Province, China Human Vaccines & Immunotherapeutics measles economic burden cost associated factors zhejiang province public health |
| title | Economic burden and associated factors of measles patients in Zhejiang Province, China |
| title_full | Economic burden and associated factors of measles patients in Zhejiang Province, China |
| title_fullStr | Economic burden and associated factors of measles patients in Zhejiang Province, China |
| title_full_unstemmed | Economic burden and associated factors of measles patients in Zhejiang Province, China |
| title_short | Economic burden and associated factors of measles patients in Zhejiang Province, China |
| title_sort | economic burden and associated factors of measles patients in zhejiang province china |
| topic | measles economic burden cost associated factors zhejiang province public health |
| url | http://dx.doi.org/10.1080/21645515.2019.1599673 |
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