2010年中国城乡居民超重和肥胖的直接经济负担分析

摘要

Objective Using the latest available data to estimate the direct economic burden of overweight and obesity in China.Methods ‘Cost-of-illness' approach was used to calculate the costs of five major non-communicable diseases (NCDs) which were associated with overweight and obesity.National data from the 2010 Chinese Behavioral Risk Factors Surveillance Survey and the 2008 National Health Service Survey were used to compute the Population Attributable Risks (PARs) of overweight and obesity for each major NCDs.Costs specific to overweight and obesity were obtained by multiplying costs of each disease by the PARs for each NCD.Results In 2010,overweight and obesity were imposing a substantial economic burden on China,responsible for 42.9％ of the medical and non-medical yearly costs of the major NCDs in China,with the amount as 90.768 billion RMB.Conclusion The economic costs of overweight and obesity increased over the years,accounting for 4.5％ of the national health expenditure.The high economic burden of overweight and obesity implied the need to develop and implement policies that addressing the behavior-related risk factors and the obese-genic environment,in order to curb the NCDs epidemic in China.%目的 分析2010年中国城乡居民由超重和肥胖造成的主要慢性病(冠心病、脑卒中、高血压、癌症、糖尿病)的经济负担.方法 利用2010年中国慢性病及其危险因素监测和2008年国家第四次卫生服务调查数据,采用疾病成本的方法计算超重和肥胖的直接经济负担.结果 2010年中国城乡居民超重和肥胖所造成的主要慢性病合计经济负担高达907.68亿元人民币,占主要慢性病经济负担的42.9％.结论 中国城乡居民超重和肥胖所造成的经济负担呈上升趋势,占2010年卫生总费用的4.5％.