目的 分析云南省玉龙县农村居民高血压的直接经济负担及对家庭经济的影响.方法 采用横断面现场问卷调查的方式收集300户共1186名村民的家庭基本情况、高血压患病的住院、门诊和药费资料,高血压的患病通过3次血压检测的平均值确定.结果 玉龙县村民的高血压患病率为27.5％,其中男性为23.9％,女性为30.3％.高血压患者的人均直接经济负担为1378.53元(男性为1690.12元,女性为1182.32元),总直接经济负担为8209.70万元.因高血压导致的家庭灾难性支付和因病致贫占高血压患者家庭的比例分别为13.2％和10.5％.结论 高血压给患者家庭带来了沉重的经济负担,应该采取措施控制高血压的发生.%Objective To investigate the direct cost of hypertension and its economic impact on households in rural residents in Yulong county of Yunnan province. Methods Data of the 1168 enrolled residents from 300 families including demographic characteristics, inpatient hospitalization expenditures, outpatient visit expenditures, and self-medication costs related to hypertension were collected from a cross-sectional health examination and questionnaire survey. Blood pressure (BP) levels were determined from the average of three BP measurements. Results In the study population, the overall prevalence of hypertension was 27.5% , and was 23.9% for males, 30.30% for females, respectively. Mean unit cost of hypertension was 1378.53 Yuan, and was 1690.12 Yuan for males, 1182.32 Yuan for females, respectively. The total direct economic burden of hypertension was estimated to be 82, 097, 000 Yuan. The proportion of household catastrophic health payment and household impoverishment due to hypertension was 13.2% and 10.5% , respectively. Conclusion Hypertension inflicts a heavy economic burden upon individual households, and the region should increase investment in the further control of hypertension.
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