Ray T K, Sharma N, Singh M M, Ingle G K
Department of Community Medicine, Maulana Azad Medical College, New Delhi.
J Commun Dis. 2005 Jun;37(2):93-8.
Tuberculosis inflicts a negative impact on global socioeconomic prosperity. Though India carries one third of the global burden of the disease, few studies have focussed in the country on this aspect. The present study was therefore, framed to estimate economic loss amongst TB patients. A total of 156 patients attending two DOT centres were interviewed in depth, regarding economic loss due to tuberculosis, using a semi structured pretested interview schedule during a period of 5 months. More than 75% of the subjects belonged to the age group of 15-44 years of which 71.6% were males. 34.6% of patients were housewives and 10.9% were students. Mean expenditure before registration in DOT centre was Rs. 3385.5 irrespective of all socioeconomic classes. The upper lower socio-economic class of patients incurred maximum mean expenditure of Rs. 9782.0. Mean duration of wage loss was found to be 47.1 days. Study participants incurred economic loss both in terms of direct and indirect costs, more so in lower socio-economic group, besides delay in attending DOT centres for treatment. Awareness campaign focussing on treatment availability and DOT centre could help in reducing such economic loss.
结核病对全球社会经济繁荣产生负面影响。尽管印度承担着全球三分之一的结核病负担，但该国很少有研究关注这一方面。因此，本研究旨在估算结核病患者的经济损失。在5个月的时间里，使用经过预测试的半结构化访谈提纲，对两个直接观察治疗（DOT）中心的156名患者就结核病造成的经济损失进行了深入访谈。超过75%的受试者年龄在15至44岁之间，其中71.6%为男性。34.6%的患者是家庭主妇，10.9%是学生。无论社会经济阶层如何，在DOT中心登记前的平均支出为3385.5卢比。社会经济阶层较高和较低的患者平均支出最高，为9782.0卢比。发现工资损失的平均持续时间为47.1天。研究参与者在直接和间接成本方面都遭受了经济损失，在社会经济地位较低的群体中更是如此，此外还存在延迟前往DOT中心接受治疗的情况。关注治疗可及性和DOT中心的宣传活动有助于减少此类经济损失。
