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2000 - 2010年芬兰火灾相关死亡的经济负担:采用人力资本法计算的间接成本

Economic burden of fire-related deaths in Finland, 2000-2010: Indirect costs using a human capital approach.

作者信息

Haikonen Kari, Lillsunde Pirjo M, Lunetta Philippe, Kokki Esa

机构信息

MSc Welfare and Health Promotion Unit, National Institute for Health and Welfare, Mannerheimintie 166 P.O. Box 30, FI-00271 Helsinki, Finland.

Ministry of Social Affairs and Health, Finland.

出版信息

Burns. 2016 Feb;42(1):56-62. doi: 10.1016/j.burns.2015.10.015. Epub 2015 Dec 12.

Abstract

BACKGROUND

The aim of this study was to examine the indirect economic burden of fire-related deaths in Finland in the period 2000-2010.

METHODS

The Human Capital (HC) approach was the main method used to estimate productivity losses due to fire-related deaths. Additionally, Potential Years of Life Lost (PYLL) due to deaths were reported.

RESULTS

A total of 1090 fire-related deaths occurred in the period 2000-2010 within a population of some 5.4 million. The majority were male (76% vs 24%), with a mean age of 52 (CI: 51.0-53.2) years for males and 57 (CI: 54.6-59.6) for females; 24% (CI: 21.1-26.2%) of victims were over the retirement age. Most of the victims died of combustion gas poisoning (65%, CI: 61.8-67.6%), followed by burns (33%, CI: 30.6-36.3%). Alcohol was often involved and victims were often socially disadvantaged, with socioeconomic features significantly deviating from those of the general population. Annual PYLL ranged from 2094 (CI: 1861-2326) to 3299 (CI: 3008-3594), with an annual average PYLL of 2763 (CI: 2675-2851). PYLL per death fell in the study period from 34.3 (2000, CI: 31.0-37.7) to 24.6 (2010, CI: 21.8-27.6). The reduction is attributable to a decreasing fraction of young victims and an increase in average ages.

CONCLUSIONS

Total productivity loss in the period 2000-2010 was c.a. EUR 342 million (CI: 330-354 million), giving an annual average of EUR 31.1 million (CI: 30.0-32.2 million), with the mean for a victim being EUR 0.315 million (CI: 0.30-0.33 million). The economic burden of deaths is considerable and this study remedies the lack of academic knowledge about the burden of fire-related deaths.

摘要

背景

本研究旨在调查2000年至2010年期间芬兰火灾相关死亡造成的间接经济负担。

方法

人力资本(HC)方法是用于估计火灾相关死亡导致的生产力损失的主要方法。此外,还报告了因死亡导致的潜在寿命损失年数(PYLL)。

结果

2000年至2010年期间,在约540万人口中总共发生了1090起火灾相关死亡事件。大多数为男性(76%对24%),男性的平均年龄为52岁(置信区间:51.0 - 53.2岁),女性为57岁(置信区间:54.6 - 59.6岁);24%(置信区间:21.1 - 26.2%)的受害者超过退休年龄。大多数受害者死于燃烧气体中毒(65%,置信区间:61.8 - 67.6%),其次是烧伤(33%,置信区间:30.6 - 36.3%)。受害者经常饮酒且往往处于社会弱势地位,其社会经济特征与普通人群有显著差异。每年的潜在寿命损失年数在2094(置信区间:1861 - 2326)至3299(置信区间:3008 - 3594)之间,年平均潜在寿命损失年数为2763(置信区间:2675 - 2851)。在研究期间,每例死亡的潜在寿命损失年数从34.3(2000年,置信区间:31.0 - 37.7)降至24.6(2010年,置信区间:21.8 - 27.6)。这种减少归因于年轻受害者比例的下降和平均年龄的增加。

结论

2000年至2010年期间的总生产力损失约为3.42亿欧元(置信区间:3.30 - 3.54亿欧元),年平均为3110万欧元(置信区间:3000 - 3220万欧元),每名受害者的平均损失为31.5万欧元(置信区间:30 - 33万欧元)。死亡造成的经济负担相当大,本研究弥补了关于火灾相关死亡负担的学术知识的不足。

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