Haikonen Kari, Lillsunde Pirjo M, Lunetta Philippe, Kokki Esa
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.
Burns. 2016 Feb;42(1):56-62. doi: 10.1016/j.burns.2015.10.015. Epub 2015 Dec 12.
The aim of this study was to examine the indirect economic burden of fire-related deaths in Finland in the period 2000-2010.
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.
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.
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.
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。
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)。
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。
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。