Economic burden of measles and its influencing factors in Fujian, China

Figures & data

Table 1. Characteristics of the 131 measles cases in Fujian Province, 2018–2019

Characteristics	No. of cases	%
Gender
Male	67	51.1
Female	64	48.9
Age
<8 months	10	7.6
8 months-23 months	28	21.4
2 y-14 y	11	8.4
≥15 y	82	62.6
Hospitalization
Yes	59	45.0
No	72	55.0
Visit at distance
Yes	51	38.9
No	80	61.1
Vaccination
Yes	28	21.4
No	103	78.6
Hospital exposure history
Yes	27	20.6
No	104	79.4
Complication
Yes	21	16.0
No	110	84.0

Table 2. Costs of measles patient (USD) in Fujian, 2018–2019

Item	Overall	Average	% of total cost
Direct cost	67807	518	64.6
Outpatient expenditure	4555	35	4.3
Hospitalization expenditure	57872	442	55.1
Self-treatment and nutrition supplements	3700	28	3.5
Transportation fee	1680	13	1.6
Indirect cost	37223	284	35.4
Economic loss due to measles for adult cases	18354	140	17.5
Economic loss due to taking care of patient	18869	144	18.0
Total cost	105030	802	100.0

Table 3. Univariate analysis of factors associated with the economic burden (USD) of measles in Fujian, 2018–2019

Influencing factor	Direct cost	Indirect cost	Total cost
Gender
Male	488	295	783
Female	548	273	822
Z	−0.6	−1.9	−0.2
p Value	0.54	0.05	0.84
Age
<8 months	1028	388	1416
8 months-23 months	654	329	983
2 y-14 y	529	263	791
≥15 y	407	259	666
X^2	10.8	28.0	14.8
p Value	0.01	0.00	0.00
Hospitalization
Yes	905	298	1203
No	200	273	473
Z	−8.5	−0.1	−8.1
p Value	0.00	0.91	0.00
Visit at distance
Yes	627	301	928
No	448	273	721
Z	−0.4	−0.4	−0.6
p Value	0.72	0.67	0.53
Vaccination
Yes	513	271	784.
No	519	288	807
Z	−0.6	−0.2	−0.5
p Value	0.54	0.85	0.59
Hospital exposure history
Yes	541	287	828
No	429	272	701
Z	−0.5	−0.3	−0.7
p Value	0.61	0.81	0.51
Complication
Yes	1410	368	1778
No	347	268	615
Z	−6.2	−2.7	−6.1
p Value	0.00	0.01	0.00

Table 4. Multivariate analysis on factors influencing the total cost of measles in Fujian, 2018–2019

Factors	β	SE	Wald	p Value	OR(95%CI)
Gender
Male					1.0
Female	1.1	0.7	2.3	0.13	3.0(0.7 ~ 12.4)
Age
<8 months					1.0
8 months-18 months	−0.5	1.2	0.2	0.68	0.6(0.1 ~ 6.6)
2 y-14 y	−0.2	1.0	0.1	0.84	0.8(0.1 ~ 5.4)
≥15 y	−0.3	1.4	0.1	0.81	0.7(0.5 ~ 10.7)
Hospitalization
No					1.00
Yes	4.6	0.8	34.1	0.00	98.6(21.1 ~ 460.6)
Visit at distance
No					1.00
Yes	−0.4	0.6	0.4	0.53	0.7(0.2 ~ 2.3)
Vaccination
No					1.00
Yes	1.0	1.1	0.9	0.34	2.7(0.4 ~ 21.3)
Hospital exposure history
No					1.00
Yes	1.1	0.8	2.0	0.16	2.9(0.7 ~ 12.5)
Complication
No					1.00
Yes	2.2	1.0	5.0	0.03	8.7(1.3 ~ 58.0)