活跃结核病对社会流动性及其性别差异的影响:使用全国结核病监测数据和国家医疗保险数据的差异差异差异
Daseul Moon1, Dawoon Jeong2, Young Ae Kang3
1Busan Center for Infectious Disease Control and Prevention, Pusan National University Hospital, Busan, Republic of Korea.
PloS one
|November 12, 2025
概括
活跃结核病 (TB) 显著降低了男性的家庭收入,但不是女性的家庭收入,突出了经济影响的性别差距. 这项研究强调了社会保护政策的必要性,以应对与疾病相关的经济困难.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 社会学 社会学 社会学
背景情况:
- 结核病 (TB) 带来了巨大的经济负担,但长期的社会痛苦和性别差异仍未得到充分研究.
- 减少与结核病相关的灾难性成本是关键的公共卫生目标.
研究的目的:
- 调查由于活跃结核病导致的家庭收入的长期变化,分析性别特异性影响.
- 检查结核病诊断和治疗对个人和家庭的经济影响.
主要方法:
- 通过将韩国国家结核监测系统 (KNTSS) 和国家卫生信息数据库 (NHID) 联系起来,创建了纵向面板数据.
- 使用倾向分数匹配 (PSM) 来创建可比的结核病和对照组.
- 一个差异差异 (DID) 模型分析了家庭收入分数的变化,从诊断前两年到诊断后两年.
主要成果:
- 被诊断为活跃结核病的男性在诊断后家庭收入显著,持续下降 (DID系数 = -0.131).
- 被诊断为活跃结核病的妇女在家庭收入中没有明显的变化.
- 亚组分析显示,结核病患者在劳动年龄和雇员女性的收入下降趋势.
结论:
- 积极结核病的诊断和治疗导致男性家庭收入显著下降,而女性则没有.
- 经济影响的性别差异可能源于社会性别角色和女性在疾病后退出劳动力市场的可能性较高.
- 为了减轻结核病造成的社会和经济痛苦,全面的健康和社会保护政策至关重要.
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