DETERMINING MALARIA EFFECTS IN RURAL COLOMBIA
DETERMINING MALARIA EFFECTS IN RURAL COLOMBIA
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DOI：
10.1016/0277-9536(93)90249-4
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发表时间：
1993-11-01
影响因子：
5.4
通讯作者：
RODRIGUEZ, A
中科院分区：
文献类型：
--
作者：
BONILLA, E;RODRIGUEZ, A
良好的健康是人类生活质量的组成部分，是开发人类潜力的先决条件，也是经济发展的重要决定因素。在农业经济中，当一个人因热带疾病患病时，个人的福利和家庭的福利之间的复杂互动就会启动。这些相互作用是如此复杂，以至于关于这个主题的实证研究很少，即使在它们确实存在的地方，对这些相互作用和经济损失的经验量化也将分析师置于评估时间、能力和对经济福利的贡献的雷区。把货币价值放在这些商品上总是有点不令人满意，因为美元价值不能充分反映损失的性质。第二，病人努力将疾病对家庭收入的经济影响降到最低，这将掩盖其真正的影响；第三，热带疾病对低收入群体的影响不成比例，因此，衡量这些群体中疾病的收入影响只会达到收入效应，而低估了热带疾病控制的经济影响。尽管有这些困难，但从公共卫生的角度来看，量化疾病的经济影响是重要的。这项研究就是对这一任务的尝试，重点是家庭内部为将疟疾造成的经济损失降至最低而进行的斗争。采用病例对照方法，对家庭内的时间损失和劳动力重新分配进行了审查，试图了解这种疾病的经济后果。一个结论是，疾病负担和经济负担之间不存在对称性；在这项研究中，男性的疾病负担最大，但这种负担对女性的经济影响最大，她们推迟或进行自己的活动，除了照顾病人并在农业生产中取代他们。
Good health is an integral component of the quality of human life, a prerequisite for developing human potential and an important determinant of economic development. When a person is ill from a tropical disease in an agricultural economy, a complex interaction between the individual's welfare and the family's welfare is set in motion. So complex are these interactions that few empirical studies exist on this subject and even where they do, empirical quantification of these interactions and economic losses places the analyst in the minefield of valuing time, ability and contribution to economic welfare. Placing monetary values on these commodities is always a little unsatisfactory since dollar values do not adequately reflect the nature of the losses. Secondly, the ill person's struggle to minimize the economic effects of disease on family income will mask its true impact; thirdly, tropical diseases disproportionately affect low-income groups and therefore measuring the income effects of disease amongst these groups will only reach at the earnings effect, and underestimate the economic implications of tropical disease control. Despite these difficulties, quantification of the economic impact of disease is important from a public health point of view.This study is an attempt at such a task, and focuses on the intra-familial struggle to minimize economic losses due to malaria. Using a case-control approach, time-losses and labour reallocations within the household are examined in an attempt to understand the economic consequences of the disease. One conclusion is that there is no symmetry between the disease burden and the economic burden; in this study the disease burden was greatest amongst males, but the economic impact of this burden was greatest amongst females who postponed or carried out their own activities in addition to caring for the sick and replacing them in farm production.