Bedimo Ariane Lisann, Pinkerton Steven D, Cohen Deborah A, Gray Bradley, Farley Thomas A
Department of Public Health & Preventive Medicine, Louisiana State University Health Sciences Center, New Orleans, USA.
Int J STD AIDS. 2002 Jun;13(6):384-92. doi: 10.1258/095646202760029804.
To explore the cost-effectiveness of a condom distribution programme.
We conducted a cost-utility analysis of a social marketing campaign in which over 33 million condoms were made freely available throughout Louisiana. Surveys among 275,000 African Americans showed that condom use increased by 30%. Based on the estimated cost of the intervention and costs of HIV/AIDS-associated medical treatment, we estimated the quality-adjusted life years (QALYs) saved, and number of HIV infections averted by the programme.
The programme was estimated to prevent 170 HIV infections and save 1909 QALYs. Over $33 million in medical care costs were estimated to be averted, resulting in cost savings. Sensitivity analyses showed that these results were quite stable over a range of estimates for the main parameters. Condom increases as small as 2.7% were still cost-saving.
Condom distribution is a community-level HIV prevention intervention that has the potential to reach large segments of the general population, thereby averting significant numbers of HIV infections and associated medical costs. The intervention is easy to scale up to large populations or down to small populations. The financial and health benefits of condom social marketing support making it a routine component of HIV prevention services nationally.
探讨避孕套发放项目的成本效益。
我们对一项社会营销活动进行了成本效用分析，该活动在路易斯安那州免费提供了超过3300万个避孕套。对27.5万名非裔美国人的调查显示，避孕套使用率提高了30%。根据干预措施的估计成本以及与艾滋病毒/艾滋病相关的医疗费用，我们估计了挽救的质量调整生命年（QALY）以及该项目避免的艾滋病毒感染数量。
该项目估计可预防170例艾滋病毒感染，挽救1909个QALY。估计可避免超过3300万美元的医疗费用，从而实现成本节约。敏感性分析表明，在一系列主要参数估计范围内，这些结果相当稳定。避孕套使用率只要提高2.7%仍可节约成本。
避孕套发放是一种社区层面的艾滋病毒预防干预措施，有可能覆盖大部分普通人群，从而避免大量艾滋病毒感染及相关医疗费用。该干预措施易于扩大到大量人群或缩小到少量人群。避孕套社会营销的经济和健康效益支持将其作为全国艾滋病毒预防服务的常规组成部分。
