Holtgrave David R
Department of Behavioral Science, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA.
Med Decis Making. 2004 Mar-Apr;24(2):181-91. doi: 10.1177/0272989X04263342.
In this methodological article, the author reviews 1) the disproportionate impact that HIV/AIDS is having on communities of color in the United States, 2) what is known about the cost-effectiveness of HIV prevention interventions for racial/ethnic minority communities (including the methods used in these studies), and 3) the relative lack of methodological guidance in the field for conducting economic evaluation studies specifically for communities of color. The author finds that race/ethnicity affects cost-utility analyses in several heretofore unrecognized ways. In this article, methodological techniques to address these concerns are proposed. In particular, the author recommends cost-utility analytic strategies that maximize comparability among studies and avoid the introduction of methodological discrimination.
在这篇方法学文章中，作者回顾了：1）艾滋病毒/艾滋病对美国有色人种社区产生的不成比例的影响；2）关于针对种族/族裔少数群体社区的艾滋病毒预防干预措施的成本效益（包括这些研究中使用的方法）的已知情况；3）该领域在专门针对有色人种社区进行经济评估研究方面相对缺乏方法学指导。作者发现，种族/族裔以几种迄今未被认识到的方式影响成本效用分析。本文提出了应对这些问题的方法学技术。特别是，作者推荐了成本效用分析策略，以最大限度地提高研究之间的可比性，并避免引入方法学上的歧视。
