Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
J Public Health Manag Pract. 2010 Sep-Oct;16(5):457-64. doi: 10.1097/PHH.0b013e3181cb433b.
In 2003, the Centers for Disease Control and Prevention launched the Advancing HIV Prevention project to implement new strategies for diagnosing human immunodeficiency virus (HIV) infections outside medical settings and prevent new infections by working with HIV-infected persons and their partners.
: To assess the cost and effectiveness of a social network strategy to identify new HIV diagnoses among minority populations.
DESIGN, SETTINGS, AND PARTICIPANTS: Four community-based organizations (CBOs) in Boston, Philadelphia, and Washington, District of Columbia, implemented a social network strategy for HIV counseling and testing from October 2003 to December 2005. We used standardized cost collection forms to collect program costs attributable to staff time, travel, incentives, test kits, testing supplies, office space, equipment, and utilities. The CBOs used the networks of high-risk and HIV-infected persons (recruiters) who referred their partners and associates for HIV counseling and testing. We obtained HIV-testing outcomes from project databases.
Number of HIV tests, number of new HIV-diagnoses notified, total program cost, cost per person tested, cost per person notified of new HIV diagnosis.
Two CBOs, both based in Philadelphia, identified 25 and 17 recruiters on average annually and tested 136 and 330 network associates, respectively. Among those tested, 12 and 13 associates were notified of new HIV diagnoses (seropositivity: 9.8%, 4.4%). CBOs in Boston, Massachusetts, and Washington, District of Columbia, identified 26 and 24 recruiters per year on average and tested 228 and 123 network associates. Among those tested, 12 and 11 associates were notified of new HIV diagnoses (seropositivity: 5.1%, 8.7%). The cost per associate notified of a new HIV diagnosis was $11 578 and $12 135 in Philadelphia, and $16 437 and $16 101 in Boston, Massachusetts, and Washington, District of Columbia.
The cost of notifying someone with a new HIV diagnosis using social networks varied across sites. Our analysis provides useful information for program planning and evaluation.
2003 年，疾病控制与预防中心启动了“推进艾滋病毒预防计划”，以实施在医疗环境之外诊断人类免疫缺陷病毒（HIV）感染的新策略，并通过与 HIV 感染者及其伴侣合作预防新的感染。
评估社会网络策略在识别少数族裔人群中新的 HIV 诊断方面的成本和效果。
设计、地点和参与者：2003 年 10 月至 2005 年 12 月，波士顿、费城和华盛顿特区的四个社区组织（CBO）实施了一项社会网络策略，用于 HIV 咨询和检测。我们使用标准化的成本收集表格来收集与员工时间、差旅、激励措施、检测试剂盒、检测用品、办公空间、设备和水电费相关的项目成本。CBO 使用高危和 HIV 感染者（招募者）的网络，这些人将其伴侣和同事转介进行 HIV 咨询和检测。我们从项目数据库中获得了 HIV 检测结果。
HIV 检测数量、新 HIV 诊断通知数量、总项目成本、人均检测成本、新 HIV 诊断通知人均成本。
两个设在费城的 CBO 平均每年分别确定了 25 名和 17 名招募者，分别对 136 名和 330 名网络关联者进行了测试。在接受测试的人中，有 12 名和 13 名关联者被通知新的 HIV 诊断（血清阳性率：9.8%，4.4%）。马萨诸塞州波士顿和哥伦比亚特区华盛顿的 CBO 平均每年分别确定了 26 名和 24 名招募者，对 228 名和 123 名网络关联者进行了测试。在接受测试的人中，有 12 名和 11 名关联者被通知新的 HIV 诊断（血清阳性率：5.1%，8.7%）。在费城，每通知一人新的 HIV 诊断的成本为 11578 美元和 12135 美元，在波士顿和华盛顿，成本为 16437 美元和 16101 美元。
使用社交网络通知某人新的 HIV 诊断的成本因地点而异。我们的分析为规划和评估提供了有用的信息。
