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建立中国 HIV 感染传播动力学模型及最优控制策略

Modelling the transmission dynamics and optimal control strategies for HIV infection in China.

机构信息

College of Mathematical Sciences, Harbin Engineering University, Harbin, People's Republic of China.

College of Intelligent Systems Science and Engineering, Harbin Engineering University, Harbin, People's Republic of China.

出版信息

J Biol Dyn. 2023 Dec;17(1):2174275. doi: 10.1080/17513758.2023.2174275.

Abstract

In order to end the AIDS epidemic by 2030 that was put forward by the Joint United Nations Programme on HIV/AIDS in 2014, China needs to take more effective measures to achieve the three 90% goals (90-90-90). We establish a compartmental model to study the dynamics of HIV transmission with control strategies. The analytical results show the existence and stability of the disease-free equilibrium and endemic equilibrium. An optimal control model is constructed to evaluate the impacts of control measures. The simulation results show that the optimal control strategy proposed in this work can eradicate AIDS by 2030. The cost-effectiveness analysis indicates that the cost of the control strategy that combines screening for latent individuals and enhancing education for unaware infected individuals is the lowest. Our findings can provide guidance for public health authorities on effective mitigation strategies to achieve the goals proposed by the United Nations Program on HIV/AIDS.

摘要

为了实现联合国艾滋病规划署(UNAIDS)在 2014 年提出的到 2030 年终结艾滋病流行的目标,中国需要采取更有效的措施来实现三个 90%目标(90-90-90)。我们建立了一个 compartmental 模型来研究带控制策略的 HIV 传播动力学。分析结果表明无病平衡点和地方病平衡点的存在和稳定性。构建了一个最优控制模型来评估控制措施的影响。模拟结果表明,本文提出的最优控制策略可以在 2030 年前消灭艾滋病。成本效益分析表明,筛查潜伏感染者和加强对无症状感染者的教育相结合的控制策略的成本最低。我们的研究结果可为公共卫生当局提供有效缓解策略的指导,以实现联合国艾滋病规划署提出的目标。

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