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预防城市高危女性感染艾滋病毒/艾滋病:行为团体干预措施的成本效益

Preventing HIV/AIDS among high-risk urban women: the cost-effectiveness of a behavioral group intervention.

作者信息

Holtgrave D R, Kelly J A

机构信息

Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee 53202, USA.

出版信息

Am J Public Health. 1996 Oct;86(10):1442-5. doi: 10.2105/ajph.86.10.1442.

Abstract

OBJECTIVES

A human immunodeficiency virus (HIV) intervention trial for women at high risk for acquired immunodeficiency syndrome and attending an urban clinic was reported previously. The behavioral group intervention was shown to increase condom use behaviors significantly. This study retrospectively assessed the intervention's cost-effectiveness.

METHODS

Standard methods of cost and cost-utility analysis were used.

RESULTS

The intervention cost was just over $2000 for each quality-adjusted life-year saved; this is favorable compared with other life-saving programs. However, the results are sensitive to changes in some model assumptions.

CONCLUSIONS

Under most scenarios, the HIV prevention intervention was cost-effective.

摘要

目的

先前报道了一项针对获得性免疫缺陷综合征高危女性且在城市诊所就诊的人类免疫缺陷病毒(HIV)干预试验。行为组干预措施被证明能显著增加安全套使用行为。本研究回顾性评估了该干预措施的成本效益。

方法

采用成本和成本效用分析的标准方法。

结果

每挽救一个质量调整生命年的干预成本略高于2000美元;与其他挽救生命的项目相比,这是有利的。然而,结果对某些模型假设的变化很敏感。

结论

在大多数情况下,HIV预防干预措施具有成本效益。

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本文引用的文献

1
Threshold analysis and programs for prevention of HIV infection.
Med Decis Making. 1995 Oct-Dec;15(4):311-7. doi: 10.1177/0272989X9501500402.
6
Prevention of HIV infection.预防艾滋病毒感染。
AIDS. 1994 Oct;8(10):1371-89. doi: 10.1097/00002030-199410000-00003.
7
Cost analysis and HIV prevention interventions.成本分析与艾滋病预防干预措施。
Am Psychol. 1994 Dec;49(12):1088-9. doi: 10.1037//0003-066x.49.12.1088.
8
Reducing inner-city women's AIDS risk activities: a study of single, pregnant women.
Health Psychol. 1994 Sep;13(5):397-403. doi: 10.1037//0278-6133.13.5.397.

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