社区层面降低艾滋病毒风险干预措施的成本效益
Cost-effectiveness of a community-level HIV risk reduction intervention.
作者信息
Pinkerton S D, Holtgrave D R, DiFranceisco W J, Stevenson L Y, Kelly J A
机构信息
Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee 53226, USA.
出版信息
Am J Public Health. 1998 Aug;88(8):1239-42. doi: 10.2105/ajph.88.8.1239.
Abstract
OBJECTIVES
The authors evaluated the cost-effectiveness of a community-level HIV prevention intervention that used peer leaders to endorse risk reduction among gay men.
METHODS
A mathematical model of HIV transmission was used to translate reported changes in sexual behavior into an estimate of the number of HIV infections averted.
RESULTS
The intervention cost $17,150, or about $65,000 per infection averted, and was therefore cost-saving, even under very conservative modeling assumptions.
CONCLUSIONS
For this intervention, the cost of HIV prevention was more than offset by savings in averted future medical care costs. Community-level interventions to prevent HIV transmission that use existing social networks can be highly cost-effective.
摘要
目的
作者评估了一项社区层面的艾滋病毒预防干预措施的成本效益，该干预措施利用同伴领袖来倡导男同性恋者降低风险。
方法
使用艾滋病毒传播的数学模型，将报告的性行为变化转化为对避免的艾滋病毒感染数量的估计。
结果
该干预措施花费了17,150美元，即每避免一例感染约65,000美元，因此即使在非常保守的模型假设下也是节省成本的。
结论
对于这项干预措施，艾滋病毒预防的成本被未来避免的医疗护理成本节省所抵消。利用现有社会网络预防艾滋病毒传播的社区层面干预措施可能具有很高的成本效益。
相似文献
1
Cost-effectiveness of a community-level HIV risk reduction intervention.社区层面降低艾滋病毒风险干预措施的成本效益
Am J Public Health. 1998 Aug;88(8):1239-42. doi: 10.2105/ajph.88.8.1239.
2
Economic evaluation of an HIV prevention intervention for gay and bisexual male adolescents.
J Acquir Immune Defic Syndr Hum Retrovirol. 1998 Jan 1;17(1):83-90. doi: 10.1097/00042560-199801010-00013.
3
Cost-effectiveness of the Mpowerment Project, a community-level intervention for young gay men.
J Acquir Immune Defic Syndr. 2001 Aug 15;27(5):482-91. doi: 10.1097/00126334-200108150-00010.
4
Cost-effectiveness of environmental-structural communication interventions for HIV prevention in the female sex industry in the Dominican Republic.多米尼加共和国女性性工作者中预防艾滋病毒的环境结构沟通干预措施的成本效益
J Health Commun. 2006;11 Suppl 2:123-42. doi: 10.1080/10810730600974829.
5
Cost-effectiveness of a community-level HIV risk reduction intervention for women living in low-income housing developments.针对居住在低收入住房社区的女性开展的社区层面艾滋病毒风险降低干预措施的成本效益分析。
J Prim Prev. 2005 Jul;26(4):345-62. doi: 10.1007/s10935-005-5392-2.
6
Modeling the impact of HIV chemoprophylaxis strategies among men who have sex with men in the United States: HIV infections prevented and cost-effectiveness.模拟美国男同性恋者中HIV化学预防策略的影响：预防的HIV感染及成本效益
AIDS. 2008 Sep 12;22(14):1829-39. doi: 10.1097/QAD.0b013e32830e00f5.
7
Cost-effectiveness of HIV prevention for high-risk groups at scale: an economic evaluation of the Avahan programme in south India.大规模针对高危人群的艾滋病毒预防的成本效益：印度南部 Avahan 项目的经济评估。
Lancet Glob Health. 2014 Sep;2(9):e531-e540. doi: 10.1016/S2214-109X(14)70277-3. Epub 2014 Aug 27.
8
Cost-effectiveness of postexposure prophylaxis after sexual or injection-drug exposure to human immunodeficiency virus.性接触或注射吸毒后暴露于人类免疫缺陷病毒后的暴露后预防的成本效益
Arch Intern Med. 2004 Jan 12;164(1):46-54. doi: 10.1001/archinte.164.1.46.
9
Cost-threshold analyses of the National AIDS Demonstration Research HIV prevention interventions.国家艾滋病示范研究艾滋病毒预防干预措施的成本阈值分析。
AIDS. 2000 Jun 16;14(9):1257-68. doi: 10.1097/00002030-200006160-00024.
10
A mathematical model of biomedical interventions for HIV prevention among men who have sex with men in China.中国男男性行为人群艾滋病预防的医学干预数学模型
BMC Infect Dis. 2018 Nov 28;18(1):600. doi: 10.1186/s12879-018-3516-8.
引用本文的文献
1
A Cost-effectiveness Analysis of a Mobile Phone-Based Integrated HIV-Prevention Intervention Among Men Who Have Sex With Men in China: Economic Evaluation.基于手机的男男性行为人群艾滋病综合预防干预的成本效果分析：经济评价。
J Med Internet Res. 2022 Nov 2;24(11):e38855. doi: 10.2196/38855.
2
Popular Opinion Leader intervention for HIV stigma reduction in health care settings.在医疗环境中，通过意见领袖干预来减少对艾滋病的污名化。
AIDS Educ Prev. 2013 Aug;25(4):327-35. doi: 10.1521/aeap.2013.25.4.327.
3
Alcohol use and abuse among rural Zimbabwean adults: a test of a community-level intervention.津巴布韦农村成年人的饮酒和滥用问题：社区层面干预的检验。
Drug Alcohol Depend. 2012 Aug 1;124(3):333-9. doi: 10.1016/j.drugalcdep.2012.02.002. Epub 2012 Mar 2.
4
Reviewing the evidence on effectiveness and cost-effectiveness of HIV prevention strategies in Thailand.审查泰国艾滋病毒预防策略的有效性和成本效益的证据。
BMC Public Health. 2010 Jul 7;10:401. doi: 10.1186/1471-2458-10-401.
5
Costs of HIV prevention among out-of-treatment drug-using women: results of a randomized controlled trial.未治疗吸毒女性中 HIV 预防的成本：一项随机对照试验的结果。
Public Health Rep. 2010 Jan-Feb;125 Suppl 1(Suppl 1):83-94. doi: 10.1177/00333549101250S111.
6
Results of the NIMH collaborative HIV/sexually transmitted disease prevention trial of a community popular opinion leader intervention.国立精神卫生研究所合作的艾滋病毒/性传播疾病预防试验中社区意见领袖干预措施的结果。
J Acquir Immune Defic Syndr. 2010 Jun;54(2):204-14. doi: 10.1097/QAI.0b013e3181d61def.
7
Optimal investment in HIV prevention programs: more is not always better.对艾滋病预防项目的最优投资：更多并不总是更好。
Health Care Manag Sci. 2009 Mar;12(1):27-37. doi: 10.1007/s10729-008-9074-7.
8
Effectiveness of peer education interventions for HIV prevention in developing countries: a systematic review and meta-analysis.同伴教育干预措施在发展中国家预防艾滋病病毒方面的有效性：一项系统评价和荟萃分析。
AIDS Educ Prev. 2009 Jun;21(3):181-206. doi: 10.1521/aeap.2009.21.3.181.
9
A linear programming model for allocating HIV prevention funds with state agencies: a pilot study.一个用于与州机构分配艾滋病预防资金的线性规划模型：一项试点研究。
Health Care Manag Sci. 2007 Sep;10(3):239-52. doi: 10.1007/s10729-007-9017-8.
10
Recruiting patients from a sexually transmitted disease clinic to sexual risk reduction workshops: are monetary incentives necessary?从性传播疾病诊所招募患者参加性风险降低工作坊：是否需要金钱激励？
J Public Health Manag Pract. 2005 Nov-Dec;11(6):516-21. doi: 10.1097/00124784-200511000-00007.
本文引用的文献
1
Updates of cost of illness and quality of life estimates for use in economic evaluations of HIV prevention programs.用于艾滋病预防项目经济评估的疾病成本和生活质量估计的更新。
J Acquir Immune Defic Syndr Hum Retrovirol. 1997 Sep 1;16(1):54-62. doi: 10.1097/00042560-199709010-00009.
2
Cost-effectiveness of HIV-prevention skills training for men who have sex with men.
AIDS. 1997 Mar;11(3):347-57. doi: 10.1097/00002030-199703110-00013.
3
Effectiveness of condoms in preventing HIV transmission.避孕套在预防艾滋病毒传播方面的有效性。
Soc Sci Med. 1997 May;44(9):1303-12. doi: 10.1016/s0277-9536(96)00258-4.
4
Evaluation of an HIV risk reduction intervention among African-American homosexual and bisexual men.
AIDS. 1996 Mar;10(3):319-25. doi: 10.1097/00002030-199603000-00011.
5
6
Preventing HIV/AIDS among high-risk urban women: the cost-effectiveness of a behavioral group intervention.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
Am J Public Health. 1996 Oct;86(10):1442-5. doi: 10.2105/ajph.86.10.1442.
7
Economic evaluation of HIV prevention programs.
Annu Rev Public Health. 1996;17:467-88. doi: 10.1146/annurev.pu.17.050196.002343.
8
The Mpowerment Project: a community-level HIV prevention intervention for young gay men.“Mpowerment项目”：一项针对年轻男同性恋者的社区层面的艾滋病毒预防干预措施。
Am J Public Health. 1996 Aug;86(8):1129-36. doi: 10.2105/ajph.86.8_pt_1.1129.
9
The estimated prevalence and incidence of HIV in 96 large US metropolitan areas.美国96个大型都市地区艾滋病毒的估计患病率和发病率。
Am J Public Health. 1996 May;86(5):642-54. doi: 10.2105/ajph.86.5.642.
10
Threshold analysis and programs for prevention of HIV infection.
Med Decis Making. 1995 Oct-Dec;15(4):311-7. doi: 10.1177/0272989X9501500402.
Zotero 插件