针对年轻人的艾滋病毒干预措施经济评估中的证据差距:系统性审查
Armand Zimmerman1, Ayodamope Fawole1, Minahil Shahid1
1Center for Policy Impact in Global Health, Duke Global Health Institute, Duke University, Durham, North Carolina; Duke Global Health Institute, Duke University, Durham, North Carolina.
概括
对年轻人进行艾滋病毒干预的投资具有成本效益,可以节省成本. 需要进一步的标准化评估来比较干预措施和设置,以获得更好的艾滋病毒治疗结果.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 艾滋病毒感染的年轻人 (YPLWH) 面临着影响健康结果的独特挑战.
- 关于YPLWH干预措施对经济影响的现有证据是零碎的.
研究的目的:
- 系统地审查针对YPLWH的HIV干预措施对健康和经济的影响.
- 确定针对YPLWH的干预措施未来经济评估的证据缺口.
- 为青少年和年轻成年人预防和治疗艾滋病毒的投资提供信息.
主要方法:
- 系统审查2022年4月24日之前发表的同行评审文章.
- 在 MEDLINE,Embase,Scopus 和 Global Index Medicus 数据库中进行了搜索.
- 包括对艾滋病毒干预措施的经济评估,报告10-24岁个体的健康和经济结果.
主要成果:
- 32项研究符合纳入标准,评估了行为,教育,财务,VMMC,艾滋病毒检测,PrEP,假设疫苗,ART和组合干预措施.
- 大多数干预措施被认为是节省成本或具有成本效益的,特别是在非洲 (69%) 和北美 (28%).
- 成本效益和成本效益分析占主导地位 (分别为94%和6%).
结论:
- 对艾滋病毒预防和治疗YPLWH的投资显示出显著的成本效益和潜在的成本节省.
- 标准化的报告和进一步的评估对于在不同环境中比较干预效果至关重要.
- 本次审查强调了针对青少年和年轻成年人的针对性HIV干预措施的经济可行性.
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