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对儿童群体近视控制干预的终身成本效益
Ching So1,2, Jinxiao Lian1,2,3, Sarah Morag McGhee4
1School of Optometry, The Hong Kong Polytechnic University, Hong Kong SAR, China.
Journal of global health
|September 20, 2024
概括
儿童近视控制使用脱焦纳入多段 (DIMS) 镜头是具有成本效益的. 这种干预显著减少高近视和严重视力障碍,提供长期的价值.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 近视是一种全球性流行病,预计到2050年将影响50%的人口.
- 童年近视的进展可能会导致晚年严重的眼睛疾病.
- 近视控制干预措施的长期成本和益处尚未完全理解.
研究的目的:
- 评估使用DIMS镜头对近视控制的终身成本效益.
- 为了比较普遍的近视控制与无干预的社会影响.
主要方法:
- 一个以个人为基础的状态过渡模型被开发出来.
- 模拟近视的发展和进展与或没有DIMS镜头干预.
- 评估了近视对危及视力的并发症的影响,并从社会角度计算了成本效益.
主要成果:
- 近视控制将高近视的累积患病率降低了44.7% (5.9%对10.7%).
- 在近视控制下,严重视力障碍的患病率下降了19.2% (2.2%对2.7%).
- 根据世卫组织的标准,每年获得的质量调整后寿命成本为26,407美元,被认为是具有成本效益的.
结论:
- 对所有符合条件的儿童实施时,近视控制是一种具有成本效益的策略.
- 需要进一步的研究来确定政府补贴对近视控制的成本效益,以提高可访问性.
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