在澳大利亚青少年中预防常见精神障碍的干预措施的投资回报:一项建模研究
Alexander J Thomas1, Nicola Reavley2, Tharindu Wickramaarachchi1
1Modelling and Biostatistics, Burnet Institute, Melbourne, VIC, Australia.
对青少年心理健康预防的投资产生了显著的回报. 最佳的资金分配可以防止澳大利亚年轻人患上数十万种常见精神障碍 (CMD),为健康和经济带来巨大的好处.
科学领域:
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
- 卫生经济学 卫生经济学
背景情况:
- 常见的精神障碍 (CMD),包括抑郁和焦虑,在澳大利亚青少年中越来越普遍.
- 迫切需要基于证据的战略来集中预防工作,以最大限度地影响青少年心理健康.
研究的目的:
- 利用一个分区模型来确定投资在各种旨在预防青少年CMD的干预措施中的最佳分配.
- 估计与这些优化预防策略相关的潜在健康和经济效益.
主要方法:
- 研究人口包括0-19岁的澳大利亚青少年,按年龄,性别和CMD经验分类.
- 评估了12项预防干预措施,包括欺凌和财务压力等社会人口统计学风险因素.
- 一个优化模型估计每年 (2024-2050年) 拨款500万澳元至10亿澳元,以最大限度地帮助到20岁的青少年没有CMD病史.
主要成果:
- 最佳的投资策略可以在20岁之前预防144,577至791,277例CMD病例,效益成本比为5.0至19.2.2.
- 据估计,每次避免一生的CMD经历的成本在5,064澳元至18,507澳元之间.
- 有效的预算分配需要针对不同年龄组,子群体和风险因素的干预措施的组合.
结论:
- 投资于青少年心理健康的基于证据的预防干预措施,证明了投资的有利回报.
- 针对性和综合性预防策略对于有效降低年轻人中CMD负担至关重要.
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