对本土选择的经济分析
Robert Rosenman1, Carolyn Noonan2, Richard F MacLehose3
1School of Economic Sciences, Washington State University, Pullman, WA, 99163, USA.
Journal of substance use and addiction treatment
|December 22, 2025
概括
本地选择是一个具有成本效益的计划,可以减少美国印第安人社区的酒精暴露妊娠 (AEP) 和胎儿酒精谱系障碍 (FASD). 该干预措施显示出显著的经济效益和改善生活质量.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 预防医学 预防医学
背景情况:
- 胎儿酒精谱系障碍 (FASDs) 是与酒精暴露妊娠 (AEPs) 相关的重大公共卫生问题.
- 本地选择计划是一个文化适应的干预措施,有效地降低了美洲印第安人社区的AEP风险.
- 本研究提供了第一个对本土选择计划的经济分析.
研究的目的:
- 对本土选择计划进行经济分析.
- 评估从原生选择中获得的成本效益,成本效益和质量调整寿命年 (QALY).
- 评估该计划对减少AEP和FASD的影响.
主要方法:
- 利用了来自本土选择随机对照试验的流行前数据.
- 进行经济评估,包括成本效益,成本效益和QALY分析.
- 专注于北方平原的美国印第安人社区.
主要成果:
- 在参与后6个月内,本地选择将AEP风险降低了18-20%,FASD风险降低了6.84-7.6%.
- 该计划在6个月内带来了308,295美元至376,951美元的净经济效益.
- 避免FASD的成本效益在84,887美元至93,709美元之间,每QALY获得的成本效益为2330美元至2572美元.
结论:
- 本地选择是预防AEP和FASD的成本有效的干预措施.
- 该计划展示了积极的经济回报和改善了美国印第安人参与者的健康结果.
- 文化适应的公共卫生计划可以既有效又经济可行.
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