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首页> 外文期刊>Prevention science: the official journal of the Society for Prevention Research >Cost-Benefit Analysis of Communities That Care Outcomes at Eighth Grade
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Cost-Benefit Analysis of Communities That Care Outcomes at Eighth Grade

机译：关心八年级结果的社区的成本效益分析

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This paper presents a cost-benefit analysis of the Communities That Care (CTC) prevention system, a public health approach to reducing risk, enhancing protection, and reducing the prevalence of adolescent health and behavior problems community wide. The analysis is based on outcomes from a panel of students followed from Grade 5 through Grade 8 in a randomized controlled trial involving 24 communities in 7 states. Previous analyses have shown that CTC prevented the initiation of cigarette smoking, alcohol use, and delinquency by the end of 8th grade in CTC communities compared to controls. This paper estimates long-term monetary benefits associated with significant intervention effects on cigarette smoking and delinquency as compared to the cost of conducting the intervention. Under conservative cost assumptions, the net present benefit is $5,250 per youth, including $812 from the prevention of cigarette smoking and $4,438 from the prevention of delinquency. The benefit-cost ratio indicates a return of $5.30 per $1.00 invested. Under less conservative but still viable cost assumptions, the benefit-cost ratio due to prevention of cigarette smoking and delinquency increases to $10.23 per $1.00 invested. Benefits from CTC's reduction in alcohol initiation as well as broader inclusion of quality-of-life gains would further increase CTC's benefit-cost ratio. Results provide evidence that CTC is a cost-beneficial preventive intervention and a good investment of public dollars, even under very conservative cost and benefit assumptions.
机译：本文介绍了社区照护（CTC）预防系统的成本效益分析，这是一种降低社区风险，增强保护并减少青少年健康和行为问题患病率的公共卫生方法。该分析基于一组来自7个州的24个社区的随机对照试验中从5年级到8年级的一组学生的结果。先前的分析表明，与对照组相比，CTC阻止了CTC社区8年级末开始吸烟，酗酒和犯罪。本文估计与采取干预措施的成本相比，与对吸烟和犯罪的重大干预措施相关的长期金钱利益。在保守的成本假设下，每名青年的当前净收益为5250美元，其中包括预防吸烟的812美元和预防犯罪的4438美元。效益成本比表明，每投入1.00美元可获得5.30美元的回报。在不那么保守但仍可行的成本假设下，由于预防吸烟和犯罪导致的利益成本比增加到每投资1.00美元可获得10.23美元。四氯化碳减少酒精引发的好处以及更广泛的生活质量收益的受益，将进一步提高四氯化碳的成本效益比。结果提供了证据，即使在非常保守的成本和收益假设下，CTC还是一种有益于成本的预防性干预措施，也是对公共资金的良好投资。

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