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首页> 外文期刊>AIDS care. >Cost-effectiveness of an HIV risk reduction intervention for adults with severe mental illness.
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Cost-effectiveness of an HIV risk reduction intervention for adults with severe mental illness.

机译：患有严重精神疾病的成年人减少艾滋病毒风险的干预措施的成本效益。

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Small-group HIV prevention interventions that focus on individual behavioural change have been shown to be especially effective in reducing HIV risk among persons with severe mental illness. Because economic resources to fund HIV prevention efforts are limited, health departments, community planning groups and other key decision-makers need reliable information on the cost and cost-effectiveness (not solely on effectiveness) of different HIV prevention interventions. This study used an economic evaluation technique known as cost-utility analysis to assess the cost-effectiveness of three related cognitive-behavioural HIV risk reduction interventions: a single-session, one-on-one intervention; a multi-session small-group intervention; and a multi-session small-group intervention that taught participants to act as safer sex advocates to their peers. For men, all three interventions were cost-effective, but advocacy training was the most cost-effective of the three. For women, only the single-session intervention was cost-effective. The gender differences observed here highlight the importance of focusing on gender issues when delivering HIV prevention interventions to men and women who are severely mentally ill.
机译：事实证明，针对个人行为改变的小型艾滋病毒预防干预措施在降低严重精神疾病患者的艾滋病毒风险方面特别有效。由于资助艾滋病毒预防工作的经济资源有限，卫生部门，社区计划小组和其他主要决策者需要可靠的信息，以了解不同的艾滋病毒预防干预措施的成本和成本效益（而不仅仅是有效性）。这项研究使用了一种称为成本效用分析的经济评估技术，以评估三种相关的认知行为艾滋病毒风险降低干预措施的成本效益：单次，一对一干预;多阶段的小组干预;以及多阶段的小组干预，教会参与者如何在同龄人中扮演更安全的性倡导者角色。对于男性而言，所有三种干预措施均具有成本效益，但倡导培训是这三种干预中最具成本效益的。对于妇女而言，只有一次会议干预才具有成本效益。在这里观察到的性别差异凸显了在向患有严重精神疾病的男性和女性提供艾滋病毒预防干预措施时，关注性别问题的重要性。

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