2016-2018年北京市石景山区男男同性性行为人群艾滋病防治基金项目成本效果分析  

A cost-effectiveness analysis of China AIDS fund for non-governmental organization project among men who have sex with men in Shijingshan disdtrict of Beijing, 2016—2018

作　　者：张夏燕[1] 张国磊[1] 梁欣[1] ZHANG Xia-yan;ZHANG Guo-lei;LIANG Xin(Beijing Shijingshan Center for Disease Control and Prevention,Beijing 100043,China)

机构地区：[1]北京市石景山区疾病预防控制中心,北京100043

出　　处：《中国预防医学杂志》2021年第7期508-512,共5页Chinese Preventive Medicine

基　　金：社会组织参与艾滋病防治基金项目(2015110107PYD003A21,2015110107PYD003A22,2016-2017110107PYDMSM00896-2016,2016-2017110107PYDMSM001721-2016,2016-2017110107PYDMSM00896-2018,2016-2017110107PYDMSM001721-2018)。

摘　　要：目的分析2016—2018年北京市石景山区在男男同性性行为人群(men who have sex with men, MSM)中开展国家社会组织参与艾滋病防治基金(简称防艾基金)的效果,并从经济学角度进行成本效果分析,为继续开展防艾基金项目提供依据和建议。方法建立项目组和对照组Markov模型,收集相关成本和转移概率参数,模拟30年后项目组和对照组的成本和获得的质量调整寿命年(quality-adjusted life year, QALY),计算项目开展的成本效果。结果北京市石景山区2016—2018年在MSM中开展防艾基金项目总投入1 710 163元,发现人类免疫缺陷病毒(human immunodeficiency virus, HIV)感染者和艾滋病(acquired immunodeficiency syndrome, AIDS)患者215例,阳性平均检出成本为7 954.25元/例。与对照组相比,干预组每挽救1个QALY的增量成本效果(incremental cost effectiveness ratio, ICER)为961.44元,小于2016年北京市人均GDP11.82万元。结论北京市石景山区在MSM中开展防艾基金项目成本效果好,值得继续开展。Objective To conduct a cost-effectiveness analysis of China AIDS Fund for Non-governmental Organizations(CAFNGO) project among men who have sex with men(MSM) in Shijingshan district of Beijing during 2016 and 2018, and to provide evidence for continuing implementation of CAFNGO project. Methods Cost and transition probability data were collected to generate Markov models for both project intervention group and control group, which were used to simulate the total cost and quality adjusted life year(QALY) after 30 years for the two groups and the project cost effectiveness was then calculated. Results The total running cost of the project was 1 710 163 yuan over the course of 2 years from 2016 to 2018 in MSM population, and 215 MSM with HIV/AIDS were detected and diagnosed with an average cost of 7 954.25 yuan per case detection.Compared with control group, the incremental cost effectiveness ratio(ICER) of saving per QALY in project intervention group was 961.44 yuan, which was far less than per capita GDP of Beijing in 2016. Conclusions The CAFNGO project is proved to be cost effective in MSM in Shijingshan district of Beijing and we should continue the implementation of this intervention project in the area.

关 键 词：男男同性性行为人群 获得性免疫缺陷综合征 成本效果 MARKOV模型 

分 类 号：R512.91[医药卫生—内科学]