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目的比较成都市娱乐服务场所女性性工作者(female sex workers,FSWs)两种艾滋病干预方式的成本和效果,为干预方案选择提供科学依据。方法选择有项目支持的地区作为干预地区,选择人口数、经济条件相似、仅有财政经费支持的地区作为对照,比较干预地区与对照地区干预前后的问卷调查结果和成本效果比。结果经过一年干预,对照地区减少艾滋病病毒(human immunodeficiency virus,HIV)感染人数为0.02人,成果效果比为81.50万元/人;干预地区减少HIV感染人数为1.17人,成本效果比为25.05万元/人。干预组的成本效果比低于对照组。结论对照组和干预组每避免1例HIV感染的成本远远低于治疗1例的成本,说明干预有较好的收益;且干预组的成本效果比低于对照组,干预组的方案是经济可行性较好的方案。
Objective To compare the costs and effects of two AIDS interventions for female sex workers in entertainment venues in Chengdu and provide a scientific basis for the selection of intervention programs. Methods Select the areas supported by the project as the intervention areas, select the population, economic conditions are similar, only financial support areas as a control, compared intervention areas and control areas before and after the intervention questionnaire and cost-effectiveness ratio. Results After a year of intervention, the number of HIV-infected persons in the control area was 0.02, with an achievement-to-effect ratio of 815,000 yuan / person; the number of HIV-infected persons in interventional areas was 1.17 and the cost-effectiveness ratio was 250,500 Yuan / person. The cost-effectiveness of the intervention group was lower than that of the control group. Conclusion The cost of avoiding 1 case of HIV infection in the control group and the intervention group is much lower than that of 1 case, indicating that the intervention has better benefits. The cost-effectiveness of the intervention group is lower than that of the control group, and the intervention group’s program is economical Feasibility of the program.