CAJ | 학술논문

目的基于利用国家艾滋病经费支出评估(NASA)方法测算的云南省德宏州2010年艾滋病经费支出情况,对艾滋病经费支出的合理性进行综合评价.方法通过德宏州统计局发布的相关公报收集德宏州芒市、盈江县、陇川县、瑞丽市、梁河县、畹町开发区2010年的人口学及经济学指标,通过全国艾滋病综合防治数据信息年报收集艾滋病疫情指标.采用NASA方法测算和评估各县(市)艾滋病经费的实际支出情况,采用需求指数法计算艾滋病经费需求情况.分析各县(市)2010年艾滋病经费支出与其人口学、经济学、艾滋病疫情流行指标的相关性,及艾滋病预防干预经费支出与主要传播途径所占比例的相关性.结果 2010年德宏州5县(市)艾滋病经费支出合计为28 752 772元人民币、人口数为1211400名、人均GDP为11693元,瑞丽市吸毒、性传播、母婴传播人群干预经费的支出额分别为130345、71484、164100元,HIV感染者构成比分别为23.9％(49/205)、73.7％(151/205)、0.5％ (1/205)；梁河县支出额分别为141665、257142、99961元,感染者构成比分别为17.1％ (6/35)、80.0％(28/35)、0.0％(0/35),两地各项干预经费支出金额与对应人群HIV感染者构成比均呈正相关(r值均为0.99,P值均＜0.05),其他4个县(市)及开发区均无相关性(P＞0.05).各县(市)的国内政府部门、国际项目、国内科研课题、个人和家庭白付的艾滋病经费支出金额与人口数均呈正相关关系(r值分别为0.94、0.83、0.99、0.88,P值均＜0.05)；除个人和家庭自付部分的经费外,其他来源的经费支出均与艾滋病病例报告数呈正相关(r值分别为0.94、0.89、0.81,P值均＜0.05).结论 2010年德宏州艾滋病经费支出基本考虑了人口和疫情流行等相关指标的情况,经费支出基本符合不同地区的经费需求.
목적 기우이용국가애자병경비지출평고(NASA)방법측산적운남성덕굉주2010년애자병경비지출정황,대애자병경비지출적합이성진행종합평개.방법 통과덕굉주통계국발포적상관공보수집덕굉주망시、영강현、롱천현、서려시、량하현、원정개발구2010년적인구학급경제학지표,통과전국애자병종합방치수거신식년보수집애자병역정지표.채용NASA방법측산화평고각현(시)애자병경비적실제지출정황,채용수구지수법계산애자병경비수구정황.분석각현(시)2010년애자병경비지출여기인구학、경제학、애자병역정류행지표적상관성,급애자병예방간예경비지출여주요전파도경소점비례적상관성.결과 2010년덕굉주5현(시)애자병경비지출합계위28 752 772원인민폐、인구수위1211400명、인균GDP위11693원,서려시흡독、성전파、모영전파인군간예경비적지출액분별위130345、71484、164100원,HIV감염자구성비분별위23.9％(49/205)、73.7％(151/205)、0.5％ (1/205)；량하현지출액분별위141665、257142、99961원,감염자구성비분별위17.1％ (6/35)、80.0％(28/35)、0.0％(0/35),량지각항간예경비지출금액여대응인군HIV감염자구성비균정정상관(r치균위0.99,P치균＜0.05),기타4개현(시)급개발구균무상관성(P＞0.05).각현(시)적국내정부부문、국제항목、국내과연과제、개인화가정백부적애자병경비지출금액여인구수균정정상관관계(r치분별위0.94、0.83、0.99、0.88,P치균＜0.05)；제개인화가정자부부분적경비외,기타래원적경비지출균여애자병병례보고수정정상관(r치분별위0.94、0.89、0.81,P치균＜0.05).결론 2010년덕굉주애자병경비지출기본고필료인구화역정류행등상관지표적정황,경비지출기본부합불동지구적경비수구.
Objective To comprehensive evaluate the rationality of Acquired Immune Deficiency Syndrome (AIDS) expenditure through the analysis of AIDS expenditure circumstances based on the application of National AIDS Spending Assessment in Dehong prefecture in 2010.Methods Demographic and economic indicators of Mang City,Yingjiang,Longchuan,Ruili City,Lianghe and Wanting zone in Dehong prefecture of Yunnan province were collected from the reports issued by Dehong Statistical Bureau of 2010,and HIV/AIDS epidemic indicators were collected from the annual report of national AIDS prevention and control data.NASA method was used to analyze the actual spending and demand index was used to calculate the demand of AIDS funding in these counties (cities).The correlations between HIV/AIDS expenditures and demographic,economic and HIV/AIDS epidemic index were analyzed,respectively,as well as the correlation between the expenditures of AIDS prevention and control and proportion of major transmission approaches.Results In 2010,the actual expenditures on HIV/AIDS in the 5 counties (cities)of Dehong prefecture was ￥ 28752772,the population was 1211400,and Gross Domestic Product (GDP) was ￥ 11693.The intervention expenditures in injection drug users,sexually transmitted people,and prevention of mother to child transmission in Ruili county were ￥ 130345,￥71484 and ￥ 164100,the proportions of HIV transmission in these groups were 23.9％ (49/205),73.7％ (151/205),and 0.5％(1/205),respectively; and in Lianghe county was ￥141665,￥257142,and ￥99961,and the proportions of HIV transmission were 17.1％ (6/35),80.0％ (28/35) and 0.0％ (0/35),respectively.The intervention expenditures in Ruili and Lianghe counties were positive related to the proportion of corresponding people with HIV infection (both r values were 0.99,all P values ＜ 0.05).In the other 4 counties (cities) and the development zone,no correlations.The expenditures of government departments,international projects,domestic research programs and personal and family pays (r value were 0.94,0.83,0.99 and 0.88,respectively,all P values ＜ 0.05) were positive related to the number.Except the personal and family pays,other sources of expenditures were all positive related to the number of reported HIV/AIDS cases (r values were 0.94,0.89 and 0.81,respectively,all P values ＜ 0.05).Conclusion Population and HIV/AIDS epidemic index were considered as factors in AIDS spending.The expenditures corresponded with the demand of different areas basically.