HIV incidence and CDC's HIV prevention budget - An exploratory correlational analysis
HIV incidence and CDC's HIV prevention budget - An exploratory correlational analysis
复制标题
DOI：
10.1016/j.amepre.2006.08.033
复制
发表时间：
2007-01-01
影响因子：
5.5
通讯作者：
Kates, Jennifer
中科院分区：
文献类型：
--
作者：
Holtgrave, David R.;Kates, Jennifer
背景：关于国家艾滋病毒预防计划的核心评估问题是该计划是否影响艾滋病毒发病率。许多因素可能影响发病率，包括艾滋病毒预防方面的公共投资。然而，很少有研究探讨美国公共投资与艾滋病毒流行之间的关系。方法：这项 2006 年的探索性分析使用定量、滞后的相关分析对 1978 年至 2006 年期间进行了研究，以捕捉美国艾滋病毒发病率与美国疾病控制和预防中心的艾滋病毒预防预算之间随时间变化的关系。结果：分析表明，早期艾滋病毒发病率先于全国艾滋病毒发病率上升。 预防投资直至 20 世纪 80 年代中期（1 年滞后相关，r=0.972，df-2，p < 0.05）。从那时起，国家对艾滋病毒预防的投资似乎与艾滋病毒发病率密切相关（1年滞后相关，r=-0.905，df=18，p < 0.05）。结论：这项探索性研究提供了美国艾滋病毒发病率与联邦艾滋病毒预防预算之间随时间关系的相关证据，并呼吁进一步分析资金的作用和可能影响国家艾滋病毒方向的其他因素 流行性。
Background: The central evaluative question about a national HIV prevention program is whether that program affects HIV incidence. Numerous factors may influence incidence, including public investment in HIV prevention. Few studies, however, have examined the relationship between public investment and the HIV epidemic in the United States.Methods: This 2006 exploratory analysis examined the period from 1978 through 2006 using a quantitative, lagged, correlational analysis to capture the relationship between national HIV incidence and Centers for Disease Control and Prevention's HIV prevention budget in the United States over time.Results: The analyses suggest that early HIV incidence rose in advance of the nation's HIV prevention investment until the mid-1980s (1-year lag correlation, r=0.972, df-2, p < 0.05). From that point on, it appears that the nation's investment in HIV prevention became a strong correlate of HIV incidence (1-year lag correlation, r=-0.905, df=18, p < 0.05).Conclusions: This exploratory study provides correlational evidence of a relationship between U.S. HIV incidence and the federal HIV prevention budget over time, and calls for further analysis of the role of funding and other factors that may influence the direction of a nation's HIV epidemic.