Economic Evaluation of Drug Abuse Prevention with Rural African AmericanYouth

摘要 青少年滥用药物对青少年的健康和福祉构成了重大威胁，预示着贫困 心理和社会调整、参与刑事司法系统、艾滋病毒/艾滋病的传播 和其他性传播感染，以及未来的药物滥用问题。尽管事实是潜在的 预防青少年药物滥用的好处是巨大的，人们对实施成本知之甚少 以及药物滥用预防计划的经济影响。政策制定者、社区组织、 学校系统、卫生部门和其他提供药物滥用预防服务的机构需要这一点 在分配稀缺的公共卫生资源方面做出艰难决定的信息。对于 数百万有青少年的非洲裔美国家庭生活在农村、资源匮乏的环境中，没有数据 存在于预防药物滥用的成本和收益上。为了满足这一需求，科尔索博士与 Brody博士和Kogan博士，他们正在进行农村地区药物滥用预防计划的预防试验 非裔美国青少年和E.Michael Foster博士，他在指挥方面有丰富的经验 对以青年为重点的预防方案进行经济评估。 在这份申请中，我们申请资金，对强大的非裔美国人进行经济评估 家庭-青少年(SAAF-T)计划。有效的SAAF药物的发育适宜性 针对小学生的虐待预防计划，SAAF-T是基于15年的纵向研究 有农村的非裔美国家庭和广泛的社区投入。目前正在进行一种随机的测试 对500名10年级学生及其家庭进行了预防试验。三个互补的经济分析， 它们对SAAF-T的经济影响提供了全面的评估，建议如下：方案成本 分析、效益-成本分析和成本效益分析。SAAF-T预防试验提供了一种 确定对未得到充分服务的人进行干预的成本和收益的宝贵机会 研究不足的人群，并从经济评估和药物滥用治疗中采用方法 将促进未来关于预防药物滥用的研究和政策发展的文献。

Abstract Adolescent drug abuse poses a major threat to the health and well-being of youth, forecasting poor psychological and social adjustment, involvement with the criminal justice system, transmission of HIV/AIDS and other sexually transmitted infections, and future drug abuse problems. Despite the fact that the potential benefits of preventing adolescent drug abuse are enormous, very little is known about the implementation costs and economic impact of drug abuse prevention programs. Policymakers, community-based organizations, school systems, health departments, and other agencies that deliver drug abuse prevention services need this information to make difficult decisions regarding the allocation of scarce public health resources. For the several million African American families with adolescents living in rural, resource-poor environments, no data exist on the costs and benefits of preventing drug abuse. To address this need, Dr. Corso has partnered with Drs. Brody and Kogan, who are conducting a prevention trial of a drug abuse prevention program for rural African American adolescents, and with Dr. E. Michael Foster, who has extensive experience in conducting economic evaluations of youth-focused prevention programs. In this application, we request funding to conduct an economic evaluation of the Strong African American Families-Teen (SAAF-T) program. A developmentally appropriate adaptation of the efficacious SAAF drug abuse prevention program for elementary school youth, SAAF-T is based on 15 years of longitudinal research with rural African American families and extensive community input. It is currently being tested in a randomized prevention trial with 500 10th-grade students and their families. Three complementary economic analyses, which provide a comprehensive assessment of SAAF-T's economic impact, are proposed: programmatic cost analysis, benefit-cost analysis, and cost-effectiveness analysis. The SAAF-T prevention trial provides an invaluable opportunity both to determine the costs and benefits of the intervention on an underserved and understudied population and to adapt methods from the economic evaluation and drug abuse treatment literature that will foster future research and policy development on drug abuse prevention.