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党如波, 张顺祥, 张卫东, 梁晓峰, 崔富强, 赵飞. 中国新生儿乙肝疫苗免疫效果评估[J]. 中国公共卫生, 2009, 25(4): 385-387. DOI: 10.11847/zgggws2009-25-04-01
引用本文: 党如波, 张顺祥, 张卫东, 梁晓峰, 崔富强, 赵飞. 中国新生儿乙肝疫苗免疫效果评估[J]. 中国公共卫生, 2009, 25(4): 385-387. DOI: 10.11847/zgggws2009-25-04-01
DANG Ru-bo, ZHANG Shun-xiang, ZHANG Wei-dong, . Assessment for immune effectiveness of hepatitis B vaccination among infant population in China[J]. Chinese Journal of Public Health, 2009, 25(4): 385-387. DOI: 10.11847/zgggws2009-25-04-01
Citation: DANG Ru-bo, ZHANG Shun-xiang, ZHANG Wei-dong, . Assessment for immune effectiveness of hepatitis B vaccination among infant population in China[J]. Chinese Journal of Public Health, 2009, 25(4): 385-387. DOI: 10.11847/zgggws2009-25-04-01

中国新生儿乙肝疫苗免疫效果评估

Assessment for immune effectiveness of hepatitis B vaccination among infant population in China

  • 摘要: 目的评估我国1992~2005年实施新生儿乙肝疫苗免疫预防策略的经济效果。方法在综合国内有关重要研究资料的基础上,构建我国乙肝疫苗免疫预防14年效果评估决策树模型,采用成本效益和成本效果分析指标。结果我国新生儿乙肝疫苗免疫策略使得1992~2005年出生新生儿累计避免发生乙肝病毒(HBV)感染6522.95万例(城市2442.35万例,农村4080.60万例),其中急性乙肝1304.59万例,慢性乙肝65.23万例,肝硬化6.01万例,肝癌0.60万例;每预防1例HBV感染的费用为81.99元,可获得2674.77亿元的净效益,效益成本比为51.01:1(城市为49.59:1,农村为51.91:1)。结论我国新生儿乙肝疫苗免疫策略实施14年获得巨大经济效益,决策树模型应用于乙肝疫苗接种效果评估具有定量决策和综合多因素等优点。

     

    Abstract: ObjectiveTo analyze the effectiveness and benefits of strategy of hepatitis B vaccination implemented among infants for 14 years in China.MethodsOn the basis of available data,the health economic evaluation and decision tree model were determined to analyze system a tically the strategy of infant hepatitis B vaccination for 14 years in China.ResultsA total of 65 229 476 cases(24 423 516 cases in urban area,408 05 960 cases in rural area)hepatitis B virus infection,includding 13 045 894 acute patients,652 294 chronic patients,60 076 cases cirrhos is and 6 007 hepatoma were prevented because of the hepatitis B vaccination among the infants during 1992 through 2005 in China.The BCR was 51.01:1(49.59:1 in urban area,51.91:1 in rural area).ConclusionThe strategy of hepatitis B vaccination performed among the infants in China for 14 years obtained significant results.Decision tree is one of the most useful models to analyze the effectiveness of hepatitis B vaccination.

     

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