The Influence Of AIDS On Society And Economyin Henan Province

Aims:We elucidated the social and economic burdens resulting from AIDS, its influence on patient's and public health levels, and on macro-economics in Henan province. We also evaluated the influence of AIDS on the society, particularly on AIDS patients, families and community, as well as medical care.We analyzed how AIDS affected social economy of Henan province at three different levels, including patients'family, society and macro-economics. In addition, we put forward constructive advices for AIDS treatment, salvation, prevention, control and community stability and development.Methods:In this study, adopted systems analysis, brain storming and other methods were utilized on the basis of analysis of AIDS epidemic status through field investigation, special topic interview, literature reading and studying.Results:The influences of AIDS on resident health: 1. The QOL scores of AIDS sufferes were lower than those of normal model in four fields including physiological domain, psychological domain, level of independent domain and social relationship. However, there was not statistical significance in the fields of environment, as well as spinituality, religion and personal belief between two groups. 2. The life-span of total population in Henan province was 74.404 years, and the expected life-span without AIDS was 74.459 years.The influences of AIDS on society: 1. to individuals: The average days of their stopping working and rest at bed for HIV/AIDS suffers were 15.3 and 6.2 days, respectively, 3 months before investigation, including 18.6% with affected marriage,1.4% with discrimination, and 37.7% with retaliatory behavior. 2. to family: 37.3% of the families had member died of HIV/AIDS, 88.6% were difficult to survive,and 79.9% were destitute for the illness. 3. to community: during the investigation, there were 1.1 time visitation per year and per community averagely, and 8.2 interviewers averagely every time. 71% of HIV/AIDS were satisfied with the extent of governmental salvation. In 20 communities, there were 202 orphans, 64 lonely elders because of the prevalence of AIDS. There were 47 divorced and limited divorced families because of the prevalence of AIDS, averagely, 2.4 per community.The influences of AIDS on sanitarian branches:1. major outcome: 32 county and township medical and sanitarian branches had 117 building services totally.Among which 13008.2 m2 was used in the prevention of AIDS, accounting for 14.3% totally. There were 327 healthcare staff who worked in the prevention of AIDS. 70.9% of the time per day was devoted to AIDS prevention. There were totally 130 AIDS prevention equipments which costed above 2 thousands Yuan in 32 prevention branches. 2. the devotion in AIDS prevention: 129442 people received education on HIV/AIDS prevention, and each HIV/AIDS patient received 9.9 times of education. There were 3.83 and 9.20 times to have education on AIDS in country and rustic medical branches respectively. In AIDS epidemic area, the ratio of rustic medical centers which implemented education, prevention, consultation, treatment and nursing for AIDS were 93.33%, 86.67%, 93.33%, 100.00%, and 93.33%, respectively.The influences of AIDS on economy: 1. the influences on domestic economy of patients: domestic costs of HIV/AIDS were 834.6 Yuan per year. The loss was amount to 89.48 Yuan monthly, and the indirect domestic costs were 1073.76 Yuan per year. The domestic illness burden was total 1908.36 Yuan, accounting for 36.7% of domestic incomes. The average income and expenditure per year in HIV/AIDS family were total 5196.3 and 6211.8 Yuan respectively. 2. the economic burden of AIDS: DALYS reached 59898.84 Yuan yearly, an average of DALYS was 20.76 year. The social direct economic burden in Henan province was around 311.1886 million Yuan per year, and total economical costs were 466.7828 million Yuan. The indirect economic burden was amount to 6.29653 billion Yuan. Under current prevalent conditions, the total social economic burden for AIDS patients was 6.76331 billion Yuan. 3. the influences on macro-economy in Henan province: In 2005, AIDS was scattered in the whole province, the epidemics in local area led to the loss of personal GPD 9.8239 Yuan, and loss of GPD was 954.589 million Yuan.Evaluation of general AIDS prevention in Henan province: 1. baby-mother interdiction: It costed 46963 Yuan averagely to end pregnancy and avoid 1 case of HIV infection. If 1 case was infected, the economic loss would be 214.172 thousand Yuan averagely. The effect-cost ratio was 4.6:1, and the ratio of medical interdiction and manual feed was 2.5:1. The general effect-cost ratio was 3.5:1. 2. evaluation on general prevention of AIDS according to the sanitation and economy: the total devotion of AIDS prevention from 2003 to 2005 was 771.4 million Yuan. The cost of avoiding 1 case of HIV infection was 45.9249-229.7885 thousand Yuan. The cost of saving a DALY was 167.82-9024.45 Yuan. Conclusion:1.AIDS suffers got lower scores than healthy controls.The quality of life was also decreased. 2. HIV/AIDS, to some extent, affected individual, family and community totally, mainly manifested in mental discrimination and pressure resulted from individual employment, marriage situation and so on. 3. HIV infection increased the government economic burden and corresponding sanitary devotion in high accidence areas in Henan province. Local medical centers played an important role in the prevention of AIDS. 4. the influence of AIDS infection on social economy was mainly limited at family level. The domestic income and total domestic consume were decreased, the consuming structure also changed greatly. The social economic burden of AIDS was high in high-accidence areas of Henan province. AIDS prevalence, to some extent, affected Henan's GPD. 5. baby-mother interdiction was the most important step in AIDS prevention, which could decrease greatly the infection ratio in children with high cost-effect ratio. 6. efficacy of comprehensive treatment is suggestive. The costs of avoiding 1 case with HIV infection and rescue of 1 case with DALY was lower than that at an international level.Prevalence of the AIDS is a major social problem, governmental action and social mobilization shall be taken to prevent it. Importantly, governmental strategies and actions shall also be persistently. Social actions and strategies can deal with the prevalence of the AIDS. Therefore, public healthy construction needs to be strengthened to control the prevalence of the AIDS and improve persistent development of social economy.