Cost-effectiveness of a community-level HIV risk reduction intervention for women living in low-income housing developments. J Prim Prev 2005 Jul;26(4):345-62
Date
07/05/2005Pubmed ID
15995803DOI
10.1007/s10935-005-5392-2Scopus ID
2-s2.0-21644454659 (requires institutional sign-in at Scopus site) 9 CitationsAbstract
We conducted a cost-effectiveness analysis of a multi-site community-level HIV prevention trial that enrolled women living in 18 low-income housing developments in 5 U.S. cities. A mathematical model of HIV transmission was used to estimate the number of HIV infections averted and quality-adjusted life years (QALYs) saved by the community-level intervention, based on data obtained from community-wide sexual behavior surveys at baseline and 12-month follow-up. Results indicated that the intervention prevented approximately 1 infection per 3500 women reached by the intervention, at a total cost of 174,845 dollars. The cost per QALY saved by the intervention was 37,433 dollars and the cost per HIV infection averted was 732,072 dollars. The community-level intervention was moderately cost-effective in comparison with other HIV prevention programs for at-risk women. Synergistic approaches to HIV prevention that combine community-level sexual norm change interventions with more intensive risk reduction programs for high-risk women are needed. EDITORS' STRATEGIC IMPLICATIONS: The authors present a promising and efficient community-level HIV prevention approach, with effects beyond the limited scope of individual or small group interventions. This paper represents an example of how an analysis of cost-effectiveness can provide policymakers with information needed for difficult decisions about prevention resource allocations.
Author List
Johnson-Masotti AP, Pinkerton SD, Sikkema KJ, Kelly JA, Wagstaff DAAuthor
Jeffrey A. Kelly PhD Professor in the Psychiatry and Behavioral Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultCommunity Health Planning
Community Health Services
Cost of Illness
Cost-Benefit Analysis
Female
Focus Groups
HIV Infections
Humans
Models, Econometric
Poverty
Primary Prevention
Program Evaluation
Prospective Studies
Public Housing
Quality-Adjusted Life Years
Risk Assessment
Risk Reduction Behavior
United States
Urban Health
Women's Health Services