Faculty Collaboration Database

Cost-effectiveness of a community-level HIV risk reduction intervention. Am J Public Health 1998 Aug;88(8):1239-42

Date

08/14/1998

Pubmed ID

9702159

Pubmed Central ID

PMC1508314

DOI

10.2105/ajph.88.8.1239

Scopus ID

2-s2.0-0031877008 (requires institutional sign-in at Scopus site)   80 Citations

Abstract

OBJECTIVES: The authors evaluated the cost-effectiveness of a community-level HIV prevention intervention that used peer leaders to endorse risk reduction among gay men.

METHODS: A mathematical model of HIV transmission was used to translate reported changes in sexual behavior into an estimate of the number of HIV infections averted.

RESULTS: The intervention cost $17,150, or about $65,000 per infection averted, and was therefore cost-saving, even under very conservative modeling assumptions.

CONCLUSIONS: For this intervention, the cost of HIV prevention was more than offset by savings in averted future medical care costs. Community-level interventions to prevent HIV transmission that use existing social networks can be highly cost-effective.

Author List

Pinkerton SD, Holtgrave DR, DiFranceisco WJ, Stevenson LY, Kelly JA

Authors

Wayne J. DiFranceisco Research Scientist II in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin
Jeffrey A. Kelly PhD Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Communicable Disease Control
Community Participation
Cost-Benefit Analysis
HIV Infections
Health Education
Health Knowledge, Attitudes, Practice
Homosexuality, Male
Humans
Male
Models, Economic
Quality-Adjusted Life Years