Cost-effectiveness of an HIV risk reduction intervention for adults with severe mental illness. AIDS Care 2000 Jun;12(3):321-32
Date
08/06/2000Pubmed ID
10928210DOI
10.1080/09540120050042981Scopus ID
2-s2.0-0033933945 (requires institutional sign-in at Scopus site) 27 CitationsAbstract
Small-group HIV prevention interventions that focus on individual behavioural change have been shown to be especially effective in reducing HIV risk among persons with severe mental illness. Because economic resources to fund HIV prevention efforts are limited, health departments, community planning groups and other key decision-makers need reliable information on the cost and cost-effectiveness (not solely on effectiveness) of different HIV prevention interventions. This study used an economic evaluation technique known as cost-utility analysis to assess the cost-effectiveness of three related cognitive-behavioural HIV risk reduction interventions: a single-session, one-on-one intervention; a multi-session small-group intervention; and a multi-session small-group intervention that taught participants to act as safer sex advocates to their peers. For men, all three interventions were cost-effective, but advocacy training was the most cost-effective of the three. For women, only the single-session intervention was cost-effective. The gender differences observed here highlight the importance of focusing on gender issues when delivering HIV prevention interventions to men and women who are severely mentally ill.
Author List
Johnson-Masotti AP, Pinkerton SD, Kelly JA, Stevenson LYAuthor
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
AdultBehavior Therapy
Cost-Benefit Analysis
Female
HIV Infections
Health Education
Humans
Male
Mental Disorders
Models, Economic
Quality-Adjusted Life Years
Retrospective Studies
Risk-Taking
Sensitivity and Specificity
Wisconsin
