PMID: 9436764Jan 22, 1998Paper

Economic evaluation of an HIV prevention intervention for gay and bisexual male adolescents

Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology : Official Publication of the International Retrovirology Association
G Tao, G Remafedi

Abstract

The objective of this study was to evaluate the cost-effectiveness of an HIV prevention intervention for gay and bisexual male adolescents. The intervention included individualized risk assessment and counseling, peer education, optional HIV testing, and referrals to needed services. From 1989 to 1994, 501 male volunteers, 13 to 21 years of age, who self-identified as gay/bisexual or as having had sex with men, completed preintervention and postintervention surveys to assess changes in HIV risk behavior. An HIV transmission model was constructed to project the HIV seroprevalence in the target population over a 10-year period from the self-reported number of partners for unprotected anal intercourse. Cost-effectiveness was analyzed from a societal perspective. Total costs of the intervention, including medical treatment costs saved, were projected to be $1.1 million U.S. for the 10-year period. The number of HIV infections averted and the quality-adjusted life years (QALYs) saved were projected to be 13 and 180, respectively. An incremental cost-effectiveness ratio was projected to be $6180 U.S. per QALY saved. The intervention was found to be cost-effective from the societal perspective. In addition, HIV prevalence in the targe...Continue Reading

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Citations

Aug 19, 2007·Health Care Management Science·Stephanie R EarnshawAmanda Honeycutt
Jul 31, 2003·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Douglas N BellCarl Siciliano
Dec 7, 2006·Journal of Health Communication·Paul Hutchinson, Jennifer Wheeler
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May 15, 2012·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Chaitra GopalappaStephanie L Sansom
Jun 13, 2009·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Amy MedleyMichael Sweat
Sep 21, 2011·European Journal of Epidemiology·Narat PunyacharoensinRichard Guy White
Oct 17, 2008·American Journal of Public Health·Peter J NeumannJennifer A Palmer
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Jul 23, 2008·The Cochrane Database of Systematic Reviews·Wayne D JohnsonWilliam M McClellan

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