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Cost-effectiveness of a community-level HIV risk reduction intervention

S.D. Pinkerton, D.R. Holtgrave, W.J. DiFranceisco, L.Y. Stevenson and J.A. Kelly

American Journal of Public Health, 1998, vol. 88, issue 8, 1239-1242

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.

Date: 1998
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