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The cost-effectiveness of HIV prevention targeting

How much more bang for the buck

Bibliographic Data

ID11040307
AuthorsJames G Kahn (0000-0002-1259-7233, University of California, San Francisco, corresponding author)
Year1996
Volume86
Issue12
Pages1709-1712
Publication date1996-12-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.86.12.1709
PMID9003125
OpenAlexW1988949750
LanguageEN
Citations received8
References cited15

BACKGROUND: Although the targeting of human immunodeficiency virus (HIV) prevention to high-risk populations has been widely discussed, its benefits have not been quantified. METHODS: This analysis of cost-effectiveness combines an HIV epidemic model, target population scenarios, and data on the cost and impact of prevention. RESULTS: The number of HIV infections averted in 5 years with $1 million in annual prevention spending ranges from 164 in high-risk populations to 0.4 in very-low-risk populations. Fortyfold to two-hundredfold differences in prevention costs could equalize HIV infections averted. CONCLUSIONS: Targeting appears to provide substantial benefit and should be considered in allocation decisions about prevention

Biology · Cost–benefit analysis · Environmental health · Human immunodeficiency virus (HIV) · Population · Adolescent Sexual and Reproductive Health · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Immunology · Medicine

  • A Review of the Cost-Effectiveness of Interventions to Prevent Sexual Transmission of HIV in the United States

    Open Access•Steven D Pinkerton, Ana P Johnson‐Masotti et al.•AIDS and Behavior•2002

  • Cost-Effectiveness of Counseling and Testing to Prevent Sexual Transmission of HIV in the United States

    Open Access•Paul G Farnham, Steven D Pinkerton et al.•AIDS and Behavior•2002

  • Cost-Effectiveness of Community-Level Approaches to HIV Prevention

    Open Access•Steven D Pinkerton, James G Kahn et al.•The Journal of Primary Prevention•2002

  • Carmen Martínez Novo

    Open Access•Michael P Carey, Arantza Meñaca•AIBR Revista de Antropologia…•2006

  • Identifying and Characterizing Places for the Targeted Control of Heterosexual HIV Transmission in Urban Areas

    Open Access•Sarah Polk, Jonathan M Ellen et al.•AIDS and Behavior•2014

  • HIV/Aids in Pakistan

    Adnan A Hyder, O A Khan et al.•Journal of Epidemiology and…•1998

  • Cross-national comparisons of sexual behavior surveys--methodological difficulties and lessons for prevention

    Alfred Spira, Nathalie Bajos et al.•American Journal of Public Health•1998

  • Cost Effectiveness of Streetworks’ Needle Exchange Program of Edmonton

    Open Access•Philip Jacobs, Peter Glider et al.•Canadian Journal of Public Health•1999

  • Seroprevalence of HIV and Risk Behaviors Among Young Homosexual and Bisexual Men

    George F Lemp•JAMA•1994

  • HIV among drug injectors

    R Friedman, S R Friedman et al.•AIDS Care•1991

  • Cost-Effectiveness of an HIV/Aids Prevention Intervention for Gay Men

    Open Access•David R Holtgrave, Jeffrey A Kelly•AIDS and Behavior•1997

  • Bleach programs for preventing Aids among i.v. drug users

    J E Siegel, Milton C Weinstein et al.•American Journal of Public Health•1991

  • HIV infection in homosexual and bisexual men 18 to 29 years of age

    DENNIS OSMOND, D H Osmond et al.•American Journal of Public Health•1994

Unique citing works8
Citations per year0,29
Citation span1998 - 2014 (17)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 8

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