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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
David Holtgrave, PhD, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Room 540, Atlanta, GA 30322, 404-727-5401, dholtgr@sph.emory.edu
HIV incidence in the United States peaked in the mid-1980s at approximately 160,000 new infections per year; since the early 1990s, annual HIV incidence has remained stable at approximately 40,000 new infections. CDC has set a national goal of reducing incident HIV infections by 50% by 2005. A variety of community-based HIV prevention interventions (including peer opinion leader interventions, and social marketing interventions) have been found to be effective at reducing HIV-related risk behaviors, and are important tools in the fight to prevent HIV infection. The policy question is then how much emphasis such interventions should receive in public health resource allocations. In order to answer this question, rigorous cost-effectiveness analyses are needed. A literature on the economic evaluation of community-based HIV prevention interventions exists and is growing rapidly. In this presentation, we provide an overview of this literature by focusing on (a) the economic evaluation methods used, (b) the types of interventions analyzed, (c) the results of the studies, and (d) the ways in which these results can inform resource allocation decisions. In addition, we present in its entirety one completed example of a cost-utility analysis of a community-level intervention to fully illustrate the techniques employed in this literature.
Learning Objectives:
Keywords: HIV/AIDS, Community Preventive Services
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.