Cost-utility analysis of the housing and health intervention for homeless and unstably housed persons living with HIV

David R. Holtgrave; Richard J. Wolitski; Sherri L. Pals; Angela Aidala; Daniel P. Kidder; David Vos; Scott Royal; Nkemdiri Iruka; Kate Briddell; Ron Stall; Arturo Valdivia Bendixen

doi:10.1007/s10461-012-0204-3

Cost-utility analysis of the housing and health intervention for homeless and unstably housed persons living with HIV

David R. Holtgrave
, Richard J. Wolitski
, Sherri L. Pals
, Angela Aidala
, Daniel P. Kidder
, David Vos
, Scott Royal
, Nkemdiri Iruka
, Kate Briddell
, Ron Stall
, Arturo Valdivia Bendixen

Research output: Contribution to journal › Article › peer-review

29 Scopus citations

Abstract

We present a cost-utility analysis based on data from the Housing and Health (H&H) Study of rental assistance for homeless and unstably housed persons living with HIV in Baltimore, Chicago and Los Angeles. As-treated analyses found favorable associations of housing with HIV viral load, emergency room use, and perceived stress (an outcome that can be quantitatively linked to quality of life). We combined these outcome data with information on intervention costs to estimate the cost-per-quality-adjusted-life-year (QALY) saved. We estimate that the cost-per-QALY-saved by the HIV-related housing services is $62,493. These services compare favorably (in terms of cost-effectiveness) to other well-accepted medical and public health services.

Original language	English (US)
Pages (from-to)	1626-1631
Number of pages	6
Journal	AIDS and behavior
Volume	17
Issue number	5
DOIs	https://doi.org/10.1007/s10461-012-0204-3
State	Published - Jun 2013
Externally published	Yes

Keywords

Cost-effectiveness
HIV
Homelessness
Housing
Prevention

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

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10.1007/s10461-012-0204-3

Cite this

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title = "Cost-utility analysis of the housing and health intervention for homeless and unstably housed persons living with HIV",

abstract = "We present a cost-utility analysis based on data from the Housing and Health (H\&H) Study of rental assistance for homeless and unstably housed persons living with HIV in Baltimore, Chicago and Los Angeles. As-treated analyses found favorable associations of housing with HIV viral load, emergency room use, and perceived stress (an outcome that can be quantitatively linked to quality of life). We combined these outcome data with information on intervention costs to estimate the cost-per-quality-adjusted-life-year (QALY) saved. We estimate that the cost-per-QALY-saved by the HIV-related housing services is \$62,493. These services compare favorably (in terms of cost-effectiveness) to other well-accepted medical and public health services.",

keywords = "Cost-effectiveness, HIV, Homelessness, Housing, Prevention",

author = "Holtgrave, \{David R.\} and Wolitski, \{Richard J.\} and Pals, \{Sherri L.\} and Angela Aidala and Kidder, \{Daniel P.\} and David Vos and Scott Royal and Nkemdiri Iruka and Kate Briddell and Ron Stall and Bendixen, \{Arturo Valdivia\}",

note = "Funding Information: Acknowledgments This study was supported by the US Centers for Disease Control and Prevention and the Department of Housing and Urban Development. We sincerely appreciate the editorial assistance of Ms. Laura Wehrmeyer in the preparation of this manuscript.",

year = "2013",

month = jun,

doi = "10.1007/s10461-012-0204-3",

language = "English (US)",

volume = "17",

pages = "1626--1631",

journal = "AIDS and behavior",

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T1 - Cost-utility analysis of the housing and health intervention for homeless and unstably housed persons living with HIV

AU - Holtgrave, David R.

AU - Wolitski, Richard J.

AU - Pals, Sherri L.

AU - Aidala, Angela

AU - Kidder, Daniel P.

AU - Vos, David

AU - Royal, Scott

AU - Iruka, Nkemdiri

AU - Briddell, Kate

AU - Stall, Ron

AU - Bendixen, Arturo Valdivia

N1 - Funding Information: Acknowledgments This study was supported by the US Centers for Disease Control and Prevention and the Department of Housing and Urban Development. We sincerely appreciate the editorial assistance of Ms. Laura Wehrmeyer in the preparation of this manuscript.

PY - 2013/6

Y1 - 2013/6

N2 - We present a cost-utility analysis based on data from the Housing and Health (H&H) Study of rental assistance for homeless and unstably housed persons living with HIV in Baltimore, Chicago and Los Angeles. As-treated analyses found favorable associations of housing with HIV viral load, emergency room use, and perceived stress (an outcome that can be quantitatively linked to quality of life). We combined these outcome data with information on intervention costs to estimate the cost-per-quality-adjusted-life-year (QALY) saved. We estimate that the cost-per-QALY-saved by the HIV-related housing services is $62,493. These services compare favorably (in terms of cost-effectiveness) to other well-accepted medical and public health services.

AB - We present a cost-utility analysis based on data from the Housing and Health (H&H) Study of rental assistance for homeless and unstably housed persons living with HIV in Baltimore, Chicago and Los Angeles. As-treated analyses found favorable associations of housing with HIV viral load, emergency room use, and perceived stress (an outcome that can be quantitatively linked to quality of life). We combined these outcome data with information on intervention costs to estimate the cost-per-quality-adjusted-life-year (QALY) saved. We estimate that the cost-per-QALY-saved by the HIV-related housing services is $62,493. These services compare favorably (in terms of cost-effectiveness) to other well-accepted medical and public health services.

KW - Cost-effectiveness

KW - HIV

KW - Homelessness

KW - Housing

KW - Prevention

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UR - https://www.scopus.com/pages/publications/84878599168#tab=citedBy

U2 - 10.1007/s10461-012-0204-3

DO - 10.1007/s10461-012-0204-3

M3 - Article

C2 - 22588529

AN - SCOPUS:84878599168

SN - 1090-7165

VL - 17

SP - 1626

EP - 1631

JO - AIDS and behavior

JF - AIDS and behavior

IS - 5

ER -

Cost-utility analysis of the housing and health intervention for homeless and unstably housed persons living with HIV

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

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