An economic evaluation of mandatory premarital testing for HIV.
This study provides a comprehensive assessment of mandatory premarital testing for HIV. We incorporate new evidence about the assumptions underlying an economic evaluation of premarital testing, use standard methods of program evaluation (cost-effectiveness analysis and cost-benefit analysis), and carefully evaluate how changes in the various assumptions affect the results. The cost-effectiveness results show that, under the most likely conditions, the cost per case of HIV infection prevented by mandatory premarital testing would be between $70,000 and $127,000. In the cost-benefit analysis, the benefit-cost ratio in the most likely scenarios ranges between 3.1 and 28.2.
McKay
N L
NL
Department of Health Care Administration, Trinity University, San Antonio, TX 78212.
Phillips
K M
KM
D015492:AIDS Serodiagnosis / Q000191:economics*; D003362:Cost-Benefit Analysis; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000517:prevention & control* / Q000635:transmission; D006801:Humans; D007087:Illinois; D008297:Male; D008403:Mass Screening / Q000331:legislation & jurisprudence*; D011237:Predictive Value of Tests; D011291:Premarital Examinations / Q000191:economics*; D012725:Sexual Behavior; D014481:United States