title: Cost and threshold analysis of an HIV/STI/hepatitis prevention intervention for young men leaving prison: Project START.
abstract: The objectives of this study were to: (a) estimate the costs of providing a single-session HIV prevention intervention and a multi-session intervention, and (b) estimate the number of HIV transmissions that would need to be prevented for the intervention to be cost-saving or cost-effective (threshold analysis). Project START was evaluated with 522 young men aged 18-29 years released from eight prisons located in California, Mississippi, Rhode Island, and Wisconsin. Cost data were collected prospectively. Costs per participant were $689 for the single-session comparison intervention, and ranged from $1,823 to 1,836 for the Project START multi-session intervention. From the incremental threshold analysis, the multi-session intervention would be cost-effective if it prevented one HIV transmission for every 753 participants compared to the single-session intervention. Costs are comparable with other HIV prevention programs. Program managers can use these data to gauge costs of initiating these HIV prevention programs in correctional facilities.
authors: Department of Community Health and Epidemiology, Queen's University, 21 Arch Street, Abramsky Hall, Room 311, Kingston, ON, K7L 4V1, Canada, ana.johnson@queensu.ca.
authors: A P
authors: AP
authors: Johnson
authors: R J
authors: RJ
authors: Macgowan
authors: G D
authors: GD
authors: Eldridge
authors: K M
authors: KM
authors: Morrow
authors: J
authors: J
authors: Sosman
authors: B
authors: B
authors: Zack
authors: A
authors: A
authors: Margolis
mesh_terms: D000293:Adolescent; D000328:Adult; D002140:California / Q000453:epidemiology; D003362:Cost-Benefit Analysis; D006679:HIV Seropositivity / Q000191:economics* / Q000453:epidemiology / Q000635:transmission; D006505:Hepatitis / Q000191:economics* / Q000453:epidemiology / Q000517:prevention & control; D006801:Humans; D008297:Male; D008922:Mississippi / Q000453:epidemiology; D011314:Preventive Health Services / Q000191:economics*; D011329:Prisoners / Q000706:statistics & numerical data*; D011446:Prospective Studies; D012237:Rhode Island / Q000453:epidemiology; D012749:Sexually Transmitted Diseases / Q000191:economics* / Q000453:epidemiology / Q000517:prevention & control*; D014922:Wisconsin / Q000453:epidemiology