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.
authors.affiliation: Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Suite 280, Baltimore, MD 21205, USA. dholtgra@jhsph.edu
authors.forename: David R
authors.initials: DR
authors.lastname: Holtgrave
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Wolitski
authors.forename: Sherri L
authors.initials: SL
authors.lastname: Pals
authors.forename: Angela
authors.initials: A
authors.lastname: Aidala
authors.forename: Daniel P
authors.initials: DP
authors.lastname: Kidder
authors.forename: David
authors.initials: D
authors.lastname: Vos
authors.forename: Scott
authors.initials: S
authors.lastname: Royal
authors.forename: Nkemdiri
authors.initials: N
authors.lastname: Iruka
authors.forename: Kate
authors.initials: K
authors.lastname: Briddell
authors.forename: Ron
authors.initials: R
authors.lastname: Stall
authors.forename: Arturo Valdivia
authors.initials: AV
authors.lastname: Bendixen
mesh_terms: D003362:Cost-Benefit Analysis; D015658:HIV Infections / Q000191:economics / Q000628:therapy; D006703:Ill-Housed Persons; D006798:Housing / Q000191:economics; D006801:Humans; D011788:Quality of Life; D012947:Social Work / Q000191:economics / Q000379:methods; D014481:United States