Original Paper

AIDS and Behavior

, Volume 17, Issue 5, pp 1626-1631

Cost-Utility Analysis of the Housing and Health Intervention for Homeless and Unstably Housed Persons Living with HIV

  • David R. HoltgraveAffiliated withDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health Email author 
  • , Richard J. WolitskiAffiliated withDivision of HIV/AIDS Prevention, Centers for Disease Control and Prevention
  • , Sherri L. PalsAffiliated withDivision of HIV/AIDS Prevention, Centers for Disease Control and Prevention
  • , Angela AidalaAffiliated withMailman School of Public Health, Columbia University
  • , Daniel P. KidderAffiliated withDivision of HIV/AIDS Prevention, Centers for Disease Control and Prevention
  • , David VosAffiliated withDepartment of Housing and Urban Development
  • , Scott RoyalAffiliated withAbt Associates, Inc
  • , Nkemdiri IrukaAffiliated withDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health
  • , Kate BriddellAffiliated withHomeless Services Program, Mayor’s Office of Human Services City of Baltimore
    • , Ron StallAffiliated withUniversity of Pittsburgh
    • , Arturo Valdivia BendixenAffiliated withAIDS Foundation of Chicago

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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

HIV Housing Homelessness Prevention Cost-effectiveness