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

Authors

    • Department of Health, Behavior and SocietyJohns Hopkins Bloomberg School of Public Health
  • Richard J. Wolitski
    • Division of HIV/AIDS PreventionCenters for Disease Control and Prevention
  • Sherri L. Pals
    • Division of HIV/AIDS PreventionCenters for Disease Control and Prevention
  • Angela Aidala
    • Mailman School of Public HealthColumbia University
  • Daniel P. Kidder
    • Division of HIV/AIDS PreventionCenters for Disease Control and Prevention
  • David Vos
    • Department of Housing and Urban Development
  • Scott Royal
    • Abt Associates, Inc
  • Nkemdiri Iruka
    • Department of Health, Behavior and SocietyJohns Hopkins Bloomberg School of Public Health
  • Kate Briddell
    • Homeless Services ProgramMayor’s Office of Human Services City of Baltimore
  • Ron Stall
    • University of Pittsburgh
  • Arturo Valdivia Bendixen
    • AIDS Foundation of Chicago
Original Paper

DOI: 10.1007/s10461-012-0204-3

Cite this article as:
Holtgrave, D.R., Wolitski, R.J., Pals, S.L. et al. AIDS Behav (2013) 17: 1626. doi:10.1007/s10461-012-0204-3

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

Copyright information

© Springer Science+Business Media, LLC 2012