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. Holtgrave
  • Richard J. Wolitski
  • Sherri L. Pals
  • Angela Aidala
  • Daniel P. Kidder
  • David Vos
  • Scott Royal
  • Nkemdiri Iruka
  • Kate Briddell
  • Ron Stall
  • Arturo Valdivia Bendixen
Original Paper


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.


HIV Housing Homelessness Prevention Cost-effectiveness 


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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • David R. Holtgrave
    • 1
  • Richard J. Wolitski
    • 2
  • Sherri L. Pals
    • 2
  • Angela Aidala
    • 3
  • Daniel P. Kidder
    • 2
  • David Vos
    • 4
  • Scott Royal
    • 5
  • Nkemdiri Iruka
    • 1
  • Kate Briddell
    • 6
  • Ron Stall
    • 7
  • Arturo Valdivia Bendixen
    • 8
  1. 1.Department of Health, Behavior and SocietyJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  2. 2.Division of HIV/AIDS PreventionCenters for Disease Control and PreventionAtlantaUSA
  3. 3.Mailman School of Public HealthColumbia UniversityNew YorkUSA
  4. 4.Department of Housing and Urban DevelopmentWashingtonUSA
  5. 5.Abt Associates, IncCambridgeUSA
  6. 6.Homeless Services ProgramMayor’s Office of Human Services City of BaltimoreBaltimoreUSA
  7. 7.University of PittsburghPittsburghUSA
  8. 8.AIDS Foundation of ChicagoChicagoUSA

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