Cost-effectiveness of a community-level HIV risk reduction intervention

Steven D. Pinkerton, David R. Holtgrave, Wayne J. DiFranceisco, L. Yvonne Stevenson, Jeffrey A. Kelly

Research output: Contribution to journalArticlepeer-review

77 Scopus citations


Objectives. The authors evaluated the cost-effectiveness of a community- level HIV prevention intervention that used peer leaders to endorse risk reduction among gay men. Methods. A mathematical model of HIV transmission was used to translate reported changes in sexual behavior into an estimate of the number of HIV infections averted. Results. The intervention cost $17 150, or about $65 000 per infection averted, and was therefore cost-saving, even under very conservative modeling assumptions. Conclusions. For this intervention, the cost of HIV prevention was more than offset by savings in averted future medical care costs. Community-level interventions to prevent HIV transmission that use existing social networks can be highly cost- effective.

Original languageEnglish (US)
Pages (from-to)1239-1242
Number of pages4
JournalAmerican journal of public health
Issue number8
StatePublished - Aug 1998
Externally publishedYes

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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