HIV/STD prevention interventions for adolescents: Cost-effectiveness considerations

Steven D. Pinkerton, Heather Cecil, David R. Holtgrave

Research output: Contribution to journalReview articlepeer-review

Abstract

Every year, millions of American adolescents are infected with STDs, including HIV. The personal, social, and economic consequences of adolescent STD infection are substantial. Fortunately, school-based, individually- focused, and community-level educational and sexual risk reduction interventions can help prevent the spread of STDs among adolescents. However, very little is known about the economic efficiency, or cost-effectiveness, of such programs. Because funding for HIV/STD prevention programs is limited, health departments and other decision makers need accurate information about the cost-effectiveness of various prevention programs to help them appropriately target spending. This study: (1) reviews the magnitude of the multiple STD epidemics among adolescents; (2) describes selected STD prevention interventions that have been shown to be effective at reducing adolescents' risk for contracting STDs; and (3) discusses the cost- effectiveness of these programs, using what is known about the economic efficiency of HIV/STD prevention programs for adults as a guideline, and taking into account factors unique to the adolescent population.

Original languageEnglish (US)
Pages (from-to)5-31
Number of pages27
JournalJournal of HIV/AIDS Prevention and Education for Adolescents and Children
Volume2
Issue number2
DOIs
StatePublished - Oct 15 1998
Externally publishedYes

Keywords

  • Adolescents
  • Cost-effectiveness analysis
  • HIV
  • Prevention
  • Risk behaviors

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Public Health, Environmental and Occupational Health

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