Published in:
01-06-2013 | Original Paper
Cost-Utility Analysis of the Housing and Health Intervention for Homeless and Unstably Housed Persons Living with HIV
Authors:
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
Published in:
AIDS and Behavior
|
Issue 5/2013
Login to get access
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.