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Economic impact of HIV/AIDS: a systematic review in five European countries

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  • Marta Trapero-Bertran
  • Juan Oliva-Moreno

Abstract

The HIV/AIDS disease represent a priority for all health authorities in all countries and it also represents serious added socioeconomic problems for societies over the world. The aim of this paper is to analize the economic impact associated to the HIV/AIDS in an European context. We conducted a systematic literature review for five different countries (France, Germany, Italy, Spain and United Kingdom) and searched five databases. Three types of analyses were undertaken: descriptive statistics; quantitative analysis to calculate mean costs; and comparison across countries. 26 papers were included in this study containing seventy-six cost estimates. Most of the studies analyzed the health care cost of treatment of HIV/AIDS. Only 50% of the cost estimates provided mean lymphocyte count describing the patients’ disease stage. Approximately thirty percent of cost estimates did not indicate the developmental stage of the illness in the patients included. There is a high degree of variability in the estimated annual cost per patient of the treatments across countries. There is also a great disparity in total healh care costs for patients with lymphocyte counts between 200CD4+/mm3 and 500 CD4/mm3, although the reason of variation is unclear. In spite of the potential economic impact in terms of productivity losses and cost of formal and informal care, few studies have set out to estimate the non-medical costs of HIV/AIDS in the countries selected. Another important result is that, despite the low HIV/AIDS prevalence, its economic burden is very relevant in terms of the total health care costs in this five countries. This study also shows that there are relatively few studies of HIV costs in European countries compared to other diseases. Finally, we conclude that the methodology used in many of the studies carried out leaves ample room for improvement and that there is a need for these studies to reflect the economic impact of HIV/AIDS beyond health care including other components of social burden. Copyright Trapero-Bertran and Oliva-Moreno; licensee Springer. 2014

Suggested Citation

  • Marta Trapero-Bertran & Juan Oliva-Moreno, 2014. "Economic impact of HIV/AIDS: a systematic review in five European countries," Health Economics Review, Springer, vol. 4(1), pages 1-16, December.
    • Handle: RePEc:spr:hecrev:v:4:y:2014:i:1:p:1-16:10.1186/s13561-014-0015-5
    DOI: 10.1186/s13561-014-0015-5
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    References listed on IDEAS

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    1. Bernell, Stephanie Lazarus & Shinogle, Judith Ann, 2005. "The relationship between HAART use and employment for HIV-positive individuals: an empirical analysis and policy outlook," Health Policy, Elsevier, vol. 71(2), pages 255-264, February.
    2. Yelin, E.H. & Greenblatt, R.M. & Hollander, H. & McMaster, J.R., 1991. "The impact of HIV-related illness on employment," American Journal of Public Health, American Public Health Association, vol. 81(1), pages 79-84.
    3. José M. Labeaga & Juan Oliva, 2006. "Labour Participation of People Living with HIV/AIDS," Working Papers 2006-29, FEDEA.
    4. Sendi, Pedram & Brouwer, Werner B.F. & Bucher, Heiner C. & Weber, Rainer & Battegay, Manuel, 2007. "When time is more than money: The allocation of time between work and leisure in HIV-infected patients," Social Science & Medicine, Elsevier, vol. 64(11), pages 2355-2361, June.
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    2. Parastu Kasaie & Matthew Radford & Sunaina Kapoor & Younghee Jung & Beatriz Hernandez Novoa & David Dowdy & Maunank Shah, 2018. "Economic and epidemiologic impact of guidelines for early ART initiation irrespective of CD4 count in Spain," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-15, November.

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    Keywords

    Economic impact; Costs; VIH/AIDS;
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