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Model-Based Evaluation of Hiv Prevention Interventions

Author

Listed:
  • Steven D. Pinkerton

    (Medical College of Wisconsin)

  • David R. Holtgrave

    (Medical College of Wisconsin)

  • Laura C. Leviton

    (University of Alabama School of Public Health)

  • David A. Wagstaff

    (Medical College of Wisconsin)

  • Paul R. Abramson

    (University of California, Los Angeles)

Abstract

The ultimate goal of HIV prevention interventions is to reduce the spread of HIV; however, the effectiveness of these programs is seldom assessed directly. Although direct measurement of an intervention's impact via HIV seroincidence monitoring is usually unfeasible, mathematical models can be used to estimate the number of infections averted by the intervention. This article describes three model-based summary measures of sexually transmitted HIV risk and discusses their relevance to HIV program evaluation m general and economic efficiency analyses in particular. The calculation of these measures is demonstrated with an illustrative application to previously published data from an HIV prevention intervention for gay men.

Suggested Citation

  • Steven D. Pinkerton & David R. Holtgrave & Laura C. Leviton & David A. Wagstaff & Paul R. Abramson, 1998. "Model-Based Evaluation of Hiv Prevention Interventions," Evaluation Review, , vol. 22(2), pages 155-174, April.
    • Handle: RePEc:sae:evarev:v:22:y:1998:i:2:p:155-174
    DOI: 10.1177/0193841X9802200201
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    References listed on IDEAS

    as
    1. Mays, Vickie M. & Jackson, James S., 1991. "AIDS survey methodology with black Americans," Social Science & Medicine, Elsevier, vol. 33(1), pages 47-54, January.
    2. Holtgrave, D.R. & Kelly, J.A., 1996. "Preventing HIV/AIDS among high-risk urban women: The cost-effectiveness of a behavioral group intervention," American Journal of Public Health, American Public Health Association, vol. 86(10), pages 1442-1445.
    3. Holmberg, S.D., 1996. "The estimated prevalence and incidence of HIV in 96 large US metropolitan areas," American Journal of Public Health, American Public Health Association, vol. 86(5), pages 642-654.
    4. Pinkerton, Steven D. & Abramson, Paul R., 1997. "Effectiveness of condoms in preventing HIV transmission," Social Science & Medicine, Elsevier, vol. 44(9), pages 1303-1312, May.
    5. Fishbein, M., 1996. "Great expectations, or do we ask too much from community-level interventions?," American Journal of Public Health, American Public Health Association, vol. 86(8), pages 1075-1076.
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