Targeting an alcohol intervention cost-effectively to persons living with HIV/AIDS in East Africa.

ABSTRACT:

Background

In the current report, we ask if targeting a cognitive behavioral therapy (CBT)-based intervention aimed at reducing hazardous alcohol consumption to HIV-infected persons in East Africa would have a favorable value at costs that are feasible for scale-up.

Methods

Using a computer simulation to inform HIV prevention decisions in East Africa, we compared 4 different strategies for targeting a CBT intervention-(i) all HIV-infected persons attending clinic; (ii) only those patients in the pre-antiretroviral therapy (ART) stages of care; (iii) only those patients receiving ART; and (iv) only those patients with detectable viral loads (VLs) regardless of disease stage. We define targeting as screening for hazardous alcohol consumption (e.g., using the Alcohol Use Disord

SUBMITTER: Kessler J 

PROVIDER: S-EPMC5651989 | biostudies-literature | 2015 Nov

REPOSITORIES: biostudies-literature