Improving health equity and ending the HIV epidemic in the USA: a distributional cost-effectiveness analysis in six cities.

ABSTRACT:

Background

In the USA, Black and Hispanic or Latinx individuals continue to be disproportionately affected by HIV. Applying a distributional cost-effectiveness framework, we estimated the cost-effectiveness and epidemiological impact of two combination implementation approaches to identify the approach that best meets the dual objectives of improving population health and reducing racial or ethnic health disparities.

Methods

We adapted a dynamic, compartmental HIV transmission model to characterise HIV micro-epidemics in six US cities: Atlanta, Baltimore, Los Angeles, Miami, New York, and Seattle. We considered combinations of 16 evidence-based interventions to diagnose, treat, and prevent HIV transmission according to previously documented levels of scale-up. We then identi

SUBMITTER: Quan AML 

PROVIDER: S-EPMC8423356 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature