Cost-effectiveness analysis of behavioral interventions to improve vaccination compliance in homeless adults

被引:8
|
作者
Greengold, Barbara [1 ]
Nyamathi, Adeline [1 ]
Kominski, Gerald [2 ]
Wiley, Dorothy [1 ]
Lewis, Mary Ann
Hodge, Felicia [1 ,2 ]
Singer, Mendel [3 ]
Spiegel, Brennan [4 ]
机构
[1] Univ Calif Los Angeles, Sch Nursing, Los Angeles, CA 90095 USA
[2] Univ Calif Los Angeles, Sch Publ Hlth, Los Angeles, CA 90095 USA
[3] Case Western Reserve Univ, Dept Epidemiol & Biostat, Cleveland, OH 44106 USA
[4] Univ Calif Los Angeles, Sch Med, Los Angeles, CA 90095 USA
关键词
Cost-effectiveness analysis; Hepatitis; Homeless; HEPATITIS-B VACCINATION; INJECTION-DRUG USERS; VIRUS INFECTION; A VACCINATION; STRATEGIES; HEALTH; IMMUNIZATION; COHORT; A/B;
D O I
10.1016/j.vaccine.2008.11.031
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Aims: To estimate the cost-effectiveness of three behavioral interventions provided to enhance hepatitis A virus (HAV) and hepatitis B virus (HBV) joint vaccination (HAV/HBV) compliance among homeless persons living in Los Angeles County. Scope: A cost-effectiveness analysis (CEA) based on data from a randomized trial where the costs and compliance data from the trial are incorporated into two Markov models, simulating the natural history of acute and chronic hepatitis infection, following HAV/HBV vaccination. Conclusions: Reductions in HBV-related disease is cost-effective to society and is associated with substantial improvements in quality of life. (C) 2008 Elsevier Ltd. All rights reserved.
引用
收藏
页码:718 / 725
页数:8
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