nvestment Level in HIV Prevention Programs Related to HIV Incidence in the United StatesJanuary 31, 2007Researchers at Johns Hopkins Bloomberg School of Public Health conducted a historical analysis to examine the relationship between the Centers for Disease Control and Prevention's (CDC) HIV prevention budget and HIV incidence in the U.S. from 1978 to 2006. The results are published in the January 2007 edition of the American Journal of Preventive Medicine. The researchers found that from the beginning of the epidemic until 1985 (when new infections peaked), incidence of HIV predicted investment levels. During this period, society responded to increasing levels of infection with more investment in prevention programs. Things changed in the mid 1980s when investment levels began to predict incidence. That is, as the nation continued to increase the funding of HIV prevention programs, HIV dropped substantially from 160,000 infections per year to about 40,000 infections per year. In the early 1990s, as the level of investment (adjusted for inflation) flattened out with little annual change, so too did the number of new infections per year. This suggested to the researchers that level investment yields level incidence. "Our analysis helps explain why the number of new HIV infections has remained at 40,000 per year for over 15 years," said David R. Holtgrave, PhD, chair of the Department of Health Behavior and Society at the Bloomberg School of Public Health and lead author of the study. "Investment levels have predicted HIV incidence since the mid-1980s. If we want to lower infections further in the U.S., these analyses suggest we should consider increasing our national investment. Yes, that may seem expensive, but HIV medical care easily tops $20,000 per patient per year. Therefore, funding of effective, scientifically sound HIV prevention services are likely to have a very favorable return on investment in terms of both lives and dollars saved."
Holtgrave noted that the analysis was based on historical data and is not a prospective trial of prevention effectiveness. Therefore, it is subject to methodological limitations. Nevertheless, he said it provides substantial indications of a strong relationship between the amount of national investment in HIV prevention and levels of new infections per year in the country. The paper"HIV Incidence and CDC's HIV Prevention Budget An Exploratory Correlational Analysis" was co-authored by Jennifer Kates, MPA, of the Kaiser Family Foundation. Johns Hopkins University | |||||||||||||||||||||
|
Related Hiv Prevention News Articles Women in India abused by husbands at far greater risk for HIV infection India is home to the third-largest number of human immunodeficiency virus (HIV) cases in the world and, as in the U.S. and many African nations, the rate of infection among women continues to rise faster than that among men. Male circumcision efforts lag in Africa despite evidence of dramatic impact in preventing HIV With millions of lives at stake over the next two decades, researchers and advocates at the AIDS 2008 Conference today called on the global health community to ramp up male circumcision to significantly reduce risk of HIV infection in Africa, and to move quickly to integrate the life-saving procedure into other comprehensive efforts to prevent transmission of the disease in the vulnerable nations of eastern and southern Africa. New Male Circumcision Device for HIV Prevention Studied by NewYork-Presbyterian/Weill Cornell With the recent endorsement by the World Health Organization (WHO) and scientists worldwide of adult male circumcision as an important strategy for HIV prevention, there is increased urgency to develop safe and cost-effective circumcision services. This is especially the case in Africa where HIV/AIDS continues to spread at an epidemic rate. What works to prevent HIV among heterosexual African-Americans? Behavioral HIV prevention interventions targeting heterosexual African Americans that are proven to work require several key characteristics, according to UCSF researchers. Challenges of HIV-1 subtype diversity A review article in the New England Journal of Medicine explores the genetic variation of HIV-1 and its implications for preventing and treating the disease. Francine McCutchan, Ph.D., a researcher with the U.S. Military HIV Research Program, co-authored the article, which appeared in the April 10, 2008 edition. Involving partners of pregnant women in Africa to improve AIDS prevention According to the World Health Organization, nearly three-quarters of the world's 40 million human immunodeficiency virus (HIV)-infected people are living in Sub-Saharan Africa. ID, HIV experts urge more resources for TB In honor of World TB Day 2008 (March 24), the Infectious Diseases Society of America (IDSA) and the HIVMA Medicine Association (HIVMA) are urging U.S. policymakers to step up the fight against tuberculosis by committing substantial resources against the disease both at home and abroad. Keeping young South Africans in school: A 'social vaccine' against AIDS A study published today in the Journal of Epidemiology and Community Health suggests that secondary school attendance is linked to lower risk of HIV infection among young people in rural South Africa. U of M researchers develop new online tool in fight against spread of HIV A new Web-based software program is the latest tool University of Minnesota researchers are using to help fight the spread of HIV. A multidisciplinary team of researchers led by Joseph Konstan, a professor in computer science and engineering, and B. R. Simon Rosser, a professor in the School of Public Health, are embarking on a clinical trial this month to test a software program that aims to reduce risk-taking behavior associated with the spread of HIV and other sexually transmitted infections. Implications of the new HIV estimate for India The 2007 UNAIDS/WHO AIDS epidemic update released last week has revised the global estimate of HIV/AIDS primarily due to a major reduction of the estimate for India to 2.5 million people living with HIV/AIDS, which is less than half of the previous official estimate of 5.7 million people. More Hiv Prevention News Articles |
|||||||||||||||||||||
|
|||||||||||||||||||||
|
|||||||||||||||||||||