One to one interventions to reduce sexually transmitted infections and under the age of 18 conceptions: a systematic review of the economic evaluations
| Autor: | Nicholas Latimer, David A. Lewis, Leela Barham |
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| Rok vydání: | 2007 |
| Předmět: |
Counseling
Sexually transmitted disease Gerontology Canada medicine.medical_specialty Adolescent Databases Factual Cost-Benefit Analysis Population Sexually Transmitted Diseases Psychological intervention Context (language use) Dermatology Pregnancy medicine Humans education health care economics and organizations Health policy education.field_of_study business.industry Australia Evidence-based medicine United Kingdom United States Quality-adjusted life year Europe Benchmarking Editorial Infectious Diseases Adolescent Health Services Family medicine Pregnancy in Adolescence Economic evaluation Female Quality-Adjusted Life Years business |
| Zdroj: | Sexually Transmitted Infections. 83:441-446 |
| ISSN: | 1368-4973 |
| DOI: | 10.1136/sti.2007.025361 |
| Popis: | Objective: To systematically review and critically appraise the economic evaluations of one to one interventions to tackle sexually transmitted infections (STIs) and teenage conceptions. Design: Systematic review. Data sources: Search of four electronic bibliographic databases from 1990 to January 2006. Search keywords included teenage, pregnancy, adolescent, unplanned, unwanted, cost benefit, cost utility, economic evaluation, cost effective*, and all terms for STIs including specific diseases. Review methods: We included studies which evaluated a broad range of one to one interventions to tackle STIs. Outcomes included major outcomes averted, life years, and QALYs. All studies were assessed against quality criteria. Results: Of 3,190 identified papers, 55 were included. The majority of studies found one to one interventions to be either cost saving or cost effective, although one highlighted the need to target the population to receive post exposure prophylaxis to reduce transmission of HIV. Most studies used a static approach which ignores the potential re-infection of treated patients. Conclusion: One to one interventions have been shown to be cost saving or cost effective but there are some limitations in applying this evidence to the UK policy context. More UK research using dynamic modelling approaches and QALYs would provide improved evidence, enabling more robust policy recommendations to be made regarding which one to one interventions are cost effective in tackling STIs in the UK setting. The results of this review can be used by policy makers, health economists and researchers considering further research in this area. |
| Databáze: | OpenAIRE |
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