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- W2006205428 abstract "In Brief Objectives: We assessed the cost-effectiveness of a screening, treatment, and condom provision intervention for inmates of a segregated unit for men who have sex with men at the Los Angeles County Men's Jail. Goal: We conducted the study to determine whether the intervention provides good value for money. Study Design: We used a mathematical model to examine the effect of 10 years of intervention on sexually transmitted infections in 3 scenarios for incarcerated men who have sex with men: (a) no sex; (b) sex as before incarceration; (c) as in #2 and condom use by 20% of screened inmates. We calculated cost-effectiveness ratios as net cost per infection averted after subtracting averted treatment costs from intervention costs. Results: Modeling suggests that the intervention could avert 339 chlamydia, 276 gonorrhea, and 241 syphilis infections in scenario 1 (net cost $179,121); 593 chlamydia, 586 gonorrhea, and 367 syphilis infections in scenario 2 (with cost saving); and 746 chlamydia, 791 gonorrhea, 3 HIV, and 443 syphilis infections in scenario 3 (with cost saving). Conclusions: Modeling indicates that the intervention can avert many sexually transmitted infections at low cost and can save costs in a scenario in which inmates continue to engage in sexual activity as they do outside jail. Modest success in efforts to promote condom use among inmates results in additional cost saving. A study of screening and treatment for sexually transmitted infections in a unit for men who have sex with men at the Los Angeles County Men's Jail found the intervention to be cost-effective." @default.
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- W2006205428 date "2009-02-01" @default.
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- W2006205428 title "Preventing Sexually Transmitted Infections among Incarcerated Men Who Have Sex With Men: A Cost-Effectiveness Analysis" @default.
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- W2006205428 doi "https://doi.org/10.1097/olq.0b013e3181574daa" @default.
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