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Article: The cost-effectiveness of an outreach clinical model in the management and prevention of gonorrhea and chlamydia among Chinese female sex workers in Hong Kong

TitleThe cost-effectiveness of an outreach clinical model in the management and prevention of gonorrhea and chlamydia among Chinese female sex workers in Hong Kong
Authors
KeywordsReferences (37) View In Table Layout
Issue Date2006
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.stdjournal.com
Citation
Sexually Transmitted Diseases, 2006, v. 33 n. 4, p. 220-227 How to Cite?
AbstractBackground: Social marginalization and stigmatization in usual medical care setting may refrain female sex workers (FSWs) from seeking usual medical care for sexually transmitted infections in Hong Kong. Goal: To evaluate the cost-effectiveness of using an outreach approach for treatment and prevention of gonorrhea and chlamydia among FSWs. Study Design: A decision tree was designed to simulate the outcomes of 2 alternatives: (1) outreach service providing treatment of gonorrhea and chlamydia and counseling to FSWs (outreach arm) and (2) no outreach service (control arm). Five tiers of outcomes were estimated for each study arm: (1) total direct medical cost, (2) number of FSWs infected with gonorrhea, (3) number of new cases of gonorrhea in clients transmitted by FSWs, (4) number of FSWs infected with chlamydia, and (5) number of new cases of chlamydia in clients transmitted by FSWs. Clinical inputs were estimated from literature, and cost analysis was conducted from the perspective of a public health organization. Results: Compared to the control group, the marginal savings per new case of infection averted (marginal cost divided by marginal cases of infection) of the outreach group were $10,988 (US dollars) per case of gonorrhea averted in FSWs, $685 per case of gonorrhea averted in clients, $9643 per case of chlamydia averted in FSWs, and $220 per case of chlamydia averted in clients ($1 = 7.8 Hong Kong dollars). Conclusions: An outreach clinic is potentially less costly and more effective in preventing transmission of gonorrhea and chlamydia between FSWs and their clients in Hong Kong. Copyright © 2006, American Sexually Transmitted Diseases Association All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/132443
ISSN
2015 Impact Factor: 2.968
2015 SCImago Journal Rankings: 2.043
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorYou, JHSen_HK
dc.contributor.authorWong, WCWen_HK
dc.contributor.authorChung, WSen_HK
dc.contributor.authorWoo, Jen_HK
dc.date.accessioned2011-03-28T09:24:38Z-
dc.date.available2011-03-28T09:24:38Z-
dc.date.issued2006en_HK
dc.identifier.citationSexually Transmitted Diseases, 2006, v. 33 n. 4, p. 220-227en_HK
dc.identifier.issn0148-5717en_HK
dc.identifier.urihttp://hdl.handle.net/10722/132443-
dc.description.abstractBackground: Social marginalization and stigmatization in usual medical care setting may refrain female sex workers (FSWs) from seeking usual medical care for sexually transmitted infections in Hong Kong. Goal: To evaluate the cost-effectiveness of using an outreach approach for treatment and prevention of gonorrhea and chlamydia among FSWs. Study Design: A decision tree was designed to simulate the outcomes of 2 alternatives: (1) outreach service providing treatment of gonorrhea and chlamydia and counseling to FSWs (outreach arm) and (2) no outreach service (control arm). Five tiers of outcomes were estimated for each study arm: (1) total direct medical cost, (2) number of FSWs infected with gonorrhea, (3) number of new cases of gonorrhea in clients transmitted by FSWs, (4) number of FSWs infected with chlamydia, and (5) number of new cases of chlamydia in clients transmitted by FSWs. Clinical inputs were estimated from literature, and cost analysis was conducted from the perspective of a public health organization. Results: Compared to the control group, the marginal savings per new case of infection averted (marginal cost divided by marginal cases of infection) of the outreach group were $10,988 (US dollars) per case of gonorrhea averted in FSWs, $685 per case of gonorrhea averted in clients, $9643 per case of chlamydia averted in FSWs, and $220 per case of chlamydia averted in clients ($1 = 7.8 Hong Kong dollars). Conclusions: An outreach clinic is potentially less costly and more effective in preventing transmission of gonorrhea and chlamydia between FSWs and their clients in Hong Kong. Copyright © 2006, American Sexually Transmitted Diseases Association All rights reserved.en_HK
dc.languageengen_US
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.stdjournal.comen_HK
dc.relation.ispartofSexually Transmitted Diseasesen_HK
dc.subjectReferences (37) View In Table Layouten_US
dc.titleThe cost-effectiveness of an outreach clinical model in the management and prevention of gonorrhea and chlamydia among Chinese female sex workers in Hong Kongen_HK
dc.typeArticleen_HK
dc.identifier.emailWong, WCW:wongwcw@hku.hken_HK
dc.identifier.authorityWong, WCW=rp01457en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1097/01.olq.0000187300.58733.a6en_HK
dc.identifier.pmid16434885-
dc.identifier.scopuseid_2-s2.0-33645909578en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33645909578&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume33en_HK
dc.identifier.issue4en_HK
dc.identifier.spage220en_HK
dc.identifier.epage227en_HK
dc.identifier.isiWOS:000236450800004-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridYou, JHS=7201683649en_HK
dc.identifier.scopusauthoridWong, WCW=25230779000en_HK
dc.identifier.scopusauthoridChung, WS=13004527700en_HK
dc.identifier.scopusauthoridWoo, J=36040369400en_HK

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