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M94A1842.TXT
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1994-10-24
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Document 1842
DOCN M94A1842
TI Private-sector female vs male AIDS costs in an area of high-prevalence
heterosexual transmission.
DT 9412
AU Rodriguez MR; Lopez J; Alvarez M; Benitez J; Cucurella B; Institute of
Statistics, University of Puerto Rico, San Juan.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):439 (abstract no. PD0365). Unique
Identifier : AIDSLINE ICA10/94370733
AB OBJECTIVE: To detect differences in AIDS-related costs between male and
female clients in a 5-year study within the health-insurance industry.
METHODS: Females are the fastest growing sub-population with AIDS in
many regions of the world. The main risk for HIV transmission in Puerto
Rico is intravenous drug use (IVDU)--54%; for adult females the risk is
42%, while the risk due to heterosexual contact is 50% (Center for
Disease Control, Dec. 1993). Cost monitoring of the female AIDS
population is relevant. A review of cost reimbursement for the persons
identified with AIDS by the largest health insurance company in PR,
Seguros de Servicio de Salud de Puerto Rico, is used for cohort and cost
per year analysis (1987-1991) categorized by sex. RESULTS: A total of
437 cases were identified; 340 males (78%) and 97 females (22%). Total
lifetime costs for males were $4,539,222 (80%); for females, $1,123,000
(20%). Unit costs for males were $13,551; for females, $11,577. The
table presents lifetime unit/costs (U/C) per cohort. The data shows an
apparently unstable pattern for unit costs. As costs are added to the
cohorts each year, unit costs will continue to rise. The average age for
males and females is 39 years. As new therapies evolve for treating
pregnant women, another element will be added to the AIDS costs.
CONCLUSION: A significantly rising percentage of HIV positive females on
the reproductive age-bracket impacts typical AIDS-related costs for
hospitalization and treatment. TABULAR DATA, SEE ABSTRACT VOLUME.
DE Acquired Immunodeficiency Syndrome/*ECONOMICS/EPIDEMIOLOGY/
TRANSMISSION Adult Comparative Study Female *Health Care Costs
Human Male Puerto Rico/EPIDEMIOLOGY Risk Factors *Sex Behavior Sex
Factors MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).