Context
Health economic evaluations (e.g., cost-effectiveness analysis) can guide the efficient
use of resources to improve health outcomes. This study aims to summarize the content
and quality of interpersonal violence prevention economic evaluations.
Evidence acquisition
In 2020, peer-reviewed journal articles published during 2000–2019 focusing on high-income
countries were identified using index terms in multiple databases. Study content,
including violence type prevented (e.g., child abuse and neglect), outcome measure
(e.g., abusive head trauma clinical diagnosis), intervention type (e.g., education
program), study methods, and results were summarized. Studies reporting on selected
key methods elements essential for study comparison and public health decision making
(e.g., economic perspective, time horizon, discounting, currency year) were assessed.
Evidence synthesis
A total of 26 economic evaluation studies were assessed, most of which reported that
assessed interventions yielded good value for money. Physical assault in the community
and child abuse and neglect were the most common violence types examined. Studies
applied a wide variety of cost estimates to value avoided violence. Less than two
thirds of the studies reported all the key methods elements.
Conclusions
Comprehensive data collection on violence averted and intervention costs in experimental
settings can increase opportunities to identify interventions that generate long-term
value. More comprehensive estimates of the cost of violence can improve opportunities
to demonstrate how prevention investment can be offset through avoided future costs.
Better adherence to health economic evaluation reporting standards can enhance comparability
across studies and may increase the likelihood that economic evidence is included
in violence prevention decision making.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to American Journal of Preventive MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
REFERENCES
Global Health Estimates, DALYs, 2000–2016. WHO. https://www.who.int/healthinfo/global_burden_disease/en/. Accessed April 28, 2020.
Violence prevention alliance: definition and typology of violence. WHO. https://www.who.int/violenceprevention/approach/definition/en/. Updated January 2021. Accessed January 21, 2021.
- The costs of interpersonal violence–an international review.Health Policy. 2005; 73: 303-315https://doi.org/10.1016/j.healthpol.2004.11.022
- Methods for the Economic Evaluation of Health Care Programmes.4th ed. Oxford University Press, Oxford, United Kingdom2015
- Consolidated Health Economic Evaluation Reporting Standards (CHEERS) statement.Value Health. 2013; 16: e1-e5https://doi.org/10.1016/j.jval.2013.02.010
- The economic dimensions of interpersonal violence.Department of Injuries and Violence Prevention, WHO, Geneva, SwitzerlandPublished 2004https://www.who.int/violence_injury_prevention/publications/violence/economic_dimensions/en/Date accessed: January 21, 2021
- Costs and savings of parenting interventions: results of a systematic review.Child Care Health Dev. 2017; 43: 797-811https://doi.org/10.1111/cch.12473
- Systematic review of economic evaluations of interventions for high risk young people.BMC Health Serv Res. 2018; 18: 660https://doi.org/10.1186/s12913-018-3450-x
- Lifetime cost of abusive head trauma at ages 0-4, USA.Prev Sci. 2018; 19: 695-704https://doi.org/10.1007/s11121-017-0815-z
- Lifetime economic burden of intimate partner violence among U.S. adults.Am J Prev Med. 2018; 55: 433-444https://doi.org/10.1016/j.amepre.2018.04.049
- Systematic review and quality assessment of economic evaluation studies of injury prevention.Accid Anal Prev. 2012; 45: 211-221https://doi.org/10.1016/j.aap.2011.07.004
World bank country and lending groups. The World Bank. https://datahelpdesk.worldbank.org. Accessed January 21, 2021.
- Recommendations for conduct, methodological practices, and reporting of cost-effectiveness analyses: second panel on cost-effectiveness in health and medicine [published correction appears in JAMA. 2016;316(18):1924].JAMA. 2016; 316: 1093-1103https://doi.org/10.1001/jama.2016.12195
- Urban blight remediation as a cost-beneficial solution to firearm violence.Am J Public Health. 2016; 106: 2158-2164https://doi.org/10.2105/AJPH.2016.303434
- Hospital-centered violence intervention programs: a cost-effectiveness analysis.Am J Surg. 2015; 209: 597-603https://doi.org/10.1016/j.amjsurg.2014.11.003
- An economic evaluation of anonymised information sharing in a partnership between health services, police and local government for preventing violence-related injury.Inj Prev. 2014; 20: 108-114https://doi.org/10.1136/injuryprev-2012-040622
- Conduct Problems Prevention Research Group. Can a costly intervention be cost-effective?: an analysis of violence prevention.Arch Gen Psychiatry. 2006; 63: 1284-1291https://doi.org/10.1001/archpsyc.63.11.1284
- An injury awareness education program on outcomes of juvenile justice offenders in Western Australia: an economic analysis.BMC Health Serv Res. 2012; 12: 279https://doi.org/10.1186/1472-6963-12-279
- Cost-effectiveness of changes in alcohol taxation in Denmark: a modelling study.Cost Eff Resour Alloc. 2014; 12: 1https://doi.org/10.1186/1478-7547-12-1
- Saving lives and saving money: hospital-based violence intervention is cost-effective.J Trauma Acute Care Surg. 2015; 78: 252-258https://doi.org/10.1097/TA.0000000000000527
- Cost-benefit analysis of multisystemic therapy with serious and violent juvenile offenders.J Fam Psychol. 2010; 24: 657-666https://doi.org/10.1037/a0020838
- A cost-effectiveness analysis of alcohol prevention targeting licensed premises.Eur J Public Health. 2007; 17: 618-623https://doi.org/10.1093/eurpub/ckm017
- Does increasing community and liquor licensees’ awareness, police activity, and feedback reduce alcohol-related violent crime? A benefit-cost analysis.Int J Environ Res Public Health. 2013; 10: 5490-5506https://doi.org/10.3390/ijerph10115490
- Cost–benefit analysis simulation of a hospital-based violence intervention program.Am J Prev Med. 2015; 48: 162-169https://doi.org/10.1016/j.amepre.2014.08.030
- Cost analysis of youth violence prevention.Pediatrics. 2014; 133: 448-453https://doi.org/10.1542/peds.2013-1615
- Role of home visiting in improving parenting and health in families at risk of abuse and neglect: results of a multicentre randomised controlled trial and economic evaluation.Arch Dis Child. 2007; 92: 229-233https://doi.org/10.1136/adc.2006.095117
- The lifetime costs of pediatric abusive head trauma and a cost-effectiveness analysis of the Period of Purple crying program in British Columbia, Canada.Child Abuse Negl. 2019; 97104133https://doi.org/10.1016/j.chiabu.2019.104133
- Cost-effectiveness analysis of the Parents under Pressure programme for methadone-maintained parents.Child Abuse Rev. 2015; 24: 317-331https://doi.org/10.1002/car.2371
- Home visiting programmes for the prevention of child maltreatment: cost-effectiveness of 33 programmes.Arch Dis Child. 2012; 97: 787-798https://doi.org/10.1136/archdischild-2011-300795
- Cost-effectiveness of Family Group Conferencing in child welfare: a controlled study.BMC Public Health. 2018; 18: 848https://doi.org/10.1186/s12889-018-5770-5
- Economic impact ofmultisystemic therapy for child abuse and neglect.Adm Policy Ment Health. 2018; 45: 876-887https://doi.org/10.1007/s10488-018-0870-1
- Primary prevention of pediatric abusive head trauma: a cost audit and cost-utility analysis.Child Abuse Negl. 2012; 36: 760-770https://doi.org/10.1016/j.chiabu.2012.07.008
- Economic evaluation of an intensive home visiting programme for vulnerable families: a cost-effectiveness analysis of a public health intervention.J Public Health (Oxf). 2009; 31: 423-433https://doi.org/10.1093/pubmed/fdp047
- Cost–benefit analysis of two child abuse and neglect primary prevention programs for U.S. states.Prev Sci. 2018; 19: 705-715https://doi.org/10.1007/s11121-017-0819-8
- Age 26 cost-benefit analysis of the child-parent center early education program.Child Dev. 2011; 82: 379-404https://doi.org/10.1111/j.1467-8624.2010.01563.x
- Cost-effectiveness of a domestic violence and abuse training and support programme in primary care in the real world: updated modelling based on an MRC phase IV observational pragmatic implementation study.BMJ Open. 2018; 8e021256https://doi.org/10.1136/bmjopen-2017-021256
- Providing refuge: the value of domestic violence shelter services.Am Rev Public Adm. 2001; 31: 393-413https://doi.org/10.1177/02750740122065018
- Cost-effectiveness of Identification and Referral to Improve Safety (IRIS), a domestic violence training and support programme for primary care: a modelling study based on a randomised controlled trial.BMJ Open. 2012; 2e001008https://doi.org/10.1136/bmjopen-2012-001008
- The cost-effectiveness of the Olweus Bullying Prevention Program: results from a modelling study.J Adolesc. 2015; 45: 127-137https://doi.org/10.1016/j.adolescence.2015.07.020
- The cost-effectiveness of the Kiva Antibullying Program: results from a decision-analytic model.Prev Sci. 2018; 19: 728-737https://doi.org/10.1007/s11121-018-0893-6
- Assessment in adult protective services: do multidisciplinary teams make a difference?.J Gerontol Soc Work. 2012; 55: 21-38https://doi.org/10.1080/01634372.2011.626842
- Total and marginal cost analysis for a high school based bystander intervention.J Sch Violence. 2018; 17: 152-163https://doi.org/10.1080/15388220.2016.1275656
- Lifetime economic burden of rape among U.S. adults.Am J Prev Med. 2017; 52: 691-701https://doi.org/10.1016/j.amepre.2016.11.014
- The economic analysis of prevention: an illustration involving children's behavior problems.J Ment Health Policy Econ. 2007; 10: 165-175
- Economic evaluation of the Good School Toolkit: an intervention for reducing violence in primary schools in Uganda.BMJ Glob Health. 2018; 3e000526https://doi.org/10.1136/bmjgh-2017-000526
- Cost and cost-effectiveness of a parenting programme to prevent violence against adolescents in South Africa [published correction appears in BMJ Glob Health. 2019;4(3):e001147corr1].BMJ Glob Health. 2019; 4e001147https://doi.org/10.1136/bmjgh-2018-001147
- A cost-benefit analysis of the Violence Against Women Act of 1994.Violence Against Women. 2002; 8: 417-428https://doi.org/10.1177/10778010222183143
- Potential return on investment of a family-centered early childhood intervention: a cost-effectiveness analysis.BMC Public Health. 2017; 17: 796https://doi.org/10.1186/s12889-017-4805-7
Article info
Publication history
Published online: February 16, 2021
Identification
Copyright
Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine.
