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HIV, STDs and Sexual Behavior

RAND Corporation researchers have been studying HIV and related issues since the late 1980s. In 1994, RAND assembled a consortium of private and government institutions to study the cost of care for and other consequences of HIV infection in the United States. The resulting HIV Cost and Services Utilization Study (HCSUS) was the first major research effort to collect information on a nationally representative sample of people receiving care for HIV infection. RAND researchers continue to address a wide range of issues related to HIV, including access to, costs of, and quality of care; co-occurring disorders and high-risk behaviors; and the allocation of HIV prevention resources. Current studies are highlighted below.


Profiles of Current Research

Antiretroviral Therapy (ART)

High-Risk Behaviors

Co-Occurring Disorders

Community-Level Studies

International HIV Studies


Highlights of Recent Studies

Improving Mass Delivery of Antiretroviral Therapy in Sub-Saharan Africa

As nations and nongovernmental organizations scale up to deliver ART on a mass scale in Sub-Saharan Africa, there are several steps they can take to make delivery of treatment efficient and cost-effective while still providing quality care.

Mental Health and Substance Abuse Issues Among People with HIV: Lessons from HCSUS

New findings from the HIV Costs and Services Utilization Study (HCSUS) shed light on the prevalence of mental health and substance abuse problems for persons with HIV, access to appropriate care, and ability to adhere to treatment.

Disparities in Care for HIV Patients: Results of the HCSUS Study

Some people with HIV are receiving the most effective treatment while others are not.

Cost–Effective Allocation of Government Funds for Preventing HIV

Educational videos and partner notification are two of the most cost–effective interventions for preventing HIV.

HIV Testing Among Indigent Women: Who Gets Tested?

A high percentage of homeless sheltered women and women living in low-income housing in Los Angeles have undergone HIV testing at least once.

Reducing Sexual Risk Among Injection Drug Users

Programs designed to increase condom use in steady partnerships could substantially reduce sexual risk among injection drug users.

Related Web Sites

HIV Cost and Services Utilization Study (HCSUS)

Center for HIV Identification, Prevention and Treatment Services (CHIPTS)

UCLA/RAND Center for Adolescent Health Promotion

Drug Policy Research Center


Working with Congress

RAND’s Office of Congressional Relations (OCR) furthers RAND’s mission to provide objective analysis and effective solutions by disseminating research results to Congress and federal agencies. OCR publishes a monthly electronic newsletter featuring current work on health policy. The RAND Health Congressional Newsletter is found at www.rand.org/congress/newsletters.html. Contact: Shirley Ruhe (Shirley_Ruhe@rand.org).

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