Cost-effectiveness of quadrivalent human papillomavirus (HPV) vaccination in Mexico: a transmission dynamic model-based evaluation

Vaccine. 2007 Dec 21;26(1):128-39. doi: 10.1016/j.vaccine.2007.10.056. Epub 2007 Nov 20.

Abstract

We examined the potential health outcomes and cost-effectiveness of quadrivalent human papillomavirus (HPV) 6/11/16/18 vaccination strategies in the Mexican population using a multi-HPV type dynamic transmission model. Assuming similar cervical screening practices, with or without vaccination, we examined the incremental cost-effectiveness of vaccination strategies for 12 year-old females, with or without male vaccination, and temporary age 12-24 catch-up vaccination for females or both sexes. The most effective strategy therein was vaccination of 12-year-olds, plus a temporary 12-24-year-old catch-up program covering both sexes; whereby HPV 6/11/16/18-related cervical cancer, high-grade cervical precancer, and genital wart incidence was reduced by 84-98% during year 50 following vaccine introduction. Incremental cost-effectiveness ratios in the primary analyses ranged from approximately 3000 dollars (U.S.) per quality-adjusted life year (QALY) gained for female vaccination strategies to approximately 16000 dollars /QALY for adding male vaccination with catch-up.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Condylomata Acuminata / prevention & control*
  • Cost-Benefit Analysis
  • Female
  • Humans
  • Incidence
  • Male
  • Mexico
  • Middle Aged
  • Models, Theoretical
  • Papillomavirus Vaccines / economics*
  • Papillomavirus Vaccines / immunology
  • Quality-Adjusted Life Years
  • Uterine Cervical Dysplasia / prevention & control*
  • Uterine Cervical Neoplasms / prevention & control*
  • Vaccination / economics*

Substances

  • Papillomavirus Vaccines