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Auteur H. H. THEIN
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Estimating the cost-effectiveness of needle-syringe programs in Australia / J. A. KWON ; J. ANDERSON ; C. C. KERR ; H. H. THEIN ; L. ZHANG ; J. IVERSEN ; G. J. DORE ; J. M. KALDOR ; M. G. LAW ; L. MAHER ; D. P. WILSON in AIDS, Vol.26, n°17 (November 2012)
Titre : Estimating the cost-effectiveness of needle-syringe programs in Australia Type de document : Périodique Auteurs : J. A. KWON ; J. ANDERSON ; C. C. KERR ; H. H. THEIN ; L. ZHANG ; J. IVERSEN ; G. J. DORE ; J. M. KALDOR ; M. G. LAW ; L. MAHER ; D. P. WILSON Année de publication : 2012 Article en page(s) : 2201-2210 Langues : Anglais (eng) Mots-clés : Thésaurus Géographique
PROGRAMME ; ECHANGE DE SERINGUES ; COUT ; EFFICACITE ; EVALUATION ; VIH ; HEPATITE ; MODELE STATISTIQUE ; USAGER ; REDUCTION DES RISQUES
Discipline : PRE Prévention / Prevention Résumé : OBJECTIVE: To evaluate the impact and cost-effectiveness of needle-syringe programs (NSPs) with respect to HIV and hepatitis C virus (HCV) infections among Australian injecting drug users (IDUs).
DESIGN/METHODS: A health economic analysis was conducted incorporating a mathematical model of HIV and HCV transmission among IDUs. An empirical relationship between syringe availability and receptive syringe sharing (RSS) was assessed. We compared the epidemiological outcomes and costs of NSP coverage (status quo RSS of 15-17%) with scenarios that had no NSPs (RSS of 25-50%). Outcomes included numbers of HIV and HCV infections averted, lifetime health sector costs, and cost per quality-adjusted life year (QALY) gained. Discounting was applied at 3% (sensitivity: 0%, 5%) per annum.
RESULTS: We estimated that NSPs reduced incidence of HIV by 34-70% (192-873 cases) and HCV by 15-43% (19 000-77 000 cases) during 2000-2010, leading to 20 000-66 000 QALYs gained. Economic analysis showed that NSP coverage saved A$70-220 million in healthcare costs during 2000-2010 and will save an additional A$340-950 million in future healthcare costs. With NSPs costing A$245 million, the programs are very cost-effective at A$416-8750 per QALY gained. Financial investment in NSPs over 2000-2010 is estimated to be entirely recovered in healthcare cost savings by 2032 with a total future return on investment of $1.3-5.5 for every $1 invested.
CONCLUSION: Australia's early introduction and high coverage of NSPs has significantly reduced the prevalence of HIV and HCV among IDUs. NSPs are a cost-effective public health strategy and will result in substantial net cost savings in the future.
Domaine : Drogues illicites / Illicit drugs Refs biblio. : 41 Affiliation : The Kirby Institute, The University of New South Wales, Sydney, Australia Permalink :
in AIDS > Vol.26, n°17 (November 2012) . - 2201-2210[article]Public opinion towards supervised injecting centres and the Sydney Medically Supervised Injecting Centre (MSIC) / H. H. THEIN
Titre : Public opinion towards supervised injecting centres and the Sydney Medically Supervised Injecting Centre (MSIC) Titre traduit : (Expression de l'opinion publique à propos des salles d'injection et de la salle médicalisée d'injection de Sydney) Type de document : Périodique Auteurs : H. H. THEIN ; J. KIMBER ; L. MAHER ; M. MACDONALD ; J. M. KALDOR Année de publication : 2005 Importance : 275-280 Présentation : Tab. ; Graph. Note générale : International Journal of Drug Policy, 2005, 16, (4), 275-280, tabl., graph. Langues : Anglais (eng) Mots-clés : Thésaurus TOXIBASE
STRUCTURE DE PROXIMITE ; SALLE DE CONSOMMATION A MOINDRE RISQUE ; INJECTION ; OPINION PUBLIQUE ; REPRESENTATION SOCIALE ; QUARTIER ; REDUCTION DES RISQUES
Discipline : SHS Sciences humaines et sociales / Human and social sciences Résumé : Objective:To describe public opinion towards supervised injecting centres (SICs) and the Sydney Medically Supervised Injecting Centre (MSIC) before and after the opening of the MSIC. Methods: In 2000 and 2002, telephone interviews were conducted with 515 and 540 residents and 209 and 207 businesses in Kings Cross, Australia, 7 months before and 17 months after the MSIC opened in Kings Cross. Information was obtained on respondents characteristics, knowledge of the MSIC, and agreement with SICs. Differences in public opinion before and after the MSIC opened were assessed using the chi-square statistical test. Results:Two-thirds of the businesses and half the residents knew the correct location of the Sydney MSIC in 2002. The level of support for establishment of a MSIC in Kings Cross (6878%, p Domaine : Drogues illicites / Illicit drugs Refs biblio. : 19 Affiliation : National Ctr. Hiv Epidemiology Clinical Res., Univ. South Wales, 376 Victoria St, Darlinghurst, NSW 2010 ; rtheinnchecr.unsw.edu.au
Numéro Toxibase : 901646 Centre Emetteur : 09 AMPT Permalink :