Titre : | Cost-effectiveness of harm reduction in preventing Hepatitis C among injection drug users |
Titre traduit : | (Coût-efficacité des programmes de réduction des risques concernant l'hépatite C chez les injecteurs de drogue.) |
Auteurs : | H. A. POLLACK |
Type de document : | Périodique |
Année de publication : | 2001 |
Format : | 357-367 / fig. |
Note générale : |
Medical Decision Making, 2001, (sept.-oct.), 357-367 |
Langues: | Anglais |
Discipline : | MAL (Maladies infectieuses / Infectious diseases) |
Mots-clés : |
Thésaurus mots-clés REDUCTION DES RISQUES ET DES DOMMAGES ; ECHANGE DE SERINGUES ; EFFICACITE ; HEPATITE ; CONTAMINATION ; ETUDE PROSPECTIVE |
Résumé : |
ENGLISH : Objectives. Hepatitis C (HCV) has emerged as a major epidemic among injection drug users (IDUs), with observed prevalence exceeding 70% in many American and European cities. This article explores the potential of syringe exchange programs (SEPs) to reduce HCV incidence and prevalence. Design. A random-mixing epidemiological model is used to examine the potential impact of harm reduction interventions. Methods. Steady-state analysis is used to scrutinize the impact of SEP on HCV incidence and prevalence and to examine the accuracy of short-term incidence analysis in predicting long-run program effects. Results. SEP is predicted to have little impact on HCV incidence and prevalence within realistic populations of IDUs. Conclusions. Short-term incidence analysis substantially overstates SEP effectiveness and cost-effectiveness in preventing HCV. More comprehensive harm reduction models, coupled with referral of active IDUs to treatment, must complement syringe exchange to successfully contain highly infectious blood-borne diseases. (Editor' s abstract) |
Note de contenu : | fig. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 58 |
Affiliation : |
Dep. Health Management and Policy, Univ. Michigan Sch. Public Hlth, 109 S. Observatory, Ann Arbor, MI 48109-2029 France. France. |
Numéro Toxibase : | 206217 |
Centre Emetteur : | 02 Coordonnateur |
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