Bleach programs for preventing Aids among i.v. drug users
Modeling the impact of HIV prevalence
Bibliographic Data
| ID | 11033934 |
|---|---|
| Authors | J E Siegel (0000-0001-7471-7758, Massachusetts Department of Public Health), Milton C Weinstein, Harvey V Fineberg (0000-0002-8924-2553) |
| Year | 1991 |
| Volume | 81 |
| Issue | 10 |
| Pages | 1273-1279 |
| Publication date | 1991-10-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.81.10.1273 |
| PMID | 1928525 |
| OpenAlex | W2121558347 |
| Language | EN |
| Citations received | 7 |
| References cited | 24 |
BACKGROUND. The growing importance of drug use as a mode of HIV transmission has led to increased attention to AIDS prevention among intravenous drug users (IVDUs). This analysis examines the effectiveness of bleach distribution, a program to prevent HIV transmission via shared needles. METHODS. We used a Markov model to assess the role of the initial HIV prevalence among drug users in determining the effectiveness of bleach programs. The model incorporates survey data on risk behaviors and published information describing HIV incubation and mortality. It predicts life expectancy for cohorts of IVDUs with and without a bleach program to estimate program effectiveness. RESULTS. We found that bleach programs can produce the greatest life-year savings in areas of low HIV prevalence. In the lowest prevalence scenario (0.02 initial prevalence), initiation of the program resulted in a projected savings of 2.3 life years per HIV-negative drug user, compared with 1.7 and 1.3 years under medium (0.25) and high (0.60) prevalence, respectively. CONCLUSIONS. While bleach programs are beneficial in all groups of IVDUs, these results highlight the advantages of introducing bleach programs early, when prevalence is still comparatively low in a drug-user population
Bleach · Drug · Environmental health · Family medicine · Human immunodeficiency virus (HIV) · Life expectancy · Population · Prevalence · Psychiatry · Transmission (telecommunications) · Computer Science · Demography · HIV-related health complications and treatments · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine
Needle and syringe programs in Yunnan, China yield health and financial return
Predictors of Bleach Use Among Current African-American Injecting Drug Users
Risky behaviors for HIV infection among male incarcerated injection drug users in Taiwan
A cost-benefit and cost-effectiveness analysis of Vancouver's supervised injection facility
The cost-effectiveness of HIV prevention targeting
Strategies to prevent HIV infection in the United States
The Point of Diminishing Returns
Risk Factors for Human Immunodeficiency Virus Infection in Intravenous Drug Users
Transmission of the Human Immunodeficiency Virus
Transmission dynamics of HIV infection
Hiv, Bleach, and Needle Sharing
Why Bleach? Fighting Aids Contagion Among Intravenous Drug Users
Addict death rates during a four-year posttreatment follow-up
Human immunodeficiency virus infection in heterosexual intravenous drug users in San Francisco
| Unique citing works | 7 |
|---|---|
| Citations per year | 0,2 |
| Citation span | 1991 - 2012 (22) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 7 |