| Title |
Syringe Exchange in the United States: A National Level Economic Evaluation of Hypothetical Increases in Investment
|
|---|---|
| Published in |
AIDS and Behavior, May 2014
|
| DOI | 10.1007/s10461-014-0789-9 |
| Pubmed ID | |
| Authors |
Trang Quynh Nguyen, Brian W. Weir, Don C. Des Jarlais, Steven D. Pinkerton, David R. Holtgrave |
| Abstract |
To examine whether increasing investment in needle/syringe exchange programs (NSPs) in the US would be cost-effective for HIV prevention, we modeled HIV incidence in hypothetical cases with higher NSP syringe supply than current levels, and estimated number of infections averted, cost per infection averted, treatment costs saved, and financial return on investment. We modified Pinkerton's model, which was an adaptation of Kaplan's simplified needle circulation theory model, to compare different syringe supply levels, account for syringes from non-NSP sources, and reflect reduction in syringe sharing and contamination. With an annual $10 to $50 million funding increase, 194-816 HIV infections would be averted (cost per infection averted $51,601-$61,302). Contrasted with HIV treatment cost savings alone, the rate of financial return on investment would be 7.58-6.38. Main and sensitivity analyses strongly suggest that it would be cost-saving for the US to invest in syringe exchange expansion. |
X Demographics
The data shown below were collected from the profiles of 27 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 11 | 41% |
| United Kingdom | 2 | 7% |
| Australia | 2 | 7% |
| Canada | 2 | 7% |
| Unknown | 10 | 37% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 20 | 74% |
| Scientists | 4 | 15% |
| Science communicators (journalists, bloggers, editors) | 2 | 7% |
| Practitioners (doctors, other healthcare professionals) | 1 | 4% |
Mendeley readers
The data shown below were compiled from readership statistics for 91 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 1 | 1% |
| Unknown | 90 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 29 | 32% |
| Researcher | 15 | 16% |
| Student > Bachelor | 9 | 10% |
| Student > Doctoral Student | 7 | 8% |
| Student > Ph. D. Student | 5 | 5% |
| Other | 10 | 11% |
| Unknown | 16 | 18% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 20 | 22% |
| Social Sciences | 15 | 16% |
| Nursing and Health Professions | 14 | 15% |
| Economics, Econometrics and Finance | 5 | 5% |
| Agricultural and Biological Sciences | 3 | 3% |
| Other | 11 | 12% |
| Unknown | 23 | 25% |
Attention Score in Context
This research output has an Altmetric Attention Score of 304. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 31 May 2023.
All research outputs
#114,490
of 25,547,904 outputs
Outputs from AIDS and Behavior
#9
of 3,691 outputs
Outputs of similar age
#863
of 241,826 outputs
Outputs of similar age from AIDS and Behavior
#2
of 69 outputs
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