Examining the potential role of a supervised injection facility in Saskatoon, Saskatchewan, to avert HIV among people who inject drugs
Examining the potential role of a supervised injection facility in Saskatoon, Saskatchewan, to avert HIV among people who inject drugs
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DOI：
10.15171/ijhpm.2015.73
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发表时间：
2015-06-01
影响因子：
3.5
通讯作者：
Jackson, Asheka
中科院分区：
文献类型：
--
作者：
Jozaghi, Ehsan;Jackson, Asheka
背景资料：预测加拿大不同城市监督注射设施（SIF）的公共卫生和财政影响的研究报告了减少注射毒品者（PWID）艾滋病毒病例的积极结果。大多数现有的研究都集中在位于温哥华市中心东区（DTES）的Insite的结果。以前没有注意到加拿大其他受影响的地区。目前的研究旨在解决这一缺陷，通过评估的成本效益，在萨斯卡通，萨斯喀彻温省Saskatchewan.Methods：我们使用了两种不同的数学模型常用的文献中，包括敏感性分析，估计艾滋病毒感染的数量，避免了由于建立一个SIF在城市的萨斯卡通，萨斯喀彻温省。结果：根据累积的成本效益结果，建立社会投资基金具有成本效益。前两个潜在设施的效益成本比保守估计为1.35。该研究依赖于34%和14%的针头共用率进行敏感性分析。敏感性分析和基线估计的结果表明，在萨斯卡通建立一个SIF的积极前景。结论：SIF在萨斯卡通，萨斯喀彻温省的开放是财政上谨慎的减少纳税人的开支，避免艾滋病毒感染率之间的PWID。
Background: Research predicting the public health and fiscal impact of Supervised Injection Facilities (SIFs), across different cities in Canada, has reported positive results on the reduction of HIV cases among People Who Inject Drugs (PWID). Most of the existing studies have focused on the outcomes of Insite, located in the Vancouver Downtown Eastside (DTES). Previous attention has not been afforded to other affected areas of Canada. The current study seeks to address this deficiency by assessing the cost-effectiveness of opening a SIF in Saskatoon, Saskatchewan.Methods: We used two different mathematical models commonly used in the literature, including sensitivity analyses, to estimate the number of HIV infections averted due to the establishment of a SIF in the city of Saskatoon, Saskatchewan.Results: Based on cumulative cost-effectiveness results, SIF establishment is cost-effective. The benefit to cost ratio was conservatively estimated to be 1.35 for the first two potential facilities. The study relied on 34% and 14% needle sharing rates for sensitivity analyses. The result for both sensitivity analyses and the base line estimates indicated positive prospects for the establishment of a SIF in Saskatoon.Conclusion: The opening of a SIF in Saskatoon, Saskatchewan is financially prudent in the reduction of tax payers' expenses and averting HIV infection rates among PWID.