MODELING THE IMPACT OF A POLICE EDUCATION PROGRAM ON HIV INCIDENCE AMONG PEOPLE WHO INJECT DRUGS

模拟警察教育计划对注射吸毒者艾滋病毒发病率的影响

• 批准号: 10318838
• 负责人: Javier Cepeda
• 金额: $ 18.82万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-02-01 至 2023-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10318838
• 关键词: AIDS prevention; AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Area; Attitude; Award; Behavior; Cities; Collaborations; Cost Analysis; Cost Effectiveness Analysis; Country; Data; Education; Educational Intervention; Educational workshop; Environment; Epidemic; Ethics; Fellowship; Future; Goals; Government Officials; Guidelines; HIV; HIV risk; Harm Reduction; Imprisonment; Incidence; Individual; Injecting drug user; Intervention; Knowledge; Kyrgyzstan; Law Enforcement; Laws; Location; Manuscripts; Maps; Mentored Research Scientist Development Award; Mentors; Methodology; Methods; Mexico; Modeling; Needle-Exchange Programs; Needlestick Injuries; Occupational; Opioid replacement therapy; Outcome; Parents; Pathway interactions; Pharmaceutical Preparations; Police; Police officer; Population; Preparation; Prevention; Prevention strategy; Publishing; Recommendation; Research; Research Personnel; Research Training; Resources; Risk; Russia; Services; Structure; Substance abuse problem; Supervision; Syringes; Training; Ukraine; United States; Vulnerable Populations; Work; career; career development; cohort; cost; cost effective; cost effectiveness; design; disease transmission; economic cost; economic evaluation; experience; follow up assessment; health economics; improved; injection drug use; innovation; maltreatment; mathematical model; meetings; novel; novel strategies; prevention service; preventive intervention; programs; public health priorities; scale up; skill acquisition; skills; substance abuse epidemiology; substance use; theories; transmission process

Project summary/abstract Given the observed increased risk of HIV due to policing behaviors, a police education program (PEP) is being conducted in Tijuana, Mexico to protect police officers from occupational needlestick injuries while simultaneously harmonizing law enforcement and public health priorities. The long-term sustainability of this intervention is dependent upon whether it is cost-effective in terms of reducing HIV incidence. Indeed, structural interventions such as police education interventions may hold promise as novel strategies to reduce HIV transmission among people who inject drugs in many locations around the world where policing behavior contribute to HIV transmission. To evaluate the potential of PEPs on reducing HIV incidence, this mentored research scientist development award will focus on building dynamic cost-effectiveness and mathematical models to examine the impact of the PEP on the PWID population in Tijuana. The first aim is to model the cost-effectiveness of the police education program, including both individual and population prevention benefits on the HIV epidemic among PWID in Tijuana; the second aim is to model the potential impact of increased police referrals to harm reduction services (SEP and OST) on HIV incidence among PWID; and the third aim is to explore how increased police referral of PWID to SEP and OST services could improve the overall cost- effectiveness of the police education program. The candidate, Dr. Javier Cepeda, is well-qualified to conduct this research because of his strong background in quantitative methods and track record of producing high impact work. Over the 5 year award period, Dr. Cepeda will achieve the following career development objectives: 1) Acquire expertise in the principles of health economic evaluation and cost-effectiveness analysis with an emphasis on HIV preventative interventions 2) Develop skills in mathematical modeling of infectious disease transmission with a focus on HIV epidemics among people who inject drugs 3) Acquire training in the design and implementation of theory-driven structural interventions focusing on HIV prevention in resource- limited settings 4) Obtain expertise in the ethical conduct of research pertaining to structural HIV prevention interventions among vulnerable populations in resource limited settings 5) Expand professional development skills in preparation for a successful academic career by developing grantsmanship, publishing manuscripts, and future scientific collaborations To accomplish these training aims, he has assembled an outstanding team of mentors with expertise in HIV, substance abuse, epidemiology, mathematical modeling, cost-effectiveness and design of HIV prevention interventions. Under their supervision, he will complete coursework and attend workshops, scientific meetings, and conduct research to apply the skills to become an independent researcher in HIV, substance abuse, mathematical modeling leading to independence. These training and research aims are inline with the Office of AIDS Research high priority topics: “Reducing Incidence of HIV/AIDS” and “Research Training of the workforce required to conduct High Priority HIV/AIDS or HIV/AIDS-related research”.

项目总结/文摘