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Probability Models of Needle Exchange

Author

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  • Edward H. Kaplan

    (Yale University, New Haven, Connecticut)

Abstract

Needle exchange is an intervention for slowing HIV transmission among drug injectors. Most studies of needle exchange rely on changes in self-reported risky behaviors among program participants. This paper reports two models based on objectively observed operational data, such as needle distribution rates, client visit dates, needle circulation times, and the fraction of returned needles testing HIV positive. Application of the models to data from the New Haven needle exchange suggests that HIV transmission has been slowed significantly among program participants.

Suggested Citation

  • Edward H. Kaplan, 1995. "Probability Models of Needle Exchange," Operations Research, INFORMS, vol. 43(4), pages 558-569, August.
    • Handle: RePEc:inm:oropre:v:43:y:1995:i:4:p:558-569
    DOI: 10.1287/opre.43.4.558
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    Citations

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    Cited by:

    1. Roy Lothan & Noa Gutman & Dan Yamin, 2022. "Country versus pharmaceutical company interests for hepatitis C treatment," Health Care Management Science, Springer, vol. 25(4), pages 725-749, December.
    2. Edward H. Kaplan & Ron Brookmeyer, 1999. "Snapshot Estimators of Recent HIV Incidence Rates," Operations Research, INFORMS, vol. 47(1), pages 29-37, February.
    3. Edward H. Kaplan, 2021. "Perspectives on Policy Modeling: 2018 MSOM Fellow Award," Manufacturing & Service Operations Management, INFORMS, vol. 23(2), pages 267-273, March.
    4. Kaplan, Edward H., 1997. "Snapshot samples," Socio-Economic Planning Sciences, Elsevier, vol. 31(4), pages 281-291, December.
    5. Kaplan, Edward H., 2008. "Adventures in policy modeling! Operations research in the community and beyond," Omega, Elsevier, vol. 36(1), pages 1-9, February.
    6. Zoë K. Harris, 2006. "Efficient allocation of resources to prevent HIV infection among injection drug users: the Prevention Point Philadelphia (PPP) needle exchange program," Health Economics, John Wiley & Sons, Ltd., vol. 15(2), pages 147-158, February.

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