Impact Evaluation of a Policy Intervention for HIV Prevention in Washington, DC

AIDS and Behavior
Monica S RuizSean T Allen

Abstract

Syringe exchange programs (SEPs) lower HIV risk. From 1998 to 2007, Congress prohibited Washington, DC, from using municipal revenue for SEPs. We examined the impact of policy change on IDU-associated HIV cases. We used surveillance data for new IDU-associated HIV cases between September 1996 and December 2011 to build an ARIMA model and forecasted the expected number of IDU-associated cases in the 24 months following policy change. Interrupted time series analyses (ITSA) were used to assess epidemic impact of policy change. There were 176 IDU-associated HIV cases in the 2 years post-policy change; our model predicted 296 IDU-associated HIV cases had the policy remained in place, yielding a difference of 120 averted HIV cases. ITSA identified significant immediate (B = -6.0355, p = .0005) and slope changes (B = -.1241, p = .0427) attributed to policy change. Policy change is an effective structural intervention for HIV prevention when it facilitates the implementation of services needed by vulnerable populations.

References

Jul 15, 1998·Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology : Official Publication of the International Retrovirology Association·D R HoltgraveD Vlahov
Jan 27, 2005·American Journal of Public Health·John A TaurasTerry F Pechacek
Jan 1, 1980·Journal of Applied Behavior Analysis·D P HartmannR S Vaught
Nov 15, 2008·American Journal of Public Health·Alexander C WagenaarBradley H Wagenaar
Nov 6, 2009·Health Affairs·Alan E GreenbergCarl W Dieffenbach
Jun 19, 2010·American Journal of Public Health·Thomas KerrEvan Wood
Jun 28, 2011·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Linda J Koenig, Donna Hubbard McCree

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Citations

Apr 21, 2016·AIDS and Behavior·Sean T AllenJeff Jones
Apr 27, 2016·Harm Reduction Journal·Sean T AllenMonique M Turner
Sep 19, 2018·PloS One·Suparna DasMichael Kharfen
Sep 3, 2020·The Journal of Infectious Diseases·Sean T AllenSusan G Sherman
Apr 29, 2020·Revista Panamericana De Salud Pública = Pan American Journal of Public Health·Yordanis Enríquez CantoLuis Alberto Menacho Alvirio
May 1, 2021·The Journal of the Association of Nurses in AIDS Care : JANAC·Megan ThreatsComfort Enah

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