Dynamic compartmental model of trends in Australian drug use

被引:12
作者
Caulkins J.P. [1 ,2 ]
Dietze P. [3 ,4 ]
Ritter A. [3 ,5 ]
机构
[1] Carnegie Mellon University, Qatar Campus, Doha
[2] H. John Heinz III School of Public Policy and Management, Carnegie Mellon University, Pittsburgh, PA 15213
[3] Turning Point Alcohol and Drug Centre, Melbourne, Vic. 3065
[4] Monash Institute of Health Services Research, Melbourne, Vic. 3168
[5] National Drug and Alcohol Research Centre, University of New South Wales, Sydney
关键词
Drugs; Dynamic modeling; Epidemic; Injection drug use Compartmental models;
D O I
10.1007/s10729-007-9012-0
中图分类号
学科分类号
摘要
A five-state compartment model of trends in illicit drug use in Australia is parameterized using data from multiple sources. The model reproduces historical prevalence and supports what-if analyses under the assumption that past trajectories of drug escalation and desistance persist. For fixed initiation, the system has a unique stable equilibrium. The chief qualitative finding is that even though some users escalate rapidly, regular injection drug use still adjusts to changes in incidence with considerable inertia and delay. This has important policy implications, e.g., concerning the timing of reductions in drug-related social cost generated by interventions that reduce the social cost per injection user versus those that cut drug initiation. © Springer Science+Business Media, LLC 2007.
引用
收藏
页码:151 / 162
页数:11
相关论文
共 40 条
[1]  
Model K.E., The effect of marijuana decriminalization on hospital emergency room drug episodes 1975-1978, J Am Stat Assoc, 88, pp. 737-747, (1993)
[2]  
Pacula R., Chriqui J., King J., Decriminalization in the United States: What does it mean, (2003)
[3]  
Grossman M., Individual behaviors and substance use: The role of price, (2004)
[4]  
Kandel D.B., Stages and pathways of drug involvement: Examining the gateway hypothesis, (2002)
[5]  
Rossi C., A mover-stayer type model for epidemics of problematic drug use, Bull Narc, 53, pp. 39-64, (2001)
[6]  
Levin G., Roberts E.B., Hirsch G.B., The persistent poppy: A computer-aided search for heroin policy, (1975)
[7]  
Homer J.B., Projecting the impact of law enforcement on cocaine prevalence, J Drug Issues, 23, pp. 281-295, (1993)
[8]  
Homer J.B., A system dynamics model for cocaine prevalence estimation and trend projection, J Drug Issues, 23, pp. 251-279, (1993)
[9]  
Everingham S.S., Rydell P., Caulkins J.P., Cocaine consumption in the US: Estimating past trends and future scenarios. Socio-Econ, Plann Sci, 29, pp. 305-314, (1995)
[10]  
Caulkins J.P., Behrens D.A., Knoll C., Tragler G., Zuba D., Markov chain modeling of initiation and demand: The case of the U.S. cocaine epidemic, Health Care Manage Sci, 7, pp. 319-329, (2004)