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1. The societal cost of heroin use disorder in the United States.

Author

Jiang, Ruixuan, Lee, Inyoung, Lee, Todd A., and Pickard, A. Simon

Subjects
TREATMENT of heroin abuse, DRUG abuse, MEDICAL care costs, DRUG abstinence, DRUG overdose
Abstract

Objective: Heroin use in the United States has reached epidemic proportions. The objective of this paper is to estimate the annual societal cost of heroin use disorder in the United States in 2015 US dollars. Methods: An analytic model was created that included incarceration and crime; treatment for heroin use disorder; chronic infectious diseases (HIV, Hepatitis B, Hepatitis C, and Tuberculosis) and their treatments; treatment of neonatal abstinence syndrome; lost productivity; and death by heroin overdose. Results: Using literature-based estimates to populate the model, the cost of heroin use disorder was estimated to be $51.2 billion in 2015 US dollars ($50,799 per heroin user). One-way sensitivity analyses showed that overall cost estimates were sensitive to the number of heroin users, cost of HCV treatment, and cost of incarcerating heroin users. Conclusion: The annual cost of heroin use disorder to society in the United States emphasizes the need for sustained investment in healthcare and non-healthcare related strategies that reduce the likelihood of abuse and provide care and support for users to overcome the disorder. [ABSTRACT FROM AUTHOR]

Published
2017
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2. The societal cost of heroin use disorder in the United States

Author

Todd A. Lee, A. Simon Pickard, Inyoung Lee, and Ruixuan Jiang

Subjects
Bacterial Diseases, Cost estimate, Economics, lcsh:Medicine, Social Sciences, Criminology, Geographical locations, Heroin, Drug Users, 0302 clinical medicine, Sociology, Cost of Illness, Health care, Medicine and Health Sciences, Medicine, Psychology, 030212 general & internal medicine, lcsh:Science, health care economics and organizations, Multidisciplinary, Pharmaceutics, Heroin Dependence, Hepatitis C, Hepatitis B, Addicts, Infectious Diseases, Behavioral Pharmacology, Crime, medicine.drug, Research Article, medicine.medical_specialty, Addiction, 03 medical and health sciences, Health Economics, Drug Therapy, Recreational Drug Use, mental disorders, Tuberculosis, Humans, Psychiatry, Sensitivity analyses, Pharmacology, Harm reduction, Health economics, business.industry, lcsh:R, Biology and Life Sciences, medicine.disease, Tropical Diseases, United States, Health Care, North America, lcsh:Q, People and places, business, 030217 neurology & neurosurgery
Abstract

Objective Heroin use in the United States has reached epidemic proportions. The objective of this paper is to estimate the annual societal cost of heroin use disorder in the United States in 2015 US dollars. Methods An analytic model was created that included incarceration and crime; treatment for heroin use disorder; chronic infectious diseases (HIV, Hepatitis B, Hepatitis C, and Tuberculosis) and their treatments; treatment of neonatal abstinence syndrome; lost productivity; and death by heroin overdose. Results Using literature-based estimates to populate the model, the cost of heroin use disorder was estimated to be $51.2 billion in 2015 US dollars ($50,799 per heroin user). One-way sensitivity analyses showed that overall cost estimates were sensitive to the number of heroin users, cost of HCV treatment, and cost of incarcerating heroin users. Conclusion The annual cost of heroin use disorder to society in the United States emphasizes the need for sustained investment in healthcare and non-healthcare related strategies that reduce the likelihood of abuse and provide care and support for users to overcome the disorder.

Published
2017