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Hope, VD, McVeigh, J, Begley, E, Glass, R, Edmundson, C, Heinsbroek, E, Kean, J, Campbell, J, Whitfield, M, Morgan, G, Acreman, D and Smith, J (2020) Factors associated with hepatitis C and HIV testing uptake among men who inject image and performance enhancing drugs. Drug and Alcohol Review. ISSN 1465-3362
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Factors associated with hepatitis C and HIV testing uptake among men who inject image & performance enhancing drugs..pdf - Accepted Version Download (949kB) | Preview |
Abstract
INTRODUCTION AND AIMS: Historically, people who inject image and performance enhancing drugs (IPED) were not perceived as being at high risk of HIV or hepatitis C virus (HCV) infection. However, recent studies indicate HCV and HIV prevalences are elevated, with many HCV infections undiagnosed. DESIGN AND METHODS: Men who inject IPEDs recruited from community settings and specialist services, including needle-syringe programs, across UK during 2016 self-completed a questionnaire. Multivariate analyses examined factors associated with HCV/HIV testing. RESULTS: The participants' (n=562; 24% service recruited) median age was 31 years, 4% identified as gay or bisexual, 18% had ever been imprisoned and 6% had ever injected a psychoactive drug. Those community recruited more often reported sharing drugs vials (16% vs. 8%, P=0.021) and, among those with 2+ sexual partners, poor condom use (50% vs. 36%, P=0.063), than those service recruited. Overall, one-third had ever been tested for HCV (31%) and/or HIV (34%). Testing uptake was associated with other risk factors for HCV/HIV, being recruited through services and having received metabolic tests. Participants' motivations for using IPEDs were associated with recruitment setting and HIV/HCV testing uptake. DISCUSSION AND CONCLUSIONS: The majority were untested for HCV/HIV. HCV/HIV testing and risks were associated with recruitment through services. Previous needle and syringe program-based studies have potentially overestimated testing uptake and underestimated risk. Targeted interventions are needed, particularly for those not accessing services. The association between HCV/HIV testing uptake and receipt of metabolic tests suggests that developing a combined offer of these tests as part of health monitoring could improve uptake.
| Item Type: | Article |
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| Additional Information: | This is the peer reviewed version of the following article: Hope, V.D., McVeigh, J., Begley, E., Glass, R., Edmundson, C., Heinsbroek, E., Kean, J., Campbell, J., Whitfield, M., Morgan, G., Acreman, D. and Smith, J. (2020), Factors associated with hepatitis C and HIV testing uptake among men who inject image and performance enhancing drugs. Drug Alcohol Rev, which has been published in final form at https://dx.doi.org/10.1111/dar.13198. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. |
| Uncontrolled Keywords: | 11 Medical and Health Sciences, 16 Studies in Human Society, 17 Psychology and Cognitive Sciences |
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine > RA0440 Study and Teaching. Research |
| Divisions: | Public Health Institute |
| Publisher: | Wiley |
| Related URLs: | |
| Date Deposited: | 12 Nov 2020 10:21 |
| Last Modified: | 08 Nov 2021 00:50 |
| DOI or ID number: | 10.1111/dar.13198 |
| URI: | https://researchonline.ljmu.ac.uk/id/eprint/13992 |
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