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Knowledge of status and assessment of personal health consequences with hepatitis C are not enough to change risk behaviour among injecting drug users in Stockholm County, Sweden
Karolinska University Hospital.
Karolinska Institute.
Maria Addict Centre AB Stockholm.
Östergötlands Läns Landsting, CPS - Centrum för psykiatri och samhällsmedicin, Beroendekliniken. (Landstinget i Östergötland)
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2009 (English)In: SCANDINAVIAN JOURNAL OF INFECTIOUS DISEASES, ISSN 0036-5548, Vol. 41, no 10, 727-734 p.Article in journal (Refereed) Published
Abstract [en]

This was a multicentre study with risk perception as the theoretical framework, investigating if risk behaviours change when injecting drug users (IDUs) are aware of their hepatitis C virus (HCV) status and had assessed the health consequences with HCV infection. Two hundred and thirteen participants aged 15-40 y were analysed. Sharing of needles and of other injecting equipment were common both among participants who reported HCV-positive status (74%, 95% confidence interval (CI) 65.3-80.1%) and among those who reported HCV status unknown (68%, 95% CI 56.0-78.4%). Participants associating very severe health consequences with HCV infection and those who did not know of any health consequences with HCV infection shared needles at almost the same rate (78%, 95% CI 62.5-87.7 vs 69%, 95% CI 8.0-78.9, respectively). Sharing of other injecting equipment was most common among participants with verified HCV-positive status (adjusted risk ratio 5.64, 95% CI 2.64-12.07). Knowledge of HCV status and assessment of health consequences with HCV infection were not enough to change injecting risk behaviours. Sharing of other injecting equipment was a more important risk factor than sharing needles for participants with verified HCV-positive status. It is suggested that professionals engage IDUs in risk analysis and open a dialogue about assessment in order to identify, quantify and characterize risks.

Place, publisher, year, edition, pages
2009. Vol. 41, no 10, 727-734 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-51887DOI: 10.1080/00365540903159279OAI: diva2:278057
Available from: 2009-11-23 Created: 2009-11-23 Last updated: 2009-11-23

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