Objective To examine the extent of discrimination and stigmatisation related to hepatitis C virus (HCV) infection, as experienced by injecting drug users in Sydney, Australia. Design Data were collected through a self-administered questionnaire from injecting drug users (IDUs). Questions included basic demographics, injecting and sexual history, HCV knowledge, risk practices, self-reported HCV diagnosis, and experiences of discrimination and o stigmatisation, as well as harm reduction services provided by needle and syringe programmes (NSPs). Both qualitative and quantitative data were collected from IDUs. Setting Questionnaires were distributed to clients of NSPs in the Sydney metropolitan area. Method Ten NSPs and one methadone clinic were selected. Questionnaires were distributed to all of these outlets and a total of 274 persons were recruited. The staff at the selected sites asked clients to fill out the questionnaire while distributing injecting equipment. Results Most HCV related discrimination against drug users was reported in health care settings. Fifty-two per cent of the participants experienced this as a result of being HCV positive. In addition, more than half of the sample (65 per cent) reported that such discrimination was actually as a result of being a drug user. Females were more likely than males to experience discrimination because of their HCV status. Conclusion The level of discrimination and stigmatisation was widespread in health care settings, resulting from the stereotyping of at UNIV OF MICHIGAN on June 25, 2015 hej.sagepub.com Downloaded from 257 IDUs. The barriers to IDUs accessing health services need to be identified and removed. Implementation of an awareness campaign among health professionals would be a feasible way to address this issue.

This study examined levels of AIDS knowledge and condom practices in a sample of female commercial sex workers (CSWs) in Bangladesh. The 284 subjects were questioned about AIDS knowledge using a 12-item AIDS knowledge and patterns of condom use questionnaire. The subjects had a moderate knowledge of AIDS with 61.5 percent of the sample responding correctly to 6 or more of the 12 AIDS knowledge questions. Those with high levels of AIDS knowledge used condoms at a higher rate than those with low levels of AIDS knowledge. These CSWs were predominantly young (36.6 percent) and illiterate (62.7 percent). Street-based CSWs were at greatest risk for acquiring HIV; many reported less frequent use of condom than brothel-based CSWs. The majority knew that condoms offered protection against HIV/AIDS, although only 11 percent reported using condoms prior to the day of survey. Misconception and confusion were identified regarding modes of transmission and prevention.

Background: Dengue remains a major public health challenge causing death among many people in Bangladesh. The magnitude of dengue-related illness and death has significantly increased over recent years. Study was conducted to assess the level of knowledge, attitudes, and practices related to Dengue fever. Methods: A cross-sectional study was conducted among a total of 193 males and females who consented to participate in the study. Respondents were included purposively from selected areas in Malibagh an area classified as a stable dengue-prone region of the capital city. The survey was carried out by face-to-face interview using a pre-tested standardized and structured questionnaire. Results: The results reveal that dengue infection occurred in 20.2% of residents. Only 27.5% had a good knowledge score (8 out of 11 items), and 83.9% had a positive attitude, while 34.2% had a good compliance practice.  Knowledge was significantly associated with education, income, and age (p < 0.05). Misconceptions existed about the transmission of dengue – more than one-third (36.8%) reported that the Aedes aegypti mosquito could only breed in clean water, and 32.1% were aware of the biting time of the mosquito. Most participants (55.4%) strongly agreed that dengue is a serious illness, and over half (65.3%) reported that it could be prevented with coverage of vector control interventions. The majority (64.2%) used mosquito nets as a preventive measure, while over one-third (35.2%) reported they discarded waste, containers, and non-used bottles across their yards that hold water. Although the respondents had quite positive attitude of preventive measures regarding dengue (83.9%), a sizeable number (34.2%) did not put this attitude into practice. Conclusion: Poorly planned urbanization combined with an explosive urban population in the capital city has brought the mosquito and the human host into close proximity. The government should launch health education programs on dengue prevention to educate the community members, addressing misconceptions about their preventive measures and on how they could eliminate the risk factors related to practices.

‘Risk’ is central to recent sociological studies of health and related behaviour, particularly in discourses about HIV/AIDS and hepatitis C (HCV). While epidemiological survey predominates over qualitative investigation in HCV risk reduction, it is necessary to move beyond individual‐level characteristics to gain a fuller understanding of the social context of risk. This paper investigates the context of HCV‐related risk behaviour among injecting drug users (IDUs) and discusses the behavioural and social determinants of risk practices. Data from 336 IDUs completing a self‐administered questionnaire were analysed. The data show that needle‐sharing practices are often integral to long‐standing relationships, particularly sexual ones. The level of drug dependency, trust relationships between partners and misconceptions about HCV transmission have been demonstrated to be associated with risk behaviour. Logistic factors, such as poor access to injecting equipment, limited hours of operation, and fear of police were given as barriers to safer injecting. Given the progression of the HCV epidemic, prevention campaigns should aim at risk reduction rather than risk elimination.

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