Risky behavior and correlates of HIV and Hepatitis C Virus infection among people who inject drugs in three cities in Afghanistan

Ruiseñor-Escudero, Horacio; Wirtz, Andrea L.; Berry, Mark; Mfochive-Njindan, Iliassou; Paikan, Feda M; Yousufi, Hussain A.; Yadav, Rajpal; Burnham, Gilbert; Vu, Alexander

doi:10.1016/j.drugalcdep.2014.07.022

Cited by 23 publications

(35 citation statements)

References 26 publications

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“…A sensitivity analysis was however conducted to assess the consequences of any potential duplication (see section 3.5, Sensitivity analyses). An article on the 2009 Integrated Bio-Behavioral Surveillance Survey (IBBSS) 42 was also replaced by the actual full report of this survey, 34 for a more complete description of the study. In summary, 16 eligible reports and 20 other HCV prevalence measures from country-level data were included in the systematic review.…”

Section: Quality Assessmentmentioning

confidence: 99%

The epidemiology of hepatitis C virus in Afghanistan: systematic review and meta-analysis

Chemaitelly

Mahmud

Rahmani

et al. 2015

International Journal of Infectious Diseases

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Section: Quality Assessmentmentioning

confidence: 99%

The epidemiology of hepatitis C virus in Afghanistan: systematic review and meta-analysis

Chemaitelly

Mahmud

Rahmani

et al. 2015

International Journal of Infectious Diseases

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“…Similarly, in Lebanon, HCV positivity in a cohort of PWID was approximately 25% and HIV less than 1% . In a study conducted in the city of Herat, Afghanistan, approximately 56% of PWID in the cohort were HCV‐positive and only 18% HIV‐positive …”

Section: Discussionmentioning

confidence: 99%

Hepatitis C infection and other drug‐related harms among inpatients who injected drugs in Turkey

Alaei

Waye

et al. 2016

Journal of Viral Hepatitis

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Hepatitis C virus (HCV) is easily spread among those who share drug injection equipment. Due to the ease of contraction and growing prevalence of HCV in Eastern Europe, the aims of this study focused on describing risky injection practices as well as the prevalence of HCV, HIV and hepatitis B virus (HBV) among people who inject drugs (PWID) who were admitted to public and private drug treatment centres in Turkey from 2012 to 2013. Other aims included identifying correlates of needle sharing and HCV infection. Of the 4694 inpatients who ever injected drugs and the 3914 who injected in the past 30 days, nearly all (98%) reported heroin as their drug of choice, the vast majority reported ever sharing a needle (73.4% and 79.3%), and the mean age at first injection was 23 years. Of current PWID, 51.9% were HCV‐positive, 5.9% were HBV‐positive and only 0.34% of lifetime PWID were HIV‐positive. Predictors of increased needle sharing include younger age, being unemployed, having lesser education and reporting heroin as a drug of choice. Significant predictors of HCV infection included being 40 years or older, receiving treatment in the Mediterranean region of Turkey, reporting heroin as a primary substance, a longer duration of drug use and sharing needles. With this information, it is essential to improve access to clean injection equipment in Turkey, to focus on improving education on clean injection practices and to enhance efforts in testing and treating HCV‐positive PWID.

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“…Integrating HCV into existing surveillance systems, such as population demographic and health surveys in generalised epidemics and integrated biological and behavioural surveillance for key populations in all epidemics, is needed to accurately measure HCV burden and transmission nationally, regionally, and in different subpopulations over time [70,71]. Although limited by biases and generalizability in many countries, routinely collected data can also provide useful information [72].…”

Section: Strategic Informationmentioning

confidence: 99%

A Public Health Approach to Hepatitis C Control in Low- and Middle-Income Countries

Suthar

Harries

2015

PLoS Med

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Risky behavior and correlates of HIV and Hepatitis C Virus infection among people who inject drugs in three cities in Afghanistan

Cited by 23 publications

References 26 publications

The epidemiology of hepatitis C virus in Afghanistan: systematic review and meta-analysis

The epidemiology of hepatitis C virus in Afghanistan: systematic review and meta-analysis

Hepatitis C infection and other drug‐related harms among inpatients who injected drugs in Turkey

A Public Health Approach to Hepatitis C Control in Low- and Middle-Income Countries

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