The association of syringe type and syringe cleaning with HCV infection among IDUs in Budapest, Hungary

V. Anna Gyarmathy, Alan Neaigus, Mary M. Mitchell, Eszter Ujhelyi

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

We assessed whether syringe type, syringe cleaning and distributive syringe sharing were associated with self-reported and laboratory-confirmed HCV infection among Hungarian IDUs. Injecting drug users (N = 215) were recruited from non-treatment settings in Budapest, Hungary between October 2005 and December 2006. Multivariate logistic regression models identified correlates of self-report of being HCV infected and testing positive for HCV. While 37% tested positive for HCV, 14% of the total (39% of those who tested positive) self-reported being HCV infected. Using any two-piece syringes was significantly associated with self-reported HCV infection, while distributive syringe sharing was not associated with self-report of being HCV infected. Engaging in receptive sharing of only one-piece syringes but always cleaning before reuse was not associated with testing HCV positive, while any receptive sharing of only one-piece syringes and not always cleaning before reuse was significantly associated with testing HCV positive. Sharing cookers and squirting drugs from one syringe into another syringe were not associated with testing HCV positive. The high percent of those HCV infected who did not know they were infected highlights the need to provide better access to confidential testing and counseling services. Counseling should emphasize secondary prevention of HCV among HCV infected IDUs. Our findings also indicate that syringe type and syringe cleaning practices may play a role in HCV transmission. Ethnographic research should identify the reasons why IDUs may use two-piece syringes and suggest means to reduce their use. Thorough cleaning of one-piece syringes when sterile syringes are unavailable may be an efficient way to reduce the risk of HCV infection.

Original languageEnglish
Pages (from-to)240-247
Number of pages8
JournalDrug and Alcohol Dependence
Volume100
Issue number3
DOIs
Publication statusPublished - Mar 1 2009

Keywords

  • Central Europe
  • HCV infection
  • Minorities
  • One-piece and two-piece syringes
  • Syringe cleaning

ASJC Scopus subject areas

  • Toxicology
  • Pharmacology
  • Psychiatry and Mental health
  • Pharmacology (medical)

Fingerprint Dive into the research topics of 'The association of syringe type and syringe cleaning with HCV infection among IDUs in Budapest, Hungary'. Together they form a unique fingerprint.

  • Cite this