Drug use-related stigma, safer injection norms, and hepatitis C infection among a network-based sample of young people who inject drugs
Drug and Alcohol Dependence, ISSN: 0376-8716, Vol: 221, Page: 108626
2021
- 15Citations
- 45Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Metrics Details
- Citations15
- Citation Indexes15
- 15
- CrossRef8
- Captures45
- Readers45
- 45
Article Description
Identifying risk for hepatitis C (HCV) infection is important for understanding recent increases in HCV incidence among young people who inject drugs (PWID) in suburban and rural areas; and for refining the targeting of effective HCV preventive interventions. Much of the extant research has focused on individual health behaviors (e.g., risky drug injection behaviors) as predictors of HCV infection. The present study examines two social factors (substance use-related stigma and injection-related social norms), and the interaction between these factors, as predictors of HCV infection. Baseline data were used from an ongoing longitudinal study of young PWID (N = 279; mean age = 30.4 years) from the Chicago suburbs and their injection risk network members. Adjusted logistic regression models were used to examine relationships among substance use-related stigma, safer injection norms, and HCV infection. Despite a marginal bivariate association between less safe injection norms and HCV infection (OR = 0.74; 95 % CI[0.39, 1.02]; p =.071), a significant stigma X norms interaction (AOR = 0.68; 95 % CI[0.51, 0.90]) suggested that at high levels of stigma, probability of HCV infection was high regardless of injection norms. Findings suggest that social factors – specifically, substance use-related stigma and injection norms – are important predictors of HCV infection risk. The interaction found between these social factors suggests that intervening only to change injection norms or behaviors is likely insufficient to reduce risk for HCV infection in high-stigma settings or among high-stigma populations. Future research should develop and evaluate stigma-reduction interventions in combination with safer-injection interventions in order to maximize HCV risk reduction.
Bibliographic Details
http://www.sciencedirect.com/science/article/pii/S0376871621001216; http://dx.doi.org/10.1016/j.drugalcdep.2021.108626; http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85101959428&origin=inward; http://www.ncbi.nlm.nih.gov/pubmed/33689967; https://linkinghub.elsevier.com/retrieve/pii/S0376871621001216; https://dx.doi.org/10.1016/j.drugalcdep.2021.108626
Elsevier BV
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