Acceptability and Effectiveness of Hepatitis C Care at Syringe Service Programs for People Who Inject Drugs in New York City

Autor:	Suzan M. Walters, Danielle C. Ompad, David C. Perlman, Brandon Muncan, Ashly E. Jordan, David M. Frank
Rok vydání:	2021
Předmět:	medicine.medical_specialty Health (social science) Medicine (miscellaneous) Stigma (botany) Context (language use) Article medicine Humans Substance Abuse Intravenous Syringe Service (business) business.industry Syringes Incidence (epidemiology) Public Health Environmental and Occupational Health virus diseases Hepatitis C medicine.disease digestive system diseases Psychiatry and Mental health Pharmaceutical Preparations Family medicine Treatment strategy New York City business
Zdroj:	Subst Use Misuse
ISSN:	1532-2491 1082-6084
DOI:	10.1080/10826084.2021.1892142
Popis:	INTRODUCTION/OBJECTIVES: The incidence of hepatitis C (HCV) infection is rising among people who inject drugs (PWID). Even in the context of known HCV prevention and treatment strategies, some PWID remain unengaged in HCV care. This study aimed to identify and characterize experiences and perceptions of PWID regarding the acceptability and effectiveness of HCV testing and treatment at a local syringe service program (SSP). METHODS: A total of 36 PWID participated in semi-structured interviews at an SSP in New York City. Interviews were audio-recorded, transcribed, and coded by three coders, following a constructivist grounded theory approach. Relevant themes were identified as they emerged from the data. RESULTS: Interviews with PWID revealed three themes related to the impact of SSPs on HCV care: (1) non-stigmatizing SSP environments, (2) the role of SSPs in improving HCV knowledge, and (3) acceptability of SSPs as sites for HCV care among PWID. DISCUSSION: This paper contributes to the ongoing understanding that SSPs provide a well-accepted source of HCV services for PWID. Participants believed that SSPs are accessible and effective sites for HCV care, and suggested that stigma among PWID continues to affect receipt of HCV care in traditional settings. CONCLUSIONS: Understanding attitudes and beliefs of PWID regarding the effectiveness of SSPs as sites for HCV care is crucial for the development of focused strategies to reduce HCV transmission, and to ultimately achieve HCV elimination. Given this, further research is warranted investigating how best to improve HCV care at harm reduction sites such as SSPs.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b9dc937960816f337e93db8f36d45625 https://doi.org/10.1080/10826084.2021.1892142 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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