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    Blood-borne virus transmission in an urban, culturally diverse neighbourhood: Results from a cross-sectional bio-behavioural survey using innovative outreach methods in a hard-to-reach population

    66633.pdf (236.9Kb)
    Access Status
    Open access
    Authors
    Peach, E.
    Cogger, S.
    Byron, K.
    Francis, P.
    O'keefe, D.
    Higgs, Peter
    Stoove, M.
    Elmore, K.
    Dietze, P.
    Hellard, M.
    Date
    2018
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Peach, E. and Cogger, S. and Byron, K. and Francis, P. and O'keefe, D. and Higgs, P. and Stoove, M. et al. 2018. Blood-borne virus transmission in an urban, culturally diverse neighbourhood: Results from a cross-sectional bio-behavioural survey using innovative outreach methods in a hard-to-reach population. Sexual Health. 15 (1): pp. 54-60.
    Source Title
    Sexual Health
    DOI
    10.1071/SH16219
    ISSN
    1448-5028
    School
    National Drug Research Institute (NDRI)
    URI
    http://hdl.handle.net/20.500.11937/66432
    Collection
    • Curtin Research Publications
    Abstract

    © CSIRO 2018. Background Following a HIV outbreak among Aboriginal people in a culturally diverse inner-city suburb of Melbourne, a blood-borne virus (BBV) screening program was conducted to inform public health interventions to prevent transmission and facilitate timely diagnosis and linkage to care. Methods: In August-September 2014, community health workers recruited people who inject drugs (PWID) from a local needle and syringe program. Participants were tested for hepatitis C virus (HCV), hepatitis B virus (HBV), HIV and syphilis and completed a bio-behavioural questionnaire. Results: In total, 128 PWID participated in the study. Serological evidence of exposure to HCV and HBV was detected among 118 (93%) and 57 participants (45%) respectively. Five participants were HIV positive. Independent risk factors for needle sharing were Aboriginality (AOR=6.21, P < 0.001), attending health care for mental health problems (AOR=2.79, P=0.023) and inability to access drug treatment in the previous 6 months (AOR=4.34, P=0.023). Conclusions: BBV prevalence in this sample was much higher than reported in other recent Australian studies. This local population is at high risk of further BBV transmission, particularly Aboriginal PWID. Individual and service-related factors associated with risk in the context of a dynamic urban drug culture and HIV outbreak suggest an urgent need for tailored harm-reduction measures.

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