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    “I'm obviously not dying so it's not something I need to sort out today”: Considering hepatitis C treatment in the era of direct acting antivirals

    Access Status
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    Authors
    Wright, C.
    Cogger, S.
    Hsieh, K.
    Goutzamanis, S.
    Hellard, M.
    Higgs, Peter
    Date
    2018
    Type
    Journal Article
    
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    Citation
    Wright, C. and Cogger, S. and Hsieh, K. and Goutzamanis, S. and Hellard, M. and Higgs, P. 2018. “I'm obviously not dying so it's not something I need to sort out today”: Considering hepatitis C treatment in the era of direct acting antivirals. Infection, Disease and Health. 24 (2): pp. 58-66.
    Source Title
    Infection, Disease and Health
    DOI
    10.1016/j.idh.2018.10.006
    ISSN
    2468-0451
    School
    National Drug Research Institute (NDRI)
    URI
    http://hdl.handle.net/20.500.11937/74887
    Collection
    • Curtin Research Publications
    Abstract

    Background: People who inject drugs are the group at greatest risk of hepatitis C virus (HCV) infection. The advent of new direct-acting antiviral (DAA) treatment provides opportunities for increased uptake of therapy. Methods: We conducted in-depth interviews with thirty HCV positive participants from the SuperMIX cohort study. Interviews were transcribed, coded, and analysed for emerging themes and similarities between participants. General descriptions and critical interpretation of themes were generated and selective quotes extracted verbatim to best illustrate the critical themes. Results: Participants described their experiences of living with HCV, their knowledge of HCV treatment accessibility, and information on the types of support ain themes: Understanding the need for treatment; Knowledge and framing of treatment access; and Support during treatment. Conclusion: The new, highly effective DAAs for the treatment of HCV are heralded as the potential beginning of HCV elimination, especially in settings where scale up is high. Our data from active PWID show that the availability of DAA medications in and of themselves is likely not to be enough to ensure that PWID will come forward for HCV treatment in sufficient numbers to drive elimination.

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