A randomized intervention trial to reduce the lending of used injection equipment among injection drug users infected with hepatitis C.

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Title: A randomized intervention trial to reduce the lending of used injection equipment among injection drug users infected with hepatitis C.
Authors: Latka MH (AUTHOR), Hagan H (AUTHOR), Kapadia F (AUTHOR), Golub ET (AUTHOR), Bonner S (AUTHOR), Campbell JV (AUTHOR), Coady MH (AUTHOR), Garfein RS (AUTHOR), Pu M (AUTHOR), Thomas DL (AUTHOR), Thiel TK (AUTHOR), Strathdee SA (AUTHOR)
Source: American Journal of Public Health. May2008, Vol. 98 Issue 5, p853-861. 9p.
Subjects: Hepatitis C, Intravenous drug abusers, Needle sharing, Health behavior, Prevention of communicable diseases
Geographic Terms: United States
Abstract: OBJECTIVES: We evaluated the efficacy of a peer-mentoring behavioral intervention designed to reduce risky distributive injection practices (e.g., syringe lending, unsafe drug preparation) among injection drug users with hepatitis C virus (HCV) infection. METHODS: A randomized trial with a time-equivalent attention-control group was conducted among 418 HCV-positive injection drug users aged 18 to 35 years in 3 US cities. Participants reported their injection-related behaviors at baseline and at 3- and 6-month follow-ups. RESULTS: Compared with the control group, intervention-group participants were less likely to report distributive risk behaviors at 3 months (odds ratio [OR]=0.46; 95% confidence interval [CI]=0.27, 0.79) and 6 months (OR=0.51; 95% CI=0.31, 0.83), a 26% relative risk reduction, but were no more likely to cite their HCV-positive status as a reason for refraining from syringe lending. Effects were strongest among intervention-group participants who had known their HCV-positive status for at least 6 months. Peer mentoring and self-efficacy were significantly increased among intervention-group participants, and intervention effects were mediated through improved self-efficacy. CONCLUSIONS: This behavioral intervention reduced unsafe injection practices that may propagate HCV among injection drug users. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Label: Title
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  Data: A randomized intervention trial to reduce the lending of used injection equipment among injection drug users infected with hepatitis C.
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  Data: <searchLink fieldCode="AR" term="%22Latka+MH%22">Latka MH</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hagan+H%22">Hagan H</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kapadia+F%22">Kapadia F</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Golub+ET%22">Golub ET</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bonner+S%22">Bonner S</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Campbell+JV%22">Campbell JV</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Coady+MH%22">Coady MH</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Garfein+RS%22">Garfein RS</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pu+M%22">Pu M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Thomas+DL%22">Thomas DL</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Thiel+TK%22">Thiel TK</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Strathdee+SA%22">Strathdee SA</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. May2008, Vol. 98 Issue 5, p853-861. 9p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Hepatitis+C%22">Hepatitis C</searchLink><br /><searchLink fieldCode="DE" term="%22Intravenous+drug+abusers%22">Intravenous drug abusers</searchLink><br /><searchLink fieldCode="DE" term="%22Needle+sharing%22">Needle sharing</searchLink><br /><searchLink fieldCode="DE" term="%22Health+behavior%22">Health behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Prevention+of+communicable+diseases%22">Prevention of communicable diseases</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: OBJECTIVES: We evaluated the efficacy of a peer-mentoring behavioral intervention designed to reduce risky distributive injection practices (e.g., syringe lending, unsafe drug preparation) among injection drug users with hepatitis C virus (HCV) infection. METHODS: A randomized trial with a time-equivalent attention-control group was conducted among 418 HCV-positive injection drug users aged 18 to 35 years in 3 US cities. Participants reported their injection-related behaviors at baseline and at 3- and 6-month follow-ups. RESULTS: Compared with the control group, intervention-group participants were less likely to report distributive risk behaviors at 3 months (odds ratio [OR]=0.46; 95% confidence interval [CI]=0.27, 0.79) and 6 months (OR=0.51; 95% CI=0.31, 0.83), a 26% relative risk reduction, but were no more likely to cite their HCV-positive status as a reason for refraining from syringe lending. Effects were strongest among intervention-group participants who had known their HCV-positive status for at least 6 months. Peer mentoring and self-efficacy were significantly increased among intervention-group participants, and intervention effects were mediated through improved self-efficacy. CONCLUSIONS: This behavioral intervention reduced unsafe injection practices that may propagate HCV among injection drug users. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.2105/AJPH.2007.113415
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        Text: English
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      – SubjectFull: Hepatitis C
        Type: general
      – SubjectFull: Intravenous drug abusers
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      – SubjectFull: Needle sharing
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      – SubjectFull: Health behavior
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              Text: May2008
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