New tools for preventing and evaluating risk practices for hepatitis C transmission among injection drug users: some reflections on injection rooms and the measurement of risk-taking behaviors

Injection rooms should be able to contribute to the prevention of the risks of transmission of hepatitis C (HCV) among intravenous drug users (IDUs). However, these services have yet to be set up and tested in France. This article presents a literature review of injection rooms and explores possible...

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Veröffentlicht in:Revue d'épidémiologie et de santé publique 2006-07, Vol.54 Spec No 1, p.1S69
Hauptverfasser: Aubisson, S, Carrieri, P, Lovell, A M, Ben Diane, M K, Peretti-Watel, P, Spire, B
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container_title Revue d'épidémiologie et de santé publique
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creator Aubisson, S
Carrieri, P
Lovell, A M
Ben Diane, M K
Peretti-Watel, P
Spire, B
description Injection rooms should be able to contribute to the prevention of the risks of transmission of hepatitis C (HCV) among intravenous drug users (IDUs). However, these services have yet to be set up and tested in France. This article presents a literature review of injection rooms and explores possible ways of evaluating the effects of this type of service on risks for HCV. Given the difficulties of estimating the service's impact on the incidence of HCV, evaluations could target injection-related risk taking behaviors. The second part of the article addresses the issue of risk taking practices and presents a new research tool able to explore out-of-the-ordinary situations involving risk-taking. Tested on a population of IDUs in Marseille, this tool detects forms of risk-taking and contexts in which injection is performed, which are always missed by the usual measures of risk practices. It could therefore be added to these measures and be useful for evaluating injection rooms.
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source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Adult
Data Collection
Female
France
Health Education - methods
Hepatitis C - diagnosis
Hepatitis C - epidemiology
Hepatitis C - immunology
Hepatitis C - prevention & control
Hepatitis C - transmission
Hepatitis C Antibodies - analysis
Humans
Incidence
Male
Needle Sharing
Needle-Exchange Programs
Prevalence
Risk Factors
Risk-Taking
Sampling Studies
Substance Abuse, Intravenous - complications
Surveys and Questionnaires
Time Factors
title New tools for preventing and evaluating risk practices for hepatitis C transmission among injection drug users: some reflections on injection rooms and the measurement of risk-taking behaviors
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