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SDG goal 3: hepatitis

Abstract

Background

People who use drugs (PWUD) are a key target population to reduce the burden of hepatitis C virus (HCV) infection.

Aim

To assess risk factors and temporal trends of active HCV infection in PWUD in Madrid, Spain.

Methods

We conducted a retrospective study between 2017 and 2023, including 2,264 PWUD visiting a mobile screening unit. Data about epidemiology, substance use and sexual risk behaviour were obtained through a 92-item questionnaire. HCV was detected by antibody test, followed by RNA test. The primary outcome variable was active HCV infection prevalence, calculated considering all individuals who underwent RNA testing and analysed by logistic regression adjusted by the main risk factors.

Results

Of all participants, 685 tested positive for anti-HCV antibodies, and 605 underwent RNA testing; 314 had active HCV infection, and 218 initiated treatment. People who inject drugs (PWID) were identified as the main risk group. The active HCV infection rate showed a significant downward trend between 2017 and 2023 in the entire study population (23.4% to 6.0%), among PWID (41.0% to 15.0%) and PWUD without injecting drug use (7.0% to 1.3%) (p < 0.001 for all). These downward trends were confirmed by adjusted logistic regression for the entire study population (adjusted odds ratio (aOR): 0.78), PWID (aOR: 0.78), and PWUD non-IDU (aOR: 0.78).

Conclusions

Our study demonstrates a significant reduction in active HCV infection prevalence among PWUD, particularly in PWID, which suggests that efforts in the prevention and treatment of HCV in Madrid, Spain, have had an impact on the control of HCV infection.

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This work is licensed under a Creative Commons Attribution 4.0 International License.
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2024-07-18
2024-07-26
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2024.29.29.2300712
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Decrease in active hepatitis C infection among people who use drugs in Madrid, Spain, 2017 to 2023: a retrospective study
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Pablo+Ryan&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Ryan Pablo</a>, <a href="/search?value1=Jorge+Valencia&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Valencia Jorge</a>, <a href="/search?value1=Guillermo+Cuevas&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Cuevas Guillermo</a>, <a href="/search?value1=Rafael+Amigot-Sanchez&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Amigot-Sanchez Rafael</a>, <a href="/search?value1=Isidoro+Mart%C3%ADnez&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Martínez Isidoro</a>, <a href="/search?value1=Jeffrey+V+Lazarus&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Lazarus Jeffrey V</a>, <a href="/search?value1=Felipe+P%C3%A9rez-Garc%C3%ADa&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Pérez-García Felipe</a>, <a href="/search?value1=Salvador+Resino&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Resino Salvador</a></span>. Decrease in active hepatitis C infection among people who use drugs in Madrid, Spain, 2017 to 2023: a retrospective study. <a href="/content/ecdc">Euro Surveill.</a> 2024;29(29):pii=2300712. <a href="https://doi.org/10.2807/1560-7917.ES.2024.29.29.2300712" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2024.29.29.2300712</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 11 Dec 2023;&nbsp;&nbsp; <span class="generated">Accepted</span>: 24 Apr 2024 </span> </p>
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