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Low perceived benefits and self-efficacy are associated with hepatitis C virus (HCV) infection-related risk among injection drug users

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Listed:
  • Cox, Joseph
  • De, Prithwish
  • Morissette, Carole
  • Tremblay, Claude
  • Stephenson, Randolph
  • Allard, Robert
  • Graves, Lisa
  • Roy, Élise

Abstract

Hepatitis C prevention counselling and education are intended to increase knowledge of disease, clarify perceptions about vulnerability to infection, and increase personal capacity for undertaking safer behaviours. This study examined the association of drug equipment sharing with psychosocial constructs of the AIDS Risk Reduction Model, specifically, knowledge and perceptions related to hepatitis C virus (HCV) among injection drug users (IDUs). Active IDUs were recruited between April 2004 and January 2005 from syringe exchange and methadone maintenance treatment programs in Montreal, Canada. A structured, interviewer-administered questionnaire elicited information on drug preparation and injection practices, self-reported hepatitis C testing and infection status, and AIDS Risk Reduction Model constructs. Separate logistic regression models were developed to examine variables in relation to: (1) the sharing of syringes, and (2) the sharing of drug preparation equipment (drug containers, filters, and water). Among the 321 participants, the mean age was 33 years, 70% were male, 80% were single, and 91% self-identified as Caucasian. In the multivariable analyses, psychosocial factors linked to syringe sharing were lower perceived benefits of safer injecting and greater difficulty to inject safely. As with syringe sharing, the sharing of drug preparation equipment was associated with lower perceived benefits of safer injecting but also with low self-efficacy to convince others to inject more safely. Interventions should aim to heighten awareness of the benefits of risk reduction and provide IDUs with the skills necessary to negotiate safer injecting with their peers.

Suggested Citation

  • Cox, Joseph & De, Prithwish & Morissette, Carole & Tremblay, Claude & Stephenson, Randolph & Allard, Robert & Graves, Lisa & Roy, Élise, 2008. "Low perceived benefits and self-efficacy are associated with hepatitis C virus (HCV) infection-related risk among injection drug users," Social Science & Medicine, Elsevier, vol. 66(2), pages 211-220, January.
  • Handle: RePEc:eee:socmed:v:66:y:2008:i:2:p:211-220
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    References listed on IDEAS

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    1. Chong Ju Choi & Carla C. J. M. Millar & Caroline Y. L. Wong, 2005. "Knowledge and Exchange," Palgrave Macmillan Books, in: Knowledge Entanglements, chapter 0, pages 65-76, Palgrave Macmillan.
    2. Davis, Mark & Rhodes, Tim & Martin, Anthea, 2004. "Preventing hepatitis C: 'Common sense', 'the bug' and other perspectives from the risk narratives of people who inject drugs," Social Science & Medicine, Elsevier, vol. 59(9), pages 1807-1818, November.
    3. Connors, Margaret M., 1992. "Risk perception, risk taking and risk management among intravenous drug users: Implications for AIDS prevention," Social Science & Medicine, Elsevier, vol. 34(6), pages 591-601, March.
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