Evidence map›Paper›PMID 30288313›Full record

ArticleHepatology, medicine and policy2016

HCV/HIV coinfection among people who inject drugs and enter opioid substitution treatment in Greece: prevalence and correlates.

Anastasios Fotiou, Eleftheria Kanavou, Argyro Antaraki, Clive Richardson, Manina Terzidou, Anna Kokkevi, Drug Related Infectious Diseases (DRID) Medical Doctors Group of OKANA

Open access · hybridAbstract read
In one paragraph

Article in Hepatology, medicine and policy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. HIV seroprevalence in five key populations in Europe: a systematic literature review, 2009 to 2019.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2021
    Pooled it
  2. Article
  3. Review
  4. Article
  5. HCV and HIV co-infection among people who inject drugs in Vietnam.Journal of health and social sciences · 2020
    Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Anastasios Fotiou1Epidemiology Unit, Greek Reitox Focal Point of the EMCDDA, University Mental Health Research Institute, 2 Soranou tou Efesiou St., Athens, 11527 Greece.ORCID 0000-0001-7905-3241
Eleftheria Kanavou1Epidemiology Unit, Greek Reitox Focal Point of the EMCDDA, University Mental Health Research Institute, 2 Soranou tou Efesiou St., Athens, 11527 Greece.
Argyro Antaraki1Epidemiology Unit, Greek Reitox Focal Point of the EMCDDA, University Mental Health Research Institute, 2 Soranou tou Efesiou St., Athens, 11527 Greece.
Clive Richardson2Panteion University of Social and Political Sciences, 136, Leoforos A. Siggrou, Kallithea, Athens 17671 Greece.
Manina Terzidou1Epidemiology Unit, Greek Reitox Focal Point of the EMCDDA, University Mental Health Research Institute, 2 Soranou tou Efesiou St., Athens, 11527 Greece.
Anna Kokkevi3University Mental Health Research Institute, 2 Soranou tou Efesiou St., Athens, 11527 Greece.
Drug Related Infectious Diseases (DRID) Medical Doctors Group of OKANA
University Mental Health Research Institute · GRPanteion University · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHCV/HIV coinfection in people who inject drugs is a public health issue, which presents a variety of challenges to healthcare providers. The determinants of HCV/HIV coinfection in this population are nonetheless not well known. The aim of the present study is to identify the factors associated with HCV/HIV coinfection in people who inject drugs and enter drug-related treatment.

methodsLinked serological and behavioral data were collected from people who entered 38 opioid substitution treatment clinics in central and southern Greece between January and December 2013. Three mutually exclusive groups were defined based on the presence of HCV and HIV antibodies. Group 1 clients had neither infection, Group 2 had HCV but not HIV, and Group 3 had HCV/HIV coinfection. Multinomial logistic regression analyses identified differences between groups according to socio-demographic, drug use and higher-risk behavioral characteristics.

resultsOur study population consisted of 580 people who injected drugs in the past 12 months (79.8 % males, with median age 36 years).79.4 % were HCV and 15.7 % HIV infected. Of those with complete serological data in both HCV and HIV indicators, 20.4 % were uninfected, 64.0 % HCV monoinfected, and 14.9 % HCV/HIV coinfected. HCV infection with or without HIV coinfection was positively associated with living alone or with a spouse/partner without children, prior incarceration, drug injecting histories of ≥10 years, and syringe sharing in the past 12 months, and negatively associated with never having previously been tested for HCV. HCV/HIV coinfection, but not HCV infection alone, was positively associated with residence in urban areas (relative risk ratio [RRR] = 4.8, 95 % confidence interval [CI]: 1.7-13.7,

conclusionsPeople who inject drugs and live in urban areas and inject frequently have higher risk of coinfection. Findings highlight the need for scaling-up needle and syringe programs in inner city areas and promoting access of this population to screening and treatment, especially in prisons. The protective role of living with parents and children could inform the implementation of indicated interventions.

Indexed as

GreeceHCV/HIV coinfectionHepatitis C virusHuman immunodeficiency virusOpioid substitution treatmentPeople who inject drugsPWIDRisk factors

Identifiers

PMID30288313
PMCPMC5918725
OpenAlexW2512118106

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.