Picture map of Europe with pins indicating European capital cities

Open Access research with a European policy impact...

The Strathprints institutional repository is a digital archive of University of Strathclyde's Open Access research outputs. Strathprints provides access to thousands of Open Access research papers by Strathclyde researchers, including by researchers from the European Policies Research Centre (EPRC).

EPRC is a leading institute in Europe for comparative research on public policy, with a particular focus on regional development policies. Spanning 30 European countries, EPRC research programmes have a strong emphasis on applied research and knowledge exchange, including the provision of policy advice to EU institutions and national and sub-national government authorities throughout Europe.

Explore research outputs by the European Policies Research Centre...

Targets for Hepatitis C virus test uptake and case-finding among injecting drug users : in prisons and general practice

Bird, Sheila M. and Robertson, Roy and Beresford, Hannah and Hutchinson, Sharon J. (2010) Targets for Hepatitis C virus test uptake and case-finding among injecting drug users : in prisons and general practice. Addiction Research and Theory, 18 (4). pp. 421-432. ISSN 1606-6359

[img]
Preview
PDF (strathprints013374.pdf)
strathprints013374.pdf - Accepted Author Manuscript

Download (135kB) | Preview

Abstract

We re-analyse data on new diagnoses of Hepatitis C virus (HCV) for injectors in prison or attending general practices which were relied on for the cost-effectiveness of HCV testing in injectors. We use these revised estimates to suggest readily-achievable targets in Scottish general practices on HCV diagnoses for injectors born in 1956-75. Using audit data from general practices around Edinburgh, we confirm that, with effort, the suggested targets are achievable. On re-analysis, we found that over 20% of HCV-undiagnosed injectors in English prisons accepted HCV testing, and half the injectors aged 30-54 years who attended a Glasgow general practice. On the basis of 30% HCV test uptake and 80% of ever-injectors havingself-identified, a target of 2,500 HCV diagnoses within a year in known ever-injectors born in 1956-75 attending Scottish general practices is feasible. Its target of five new HCV diagnoses was achieved during an HCV testing intervention by Muirhouse Practice, Edinburgh. During a 2-year audit period, 86 other general practices around Edinburgh providing enhanced services for drug users increased HCV test uptake by known ever-injectors from 43% (314/727) to 62% (655/1,062) in the 1956-75 birth-cohort. Their new HCV diagnoses in ever-injectors were 171 over two years against a target of 166 within 1 year.