6008.0: Thursday, October 25, 2001 - 9:00 AM

Abstract #22078

Knowledge of Hepatitis among injection drug users at NYC syringe exchange programs (SEP)

David C. Perlman, MD1, Leslie Horn, MPH1, Chau Trinh, MS2, Jessica Clark, MPH1, Juana Cuevas1, Molly Yancovitz1, Jason Farrell3, and Don C. Des Jarlais, PhD1. (1) Department of Medicine, Beth Israel Medical Center, Milton and Carroll Petrie Division, First Avenue at 16th Street, New York, NY 10003, 212-420-4470, dperlman@bethisraelny.org, (2) Joseph L. Mailman School of Public Health, Columbia University, Division of Sociomedical Sciences, 600 West 168th Street, New York, NY 10032, (3) Positive Health Project, 301 West 37th Street, New York, NY 10018

Introduction: Nonsterile injection practices and unprotected sexual contact places injecting drug users (IDUs) at risk for viral hepatitis. While there are vaccines against hepatitis-A (HAV) and -B (HBV) and therapy for hepatitis-C (HCV), prevention among IDUs remains problematic. Methods: Hepatitis knowledge and vaccination history were obtained from IDUs at 2 NYC SEPs Results: At SEP#1 (n=86), 84% knew of HAV; 38% and 26% cited shared needles and contaminated food as means of transmission. 47% had heard of HAV vaccine; 10% had received it. 84% knew of HCV; 44% knew HCV causes chronic liver disease. 55% cited shared needles, 20% shared injection equipment, and 48% unprotected sex as means of HCV transmission. 34% knew HCV treatment exists. 32 had been HCV tested; 47% were positive. 60% reported providers discussed treatment: 13% were treated. At SEP#2 (n=81), 97% were HBV tested. 48% had heard of HBV vaccine; 7% had received any vaccine. 60% and 22%, respectively, cited sharing needles and other injection equipment as a means of transmission; 54% identified unprotected sex as a risk. 78% were concerned about HBV. 83% (30/36) of vaccine eligible subjects completed HBV vaccine series. Conclusions: IDUs attending SEPs are aware of and concerned about their hepatitis risk. However, significant knowledge deficits exist. The majority did not know vaccines were available to prevent HAV/HBV or that HCV therapy exists. Adherence to HBV vaccination at SEPs appears promising. SEPs may be valuable site for targeted hepatitis prevention efforts.

Learning Objectives: At the conclusions of this session, the participant in this session will be able to: 1) Describe knowledge of hepatitis transmission, prevention and treatment among injection drug users at 2 SEPs and 2) Identify areas that could be targeted to improve hepatitis prevention, screening and treatment efforts among active IDUs at SEPs.

Keywords: Hepatitis C, Injection Drug Users

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
Disclosure not received
Relationship: Not Received.

The 129th Annual Meeting of APHA