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2021-12-09Zeitschriftenartikel
Univariable associations between a history of incarceration and HIV and HCV prevalence among people who inject drugs across 17 countries in Europe 2006 to 2020 – is the precautionary principle applicable?
dc.contributor.authorWiessing, Lucas
dc.contributor.authorKalamara, Eleni
dc.contributor.authorStone, Jack
dc.contributor.authorAltan, Peyman
dc.contributor.authorvan Baelen, Luk
dc.contributor.authorFotiou, Anastasios
dc.contributor.authorGarcia, D'Jamila
dc.contributor.authorGoulao, Joao
dc.contributor.authorGuarita, Bruno
dc.contributor.authorHope, Vivian
dc.contributor.authorJauffret-Roustide, Marie
dc.contributor.authorJurgelaitiené, Lina
dc.contributor.authorKåberg, Martin
dc.contributor.authorKamarulzaman, Adeeba
dc.contributor.authorLemsalu, Liis
dc.contributor.authorKivite-Urtane, Anda
dc.contributor.authorKolarić, Branko
dc.contributor.authorMontanari, Linda
dc.contributor.authorRosińka, Magdalena
dc.contributor.authorSava, Lavinius
dc.contributor.authorHorváth, Ilonka
dc.contributor.authorSeyler, Thomas
dc.contributor.authorSypsa, Vana
dc.contributor.authorTarján, Anna
dc.contributor.authorYiasemi, Ioanna
dc.contributor.authorZimmermann, Ruth
dc.contributor.authorFerri, Marcia
dc.contributor.authorDolan, Kate
dc.contributor.authorUusküla, Anneli
dc.contributor.authorVickerman, Peter
dc.date.accessioned2024-07-25T13:57:42Z
dc.date.available2024-07-25T13:57:42Z
dc.date.issued2021-12-09none
dc.identifier.other10.2807/1560-7917. ES.2021.26.49.2002093
dc.identifier.urihttp://edoc.rki.de/176904/11852
dc.description.abstractBackground People who inject drugs (PWID) are frequently incarcerated, which is associated with multiple negative health outcomes. Aim We aimed to estimate the associations between a history of incarceration and prevalence of HIV and HCV infection among PWID in Europe. Methods Aggregate data from PWID recruited in drug services (excluding prison services) or elsewhere in the community were reported by 17 of 30 countries (16 per virus) collaborating in a European drug monitoring system (2006–2020; n = 52,368 HIV+/−; n = 47,268 HCV+/−). Country-specific odds ratios (OR) and prevalence ratios (PR) were calculated from country totals of HIV and HCV antibody status and self-reported life-time incarceration history, and pooled using meta-analyses. Country-specific and overall population attributable risk (PAR) were estimated using pooled PR. Results Univariable HIV OR ranged between 0.73 and 6.37 (median: 2.1; pooled OR: 1.92; 95% CI: 1.52–2.42). Pooled PR was 1.66 (95% CI 1.38–1.98), giving a PAR of 25.8% (95% CI 16.7–34.0). Univariable anti-HCV OR ranged between 1.06 and 5.04 (median: 2.70; pooled OR: 2.51; 95% CI: 2.17–2.91). Pooled PR was 1.42 (95% CI: 1.28–1.58) and PAR 16.7% (95% CI: 11.8–21.7). Subgroup analyses showed differences in the OR for HCV by geographical region, with lower estimates in southern Europe. Conclusion In univariable analysis, a history of incarceration was associated with positive HIV and HCV serostatus among PWID in Europe. Applying the precautionary principle would suggest finding alternatives to incarceration of PWID and strengthening health and social services in prison and after release (‘throughcare’).eng
dc.language.isoengnone
dc.publisherRobert Koch-Institut
dc.rights(CC BY 3.0 DE) Namensnennung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/de/
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleUnivariable associations between a history of incarceration and HIV and HCV prevalence among people who inject drugs across 17 countries in Europe 2006 to 2020 – is the precautionary principle applicable?none
dc.typearticle
dc.identifier.urnurn:nbn:de:0257-176904/11852-8
dc.type.versionpublishedVersionnone
local.edoc.container-titleEurosurveillancenone
local.edoc.container-issn1560-7917none
local.edoc.pages12none
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://www.eurosurveillance.org/none
local.edoc.container-publisher-nameEuropean Centre for Disease Prevention and controlnone
local.edoc.container-volume26none
local.edoc.container-issue49none
local.edoc.container-reportyear2021none
dc.description.versionPeer Reviewednone

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