Gender-based factors associated with hepatitis C testing in people who inject drugs: results from the French COSINUS cohort

BMJ Open, Journal Year: 2025, Volume and Issue: 15(3), P. e091707 - e091707

Published: March 1, 2025

Objective We identified factors associated with hepatitis C virus (HCV) testing in the previous 6 months people who inject drugs (PWID) according to gender. Design COSINUS ( Cohorte pour l’évaluation des facteurs Structurels et Individuels de l’USage drogues ) is a multisite longitudinal cohort study conducted between June 2016 and May 2019. Setting Harm reduction facilities two French cities (Marseille Bordeaux). Participants Eligibility criteria were as follows: 18 years of age or older, speaking, regular use illegal prescribed medication, having injected at least once month being able provide informed consent participate. selected data for 298 participants (624 observations). Primary outcome Self-reporting HCV months. Gender was defined self-identifying woman, man transgender person. Results Seventy-nine per cent (n=235) sample men, 63% (n=189) reported Our results suggest that men recently incarcerated (OR (95% CI): 3.26 (1.31, 8.12), p=0.011), those regularly attending harm 2.49 (1.47, 4.22), p=0.001), lifetime attempted suicide 2.07 (1.08, 3.95), p=0.028) more likely have been tested months, whereas older less 0.46 (0.24, 0.89), p=0.022). Women had slept street 3.95 (1.12, 13.89), p=0.032) employed 0.31 (0.12, 0.83), p=0.019) 0.39 (0.16, 0.97), p=0.044) likely. Conclusion highlight importance improving current PWID by adapting them women’s needs paying special attention mental health. Furthermore, context primary care, provider training reducing injection-related stigma may improve uptake women.

Language: Английский

South Asian women’s experiences of alcohol use and the role of the family

Drugs Education Prevention and Policy, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 9

Published: Dec. 4, 2024

Background Family plays an important role in helping or hindering a loved one's alcohol recovery and this is particularly true South Asian communities. In cultures women are seen as the keepers of izzat (family honour), to behave ways that can jeopardise izzat, such drinking alcohol, have grave impact on women's health wellbeing. This paper explores lived experiences use help-seeking among England with particular focus family.

Language: Английский