Sultan, B;
Lewer, D;
(2019)
The association between homelessness, hepatitis C risk factors and hepatitis C exposure among people who inject drugs in England, Wales and Northern Ireland: protocol for a cross-sectional study.
UCL Collaborative Centre for Inclusion Health: London, UK.
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Abstract
Among people who inject drugs, homeless people have increased risk of hepatitis C. This study will use data from approximately 11,000 participants from the Unlinked Anonymous Monitoring Survey of HIV and Viral Hepatitis among People Who Inject Drugs in England, Wales and Northern Ireland to test whether (a) those with experience of homelessness differ in terms of risky injecting practices, contact with harm reduction services and incarceration (b) prevalence of hepatitis C exposure is higher among those with experience of homelessness (c) any difference in hepatitis C exposure is explained by differences in injecting practices, contact with harm reduction, and incarceration. The results will inform the development of strategies to achieve the target of hepatitis C elimination in England in the populations that are hardest to reach with existing service models.
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