HCV prevalence and risk behaviours among injectors of new psychoactive substances in a risk environment in Hungary—An expanding public health burden |
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| Institution: | 1. HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV, Surveillance Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran;2. School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada;3. Center for HIV/STI Control and Prevention, Shahid Sadoughi University of Medical Sciences, Yazd, Iran;4. Shiraz University of Medical Sciences, Shiraz, Iran;5. Iranian National Center for Addiction Studies, Tehran University of Medical Sciences, Tehran, Iran;6. Department of Epidemiology, Johns Hopkins University School of Public Health, Baltimore, MD, United States;7. Dalla Lana School of Public Health, University of Toronto, 155 College St., Toronto, Ontario M5T 3M7, Canada |
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| Abstract: | BackgroundIn Hungary a large increase in injecting new psychoactive substances (NPS) coincided with decreasing harm reduction efforts and rising HCV infection. We describe these, and assess changes in HCV prevalence and risk behaviours, 2011–2014, among NPS injectors, using 2011–2015 syringe exchange programme (SEP) data as a key contextual (‘risk environment’) variable.MethodsWe conducted repeated national sero-behavioural surveys in people who inject drugs (PWID) injecting in the last month and attending SEPs or drug treatment centres (n = 399, 2011; 384, 2014), using face-to-face interviews and dried blood-spot samples. Prevalence of injected drugs and SEP coverage (2011–2015) were assessed through our national SEP monitoring system and using population size estimates.ResultsNPS injecting tripled among PWID attending SEPs in Hungary (2011: 26%; 2015: 80%). Among NPS injectors, HCV prevalence, sharing syringes and sharing any injecting equipment (last month), doubled (2011–2014: 37%–74%, 20%–48%, 42%–71%, respectively), significantly exceeding prevalence in other PWID groups. Among young NPS injectors (aged < 25), HCV prevalence increased 7-fold (12%–76%), among new injectors (injecting < 2 years) 4-fold (13%–42%), coupled with high levels of equipment sharing (79% and 72% respectively). Not using a condom at last intercourse (79%), ever-imprisonment (65%) and last-year homelessness (57%) were highly prevalent among NPS injectors (2014). The number of syringes distributed per estimated PWID nationally fell from 114 to 81 (2011–2014) and dropped to 28 in 2015.ConclusionNPS injectors in Hungary are at severe risk of blood-borne infections due to high levels of injecting and sexual risk behaviours within a high-risk environment, including continuously low SEP provision, imprisonment and homelessness. An HIV outbreak cannot be excluded. Stronger investment in evidence-based prevention measures, with special focus on young and new injectors, and expansion of hepatitis C treatment are urgently needed. |
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| Keywords: | Injecting drug use New psychoactive substances Hepatitis C HIV Risk behaviours Harm reduction |
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