Partner notification among HCV-positive couples who inject drugs

Abstract

Background: This study examines predictors of partner notification (PN) confirmed by a test counselor among people who inject drugs (PWID) and their sexual partners in Kazakhstan.

Methods: We used baseline data from an HIV couple-based intervention study, restricting the sample to couples where both partners knew they were hepatitis C virus (HCV)-positive prior to participation in the study (N = 136 individuals). Cross-tabulation and logistic regression were used to examine predictors of PN, including socio-demographic characteristics, sexual and drug risk behaviors, and access to health services.

Results: Of the sample, 68 (50%) participants notified their partners of their HCV status. PN was associated with participation in a needle/syringe exchange program and sexually transmitted infection counseling or education in the past 6 months. In the adjusted model, concurrent HIV infection (OR = 2.4, p < 0.05), having more than one sexual partner (OR = 2.5, p < 0.05), and participation in a needle exchange program (OR = 4.3, p < 0.01) were positively associated with notifying one's partner.

Conclusions: The findings from this study emphasize the importance of service access among PWID and point to the need for additional research on HCV counseling and notification strategies as a component of health services for injection drug users.

• Hepatitis C
• injection drug use
• Partner notification

Acknowledgements

We would like to acknowledge and thank the study participants who shared of their time and experiences. We would also like to thank project staff members who assisted with recruitment, data collection, and project implementation.

Declaration of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of this article.