Cullen W, Kelly Y, Stanley J, Langton D, Bury G
Department of General Practice, UCD.
Ir Med J. 2005 Mar;98(3):73-4.
The majority of injecting drug users in Ireland are infected with hepatitis C (HCV) and many attend general practice for methadone maintenance treatment. To describe awareness and experience of HCV infection, related investigations and treatment, a semi-qualitative interview study of current or former heroin users attending a general practice was carried out. Twenty-five patients (69% of total) were interviewed, of whom 23 were on methadone maintenance therapy at the time of the interview and 22 were HCV positive. While awareness of harm reduction measures and health implications of the infection was good, continued high-risk activity was common. Negative experiences at diagnosis, of subsequent investigations and treatments received were common. Only one person had been treated for HCV. We conclude there are a number of barriers to effective HCV management among heroin users and further research is needed to improve our understanding of this issue.
爱尔兰的大多数注射吸毒者都感染了丙型肝炎（HCV），许多人到普通诊所接受美沙酮维持治疗。为了描述对HCV感染的认识和经历、相关调查及治疗情况，我们对到普通诊所就诊的现用或曾用海洛因者进行了一项半定性访谈研究。共访谈了25名患者（占总数的69%），其中23人在访谈时正在接受美沙酮维持治疗，22人HCV呈阳性。虽然对减少伤害措施以及该感染对健康的影响有较好的认识，但持续的高风险行为很常见。诊断时以及后续接受调查和治疗时的负面经历很常见。只有一人接受过HCV治疗。我们得出结论，海洛因使用者在有效管理HCV方面存在诸多障碍，需要进一步开展研究以加深我们对这一问题的理解。
