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Atenção Primária à Saúde

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Knowledge about Hepatitis-C among methadone maintenance treatment patients in Israel.

Cohen-Moreno, Rinat; Schiff, Miriam; Levitt, Shabtay; Bar-Hamburger, Rachel; Strauss, Shiela; Neumark, Yehuda.
Subst Use Misuse; 45(1-2): 58-76, 2010.
Artigo em Inglês | MEDLINE | 2010 | ID: mdl-20025439
Resumo: Ignorance about Hepatitis-C (HCV) among drug users, treatment staff, and policy makers thwarts treatment uptake and facilitates virus transmission. We assessed knowledge about HCV among methadone patients in Israel, where effective HCV-treatment is provided at low-cost within the national health insurance framework, yet few infected methadone patients are treated. In 2006, 512 patients in two methadone clinics in Israel were interviewed, of whom 53% were HCV-positive. The clinics were purposively selected from the 11 methadone clinics in the country. Respondents exhibited poor knowledge about HCV, particularly about diagnosis and treatment. Lesser-educated respondents were three times more likely to score low on HCV-knowledge compared to those with 12+ years of schooling (AOR = 2.97, 95% CI = 1.5-5.7. HCV-negative patients were also three-times more likely than HCV-positive patients to score low on the HCV-knowledge scale (Adjusted Odds Ratio = 3.0, 95% Confidence Interval = 1.9-4.7). Enhancing HCV-knowledge may help patients avoid becoming infected and infecting others, allay exaggerated fears about hepatitis, and facilitate HCV-treatment initiation among those infected.