Increased Uptake of HCV Testing through a Community-Based Educational Intervention in Difficult-to-Reach People Who Inject Drugs: Results from the ANRS-AERLI Study

Perrine Roux 1, 2, * Daniela Rojas Castro 3, 4 Khadim Ndiaye 1, 2 Marie Debrus 4 Camelia Protopopescu 1, 2 Jean-Marie Le Gall 3 Aurélie Haas 3 Marion Mora 1, 2 Bruno Spire 1, 2, 3 Marie Suzan-Monti 1, 2, 3 Patrizia Carrieri 1, 2
* Corresponding author
1 SESSTIM - U912 INSERM - Aix Marseille Univ - IRD - Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale
2 ORS PACA - Observatoire régional de la santé Provence-Alpes-Côte d'Azur [Marseille]
3 Siège national - AIDES [Pantin]
4 Association médicale militante de solidarité internationale - Médecins du Monde [Paris, France]
Abstract : Aims The community-based AERLI intervention provided training and education to people who inject drugs (PWID) about HIV and HCV transmission risk reduction, with a focus on drug injecting practices, other injection-related complications, and access to HIV and HCV testing and care. We hypothesized that in such a population where HCV prevalence is very high and where few know their HCV serostatus, AERLI would lead to increased HCV testing. Methods The national multisite intervention study ANRS-AERLI consisted in assessing the impact of an injection-centered face-to-face educational session offered in volunteer harm reduction (HR) centers ("with intervention") compared with standard HR centers ("without interven-tion"). The study included 271 PWID interviewed on three occasions: enrolment, 6 and 12 months. Participants in the intervention group received at least one face-to-face educational session during the first 6 months. Measurements The primary outcome of this analysis was reporting to have been tested for HCV during the previous 6 months. Statistical analyses used a two-step Heckman approach to account for bias arising from the non-randomized clustering design. This approach identified factors associated with HCV testing during the previous 6 months. Findings Of the 271 participants, 127 and 144 were enrolled in the control and intervention groups, respectively. Of the latter, 113 received at least one educational session. For the present PLOS ONE |
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Perrine Roux, Daniela Rojas Castro, Khadim Ndiaye, Marie Debrus, Camelia Protopopescu, et al.. Increased Uptake of HCV Testing through a Community-Based Educational Intervention in Difficult-to-Reach People Who Inject Drugs: Results from the ANRS-AERLI Study. PLoS ONE, Public Library of Science, 2016, 11 (6), pp.e0157062. ⟨10.1371/journal.pone.0157062⟩. ⟨inserm-01994924⟩

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