Abstract：
HIV and hepatitis C virus (HCV) infection rates among persons, who use drugs, have risen during the US overdose crisis. We elicited patient perspectives about these interconnected infections to identify the areas of misinformation that might prevent appropriate management. We used in-depth interviews and thematic analysis of coded data collected from patients (N = 24) at detox and from key informants (N = 10). Seventy-one per cent reported injecting drugs. We found that patient narratives included misinformation about HIV and HCV transmission, natural history and treatment. Some participants thought that activities such as sharing drinkware or food with persons with HIV could lead to infection, while others believed that mainly men who have sex with men were at risk. Despite significant improvements in treatment, some participants still believed that HIV was a fatal condition, while others noted that treatment was only necessary at later stages. Some participants thought that HCV was a common, mild infection that might not need immediate attention, and others stated that individuals who were actively using drugs were ineligible for treatment. The current study exposes a considerable level of misinformation about HIV prevention and about the importance and benefits of HCV therapy. Educational interventions are necessary to counter misinformation identified.
摘要：
艾滋病毒和丙型肝炎病毒（HCV）感染率的人，吸毒的人，在美国用药过量危机期间有所上升。我们引发了患者对这些相互关联的感染的看法，以确定可能阻止适当管理的错误信息领域。我们对从排毒患者（N=24）和关键线人（N=10）收集的编码数据进行了深入访谈和主题分析。71％的人报告注射毒品。我们发现病人的叙述包括关于HIV和HCV传播的错误信息，自然史和治疗。一些与会者认为，与艾滋病毒感染者分享饮料或食物等活动可能会导致感染，而其他人则认为，与男性发生性关系的男性主要处于危险之中。尽管在治疗方面取得了显著改善，一些参与者仍然认为艾滋病毒是一种致命的疾病，而其他人则指出，只有在后期才需要治疗。一些参与者认为HCV是常见的，轻度感染可能不需要立即注意，和其他人指出，积极使用药物的个体不符合治疗条件。当前的研究暴露了有关HIV预防以及HCV治疗的重要性和益处的相当多的错误信息。有必要采取教育干预措施来应对已发现的错误信息。
