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Table 1 General characteristics of studies

From: Needle exchange programs for the prevention of hepatitis C virus infection in people who inject drugs: a systematic review with meta-analysis

Study

Country

Location

Design

Participants

Intervention

HCV measurement

Hagan 1995 [40]

USA

Tacoma, WA

Case–control

Cases: 20 men and women (5 NEP users, 15 non-users), heterosexual injection drug user, have a discrete date of onset of clinical symptoms, serum aminotransferase levels greater than 2.5 times the upper limit of normal, exclusion of other causes of liver injury, serum test positive for hepatitis C

Controls: 26 men and women (19 NEP users, 7 non-users), current injection drug user from other Tacoma Pierce County Health Department services (including those individuals entering a methadone drug treatment program or attending the HIV testing center) during the time cases were reported (1991–1993)

Ever used NEP

serum

Hagan 2004 [41]

USA

Seattle, WA

Cohort

484 men and women (324 NEP users, 160 non-users), drug injection during previous year, English or Spanish speaking, age 14 years or older, and not already in the study

Use of NEP (yes/no)

serum

Holtzman 2009 [42]

USA

Baltimore, MD Chicago, IL

Los Angeles, CA New York, NY

Cohort/RCTa

1202 men and women (518 NEP users, 684 non-users) that participated in one of three CIDUS studies: CIDUS I: 18–50 years old, reported injecting drugs in the past 12 months; CIDUS II: 18 to 30 years old, reported injecting drugs in the past six months; CIDUS III: injection drug users 15 to 30 years old, reported injecting drugs in the past 6 months

CIDUS I and II: NEP participation within the past six months; CIDUS III: NEP participation within the past 3 months

serum

Patrick 2001[43]

Canada

Vancover, BC

Cohort

155 men and women (75 NEP users, 80 non-users), PWIDs, residing in the greater Vancouver area, injected at least once in the previous month

NEP attendance at least once per week in the previous 6 months

serum

Roy 2007 [44]

Canada

Québec Ottawa, ON

Cohortb

359 men and women, at least one injection in the past 6 months, participated at least twice in SurvUDI between 1997 and 2003

NEP use in previous 6 months

saliva

Todd 2015 [45]

Afghanistan

Kabul

Cohort

191 men, reported injecting drugs within the past 30 days, residing in Kabul, Dari or Pashto speakers

Any NEP use during the previous 3 months

serum

  1. aRetrospective analysis of data that included a subset of data from a randomized controlled trial comprised of a cohort who were seronegative at baseline and followed forward in time
  2. bRetrospective analysis of banked specimens