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MEASUREMENT OF PERSONAL RISK BEHAVI-OR IN OCCUPATIONAL RISK STUDIES AMONG HEALTH CARE WORKERS.

M Butsashvili1, G Kamkamidze1, M Kajaia1

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This summary is machine-generated.

Measuring risky behaviors like injection drug use (IDU) is challenging. Social network questions may help identify IDU risk and improve hepatitis C virus (HCV) infection estimates.

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Area of Science:

  • Epidemiology
  • Public Health
  • Behavioral Science

Background:

  • Self-reporting of stigmatized behaviors, such as injection drug use (IDU), is often inaccurate.
  • Underreporting of IDU leads to biased estimates of hepatitis C virus (HCV) infection risk.

Purpose of the Study:

  • To assess if social network questions about IDU can serve as a marker for identifying individuals at risk.
  • To improve the measurement of stigmatized behaviors for better confounding adjustment in occupational risk studies.

Main Methods:

  • A cross-sectional survey of 1312 physicians and nurses in Georgia.
  • Participants categorized into Self IDU, Associate IDU (friend/family/colleague IDU), or No IDU groups.
  • HCV testing using third-generation ELISA; prevalence ratios calculated.

Main Results:

  • HCV prevalence was 20% for Self IDU, 9.3% for Associate IDU, and 4.6% for No IDU (p=0.016).
  • The association between IDU risk and HCV was significant, particularly influenced by women's reports.
  • Individuals reporting IDU risk also reported more personal and occupational risk behaviors.

Conclusions:

  • Social network questions show potential as a marker for identifying injection drug use (IDU).
  • Improved measurement of stigmatized behaviors is crucial for accurate risk assessment.
  • This approach may enhance confounding adjustment for blood-borne infection risks.