Review and meta-analysis of the association between self-reported sharing of needles/syringes and hepatitis C virus prevalence and incidence among people who inject drugs in Europe

Norah Palmateer, Sharon Hutchinson, Hamish Innes, Christian Schnier, Olivia Wu, David Goldberg, Mathew Hickman

Research output: Contribution to journalArticle


Although sharing needles/syringes (N/S) is a recognised risk factor for the hepatitis C virus (HCV), epidemiological studies have shown inconsistent associations between self-reported N/S sharing and biological markers of HCV infection. This review aims to summarise, and explore factors that may explain the variation in, the measure of association between self-reported sharing of N/S and HCV prevalence/incidence among people who inject drugs (PWID). Studies undertaken in Europe during 1990-2011 were identified through an electronic literature search. Eligible studies reported HCV prevalence (or incidence) among those who reported ever/never (or recent/non-recent) sharing of N/S. Meta-analysis was undertaken to generate a pooled estimate of the association and heterogeneity was explored using stratified analyses.
Original languageEnglish
Pages (from-to)85-100
Number of pages16
JournalInternational Journal of Drug Policy
Issue number2
Publication statusPublished - Mar 2013



  • meta analysis
  • hepatitis C
  • epidemiology
  • drug users

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