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Estimating the Number of People Who Inject Drugs in A Rural County in Appalachia

  • Autores: Sean T. Allen, Allison O’Rourke, Rebecca Hamilton White, Kristin L. Schneider, Michael Kilkenny, Susan G. Sherman
  • Localización: American journal of public health, ISSN 0090-0036, Vol. 109, Nº. 3, 2019, págs. 445-450
  • Idioma: inglés
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  • Resumen
    • Objectives. To demonstrate how we applied the capture?recapture method for population estimation directly in a rural Appalachian county (Cabell County, WV) to estimate the number of people who inject drugs (PWID).Methods. We conducted 2 separate 2-week periods of data collection in June (?capture?) and July (?recapture?) 2018. We recruited PWID from a syringe services program and in community locations where PWID were known to congregate. Participants completed a survey that included measures related to sociodemographics, substance use, and HIV and hepatitis C virus prevention.Results. In total, 797 surveys were completed; of these surveys, 49.6% (n?=?395) reflected PWID who reported injection drug use in the past 6 months and Cabell County residence. We estimated that there were 1857 (95% confidence interval?=?1147, 2567) PWID in Cabell County. Among these individuals, most reported being White (83.4%), younger than 40 years (70.9%), and male (59.5%). The majority reported injecting heroin (82.0%), methamphetamine (71.0%), and fentanyl (56.3%) in the past 6 months.Conclusions. Capture?recapture methods can be applied in rural settings to estimate the size of PWID populations.


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