Understanding and preventing hepatitis C transmission within sexual partnerships – project completed

Project Team

Carla Treloar, Centre for Social Research in Health, University of New South Wales
Suzanne Fraser, National Drug Research Institute, Curtin University
Joanne Bryant, Centre for Social Research in Health, University of New south Wales
Tim Rhodes, London School of Hygiene and Tropical Medicine

Jake Rance, Centre for Social Research in Health, University of New South Wales


This interview-based study was funded by the National Health and Medical Research Council. It explores understandings and practices of hepatitis C transmission prevention among people who inject drugs together within sexual partnerships. How do couples negotiate transmission risk, especially where access to safe injecting equipment is limited? How do standard equipment prevention measures impact on injecting practice within sexual partnerships? How do abstract notions such as addiction, intimacy, gender and pleasure shape injecting practice? Based in NSW and Victoria, the project was completed in 2016.


Rance, J., Rhodes, T., Fraser, S., Bryant, J. and Treloar, C. (2018). Practices of partnership: Accounts of needle-syringe sharing and negotiated safety among couples who inject drugs. Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine, 22, (1), pp. 3-19. DOI: 10.1177/1363459316660859 [RJ1230]

Fraser, S., Treloar, C., Gandera, S. and Rance, J. (2017). ‘Affording’ new approaches to couples who inject drugs: A novel fitpack design for hepatitis C preventionInternational Journal of Drug Policy, 50, pp. 19-35. DOI: 10.1016/j.drugpo.2017.07.001 [RJ1312]

Rance, J., Treloar, C., Fraser, S., Bryant, J. and Rhodes, T. (2017). ‘Don’t think I’m going to leave you over it’: Accounts of changing hepatitis C status among couples who inject drugs. Drug and Alcohol Dependence, 173, pp. 78-84. DOI: 10.1016/j.drugalcdep.2016.12.020 [RJ1290]

Rhodes, T., Rance, J., Fraser, S. and Treloar, C. (2017). The intimate relationship as a site of social protection: Partnerships between people who inject drugs. Social Science and Medicine, 180, pp. 125-134. DOI: 10.1016/j.socscimed.2017.03.012 [RJ1317]

Fraser, S., Rance, J. and Treloar, C. (2016). Hepatitis C prevention and convenience: Why do people who inject drugs in sexual partnerships ‘run out’ of sterile equipment? Critical Public Health, 26, (3), pp. 294-306. DOI: 10.1080/09581596.2015.1036839 [RJ1077]

Treloar, C., Rance, J., Bryant, J. and Fraser, S. (2016). Harm reduction workers and the challenge of engaging couples who inject drugs in hepatitis C prevention. Drug and Alcohol Dependence, 168, pp. 170-175. DOI: 10.1016/j.drugalcdep.2016.09.010 [RJ1257]

Treloar, C., Rance, J., Bryant, J. and Fraser, S. (2016). Understanding decisions made about hepatitis C treatment by couples who inject drugs. Journal of Viral Hepatitis, 23, (2), pp. 89-95. DOI: 10.1111/jvh.12451 [RJ1127]

Fraser, S. (2013). The missing mass of morality: A new fitpack design for hepatitis C prevention in sexual partnerships. International Journal of Drug Policy, 24, pp. 212-219. DOI: 10.1016/j.drugpo.2013.03.009 [RJ]