Community-based HCV screening: knowledge and attitudes in a high risk urban population.
Community-based HCV screening: knowledge and attitudes in a high risk urban population.
复制标题
基于社区的HCV筛查：高风险城市人口的知识和态度。
DOI：
10.1186/1471-2334-14-74
复制
发表时间：
2014-02-10
影响因子：
3.7
通讯作者：
Stout JE
中科院分区：
文献类型：
--
作者：
Norton BL;Voils CI;Timberlake SH;Hecker EJ;Goswami ND;Huffman KM;Landgraf A;Naggie S;Stout JE
在美国，为了减少未确诊丙型肝炎病毒（HCV）的发病率和死亡率的上升，筛查指南已扩大到高危人群和1945-1965年出生的人。以社区为基础的筛查可能是覆盖这些人的一种战略；然而，当许多高危人群可能无法获得HCV特异性药物时，丙型肝炎病毒检测的接受程度仍然未知。我们开始在几个为高危人群服务的社区检测点评估人们对HCV筛查的态度和对HCV疾病的了解。该评估与简短的HCV教育干预相结合，随后进行教育后评估。参与者（n = 140）在五个地点接受调查；两个流浪者收容所，两个戒毒中心，还有一个妇女收容中心。个人对丙型肝炎病毒检测的接受程度几乎是一致的，90%的参与者报告说，即使他们无法接受丙型肝炎病毒治疗，他们仍然希望接受检测。丙型肝炎基本知识贫乏；然而，当明确说明医疗获取问题时，简短的教育干预显著提高了知识水平，提高了检测的可接受性。尽管在获得护理和治疗方面存在不一致性，但高危社区希望了解自己的丙型肝炎病毒状况。虽然这一人群对丙型肝炎病毒的基线知识较差，但简短的现场教育干预提高了丙型肝炎病毒检测和护理的知识和可接受性。这些数据支持建立以社区为基础的筛查项目，也为边缘化社区接受最近扩大的筛查指南的实施提供了初步证据。
In an attempt to curtail the rising morbidity and mortality from undiagnosed HCV (hepatitis C virus) in the United States, screening guidelines have been expanded to high-risk individuals and persons born 1945–1965. Community-based screening may be one strategy in which to reach such persons; however, the acceptance of HCV testing, when many high-risk individuals may not have access to HCV specific medications, remains unknown. We set out to assess attitudes about HCV screening and knowledge about HCV disease at several community-based testing sites that serve high-risk populations. This assessment was paired with a brief HCV educational intervention, followed by post-education evaluation. Participants (n = 140) were surveyed at five sites; two homeless shelters, two drug rehabilitation centers, and a women’s "drop-in" center. Personal acceptance of HCV testing was almost unanimous, and 90% of participants reported that they would still want to be tested even if they were unable to receive HCV treatment. Baseline hepatitis C knowledge was poor; however, the brief educational intervention significantly improved knowledge and increased acceptability of testing when medical access issues were explicitly stated. Despite inconsistencies in access to care and treatment, high-risk communities want to know their HCV status. Though baseline HCV knowledge was poor in this population, a brief on-site educational intervention improved both knowledge and acceptability of HCV testing and care. These data support the establishment of programs that utilize community-based screening, and also provide initial evidence for acceptance of the implementation of the recently expanded screening guidelines among marginalized communities.
登录
查看更多内容
影响因子：
3.3
作者：
Hagan, Holly;Campbell, Jennifer;Garfein, Richard S.
通讯作者：
Garfein, Richard S.
影响因子：
25.7
作者：
Cheng, Wendy S. C.;Roberts, Stuart K.;Dore, Gregory J.
通讯作者：
Dore, Gregory J.
影响因子：
4.4
作者：
O'Brien, Susannah;Day, Carolyn;Dolan, Kate
通讯作者：
Dolan, Kate
DOI：
10.1111/liv.12150
发表时间：
2013-08
期刊：
Liver international : official journal of the International Association for the Study of the Liver
影响因子：
--
作者：
Lubega S;Agbim U;Surjadi M;Mahoney M;Khalili M
通讯作者：
Khalili M
影响因子：
11.8
作者：
Doab, A;Treloar, C;Dore, GJ
通讯作者：
Dore, GJ