Barriers to Hepatitis C Screening in a Minority Population: A Comparison of Hepatitis C and Human Immunodeficiency Virus Screening Rates at a Community STD Clinic in Miami, Florida.

Barriers to Hepatitis C Screening in a Minority Population: A Comparison of Hepatitis C and Human Immunodeficiency Virus Screening Rates at a Community STD Clinic in Miami, Florida.
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DOI:
10.1007/s10900-017-0335-6
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发表时间:
2017-10
影响因子:
5.9
通讯作者:
Thomas E
Thomas E
中科院分区:
医学4区
文献类型:
--
作者:
Feldman EB;Balise R;Schiff E;Whitehead N;Thomas E

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在佛罗里达州迈阿密的一家免费性病诊所,对357名患者进行了HCV筛查。进行调查,评估传染病传播的风险因素,以及HCV和HIV筛查史。15.1%的参与者之前接受过HCV筛查,而83.8%的参与者接受过HIV筛查(n = 356)。在既往接受过HCV筛查的患者(n = 54)中,98.2%的患者既往也接受过HIV筛查。该数据显示,在佛罗里达州迈阿密的高危人群中,既往接受过HCV筛查的患病率较低。既往接受过HIV筛查的参与者更有可能报告接受过HCV筛查。尽管HCV的流行率很高,但大多数HCV感染未被诊断。在美国,HIV的死亡率一直在下降,而HCV的死亡率却在上升。为了降低HCV相关的死亡率,我们建议在HIV筛查的同时提供HCV筛查。
357 patients at a free STD clinic in Miami, FL were screened for HCV. Surveys were administered assessing risk factors for infectious disease transmission, and HCV and HIV screening history. 15.1% of participants had been screened for HCV before whereas 83.8% had been screened for HIV (n = 356). Of the patients previously screened for HCV (n = 54), 98.2% of these patients had previously been screened for HIV as well. This data shows the low prevalence of prior HCV screenings in a high-risk population in Miami, FL. Participants who had previously received an HIV screening test were more likely to report receiving a prior HCV screening. Despite the high prevalence of HCV, most HCV infections are undiagnosed. Mortality from HIV has been declining in the United States while mortality from HCV is increasing. To decrease HCV related mortality, we recommend offering HCV screening in conjunction with HIV screening.
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