Relationship of hepatitis C risk to hepatitis C test acceptance among adult patients participating in an ED hepatitis C screening programme
| Autor: | Ethan Cowan, Samantha Brandspiegel, Benjamin Araki, Clare O'Brien-Lambert, Roland Merchant, David G Buckler, Erick Eiting, Yvette Calderon |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Emergency Medicine Journal. 40:341-346 |
| ISSN: | 1472-0213 1472-0205 |
| DOI: | 10.1136/emermed-2022-212726 |
| Popis: | BackgroundIt is possible that adult ED patients consider their hepatitis C virus (HCV) risk factor history when deciding whether to accept HCV screening. To help address this question, we examined whether self-reporting any HCV risk was more common among ED patients who agreed than who declined HCV screening. Among ED patients who agreed to HCV screening, we also assessed if self-reporting any HCV risk was more common among those whose HCV antibody (Ab) and HCV viral load (VL) test results were positive.MethodsThis study was conducted among adult patients ≥18 years old participating in a universal, ED-based HCV screening programme in New York City between 22 January 2019 and 9 April 2020. Participants were surveyed about their HCV risk factors. Differences in the frequencies of self-reporting any HCV risk were compared according to HCV screening acceptance and by HCV Ab and VL status.ResultsOf the 4658 ED patients surveyed, 2846 (61%) accepted and 1812 (39%) declined HCV screening. Among these participants, 38% reported at least one HCV risk factor, most commonly injection drug use. Self-reporting any HCV risk was not more common among those who accepted versus declined HCV screening (40% vs 37%, pConclusionHCV risk factors were self-reported by more than one-third of ED patients but were not more commonly present among those who accepted HCV screening. |
| Databáze: | OpenAIRE |
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