Oral Prescription Opioids as a High-Risk Indicator for Hepatitis C Infection: Another Step Toward HCV Elimination

Autor: Benjamin Hack, Utsav Timalsina, Eshetu Tefera, Brittany Wilkerson, Emily Paku, Stephen Fernandez, Dawn Fishbein
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Primary Care & Community Health, Vol 12 (2021)
Druh dokumentu: article
ISSN: 2150-1327
21501327
DOI: 10.1177/21501327211034379
Popis: Background The opioid epidemic across the U.S. poses an array of public health concerns, especially HCV transmission. HCV is now widely curable, yet incident rates are increasing due to the opioid epidemic. Despite the established trajectory from oral prescription opioids (OPOs) to opioid use disorder (OUD), OUD to injection drug use (IDU), and IDU to hepatitis C virus (HCV), OPOs are not a defined risk factor (RF) for HCV infection. The objective of this study was to observe rates of HCV testing and Ab reactivity (HCVAb+) in patients receiving OPOs to substantiate them as a RF, ultimately contributing to HCV elimination. Methods Data from MedStar Health patients receiving OPOs from 1/2017 to 12/2018 were collected and analyzed using chi-squared or student t -tests and logistic regression for uni- or multi-variable analyses, respectively. Statistical significance was defined as P
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