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CDC Screening Recommendation for Baby Boomers and Hepatitis C Virus Testing in the US Military Health System

Janna Manjelievskaia1, Derek Brown1, Craig D Shriver1,2

  • 11 John P. Murtha Cancer Center, Walter Reed National Military Medical Center, Rockville, MD, USA.

Public Health Reports (Washington, D.C. : 1974)
|August 3, 2017
PubMed

Insights

Hepatitis C virus (HCV) screening increased slightly in the Military Health System after CDC recommendations for baby boomers. Interventions are needed to boost testing awareness and provider screening.

Area of Science:

  • Hepatology
  • Public Health
  • Epidemiology

Background:

  • Chronic hepatitis C virus (HCV) is a prevalent blood-borne infection in the US.
  • An estimated 2.7 to 3.9 million Americans were living with HCV in 2014.
  • The Centers for Disease Control and Prevention (CDC) issued a universal screening recommendation for baby boomers in August 2012.

Purpose of the Study:

  • To determine the proportion of individuals screened for HCV within the US Department of Defense Military Health System.
  • To compare HCV screening rates before and after the 2012 CDC recommendation for baby boomers.
  • To assess patient and system factors associated with HCV screening.

Main Methods:

  • Analysis of a 5% random sample of Military Health System beneficiaries.
  • Inclusion of medical claims data from July 2011 to September 2013.
  • Comparison of screening rates and associated factors in two periods: pre-recommendation (July 2011-July 2012) and post-recommendation (September 2012-September 2013).

Main Results:

  • HCV screening rates were 1.7% before the recommendation and 2.4% after.
  • Screening was associated with benefit type (Prime) and care source (direct care) in both periods.
  • Male sex and Black race were associated with testing only before the August 2012 recommendation.

Conclusions:

  • A modest increase in HCV screening occurred post-recommendation, but rates remain low.
  • Enhanced interventions are necessary to increase awareness of national HCV testing guidelines among baby boomers.
  • Improved provider knowledge and performance of screening are crucial for increasing HCV detection rates.
Abstract

Keywords:
clinical practice guidelineshepatitis C virusscreening

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