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Optimización de la atención comunitaria de la hepatitis B y C para personas con inseguridad de vivienda

Vanessa Schick¹, Abigail Grace¹, F Tiffany Quan¹

¹School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, USA.

Cancer control : journal of the Moffitt Cancer Center

|September 4, 2025

Resumen

El alcance comunitario alcanzó efectivamente a casi 2000 personas con alto riesgo de infecciones por hepatitis B y C (VHB/VHC). En esta población vulnerable, los diferentes sitios de compromiso satisfacían mejor las necesidades específicas, como el tratamiento contra el VHC o la vacunación contra el VHB.

Área de la Ciencia:

Salud pública
Enfermedades infecciosas
Equidad en salud

Sus antecedentes:

La hepatitis B y C (VHB/VHC) afecta de manera desproporcionada a las personas con antecedentes de consumo de sustancias y personas sin hogar.
La participación de estas poblaciones de alto riesgo en las pruebas y el tratamiento del VHB/VHC presenta desafíos significativos.

Objetivo del estudio:

Describir un enfoque basado en la comunidad (GRASSROOTS HEALTH) para la prevención y el tratamiento del VHB/VHC.
Comparar la efectividad de varios tipos de sitios de participación para llegar y involucrar a esta población de alta necesidad.

Principales métodos:

Un estudio observacional retrospectivo que analiza los datos de GRASSROOTS HEALTH, lanzado en 2018.
Los servicios incluyeron pruebas in situ, vacunación contra el VHB, navegación de tratamiento y apoyo a la adherencia en diversos centros de alojamiento y recepción.
Los resultados se rastrearon a través de REDCap y se analizaron por sitio de participación.

Principales resultados:

Casi 2000 clientes fueron alcanzados a través del programa GRASSROOTS HEALTH.
Los centros de acogida mostraron la mayor necesidad de tratamiento contra el VHC, mientras que los sitios de vivienda de bajos ingresos / de apoyo tuvieron la mayor demanda de vacunación contra el VHB.
Todos los sitios de participación demostraron un alto rendimiento del esfuerzo en cuanto a las necesidades de los participantes para la vacunación contra el VHB y el tratamiento contra el VHC/VHB.

Conclusiones:

La participación comunitaria a través de centros de vivienda y servicios es efectiva para llegar a las poblaciones que más necesitan servicios de VHB/VHC.
La adaptación de las estrategias de participación a tipos específicos de sitios puede optimizar el alcance para necesidades distintas, como el tratamiento del VHC frente a la vacunación contra el VHB.

Palabras clave:

trabajadores comunitarios de la salud Servicios de salud las personas sin hogar el alojamiento Enfermedades del hígado cuidado del paciente la pobreza Medicina preventiva para el cáncer la prevención primaria las viviendas públicas

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