在美国一个大城市的试用期成年人中,C型肝炎相关的知识和态度
Matthew S Minturn1, Kevin F Kamis2, David L Wyles3
1Division of General Internal Medicine, Denver Health and Hospital Authority, 660 N. Bannock St. Ste. 7144, Denver, CO, 80204, USA. matthew.minturn@dhha.org.
Health & justice
|July 11, 2024
概括
在试用期的成年人中,对C型肝炎病毒 (HCV) 的了解很低,许多人不知道它的无症状性质或再感染的可能性. 有针对性的干预措施对于改善HCV检测,治疗准入和减少这一群体偏见至关重要.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 型肝炎病毒 (HCV) 严重影响美国人口,对刑事司法系统中的个人造成不成比例的负担.
- 在试用期的成年人中,关于HCV治疗的知识和态度仍未得到充分研究.
- 这项研究解决了在这个脆弱人群中了解HCV知识和治疗观念的差距.
研究的目的:
- 评估试用期成年人对HCV及其治疗的一般知识.
- 评估对HCV治疗的态度,包括潜在的医疗不信任.
- 为了确定与以前的HCV检测,治疗和当前HCV感染相关的因素.
主要方法:
- 在科罗拉多州丹佛,对402名缓刑成年人进行了横截面调查.
- 参与者获得了现场HCV检测和链接服务.
- 使用双变量和多变量逻辑回归分析来确定相关因素.
主要成果:
- 很大一部分参与者缺乏关于HCV的基本知识,包括其无症状性质 (46%),缺乏疫苗 (19%) 和再次感染的可能性 (47%).
- 副作用 (9%) 和成本 (10%) 等障碍是最小的,但对种族差异的信念 (59%) 和对物质使用者的不公平待遇 (35%) 是常见的.
- 较高的HCV知识和自我报告的注射药物使用与先前HCV检测的增加有关. 增加的知识也显示出与当前的HCV抗体阳性有着小的积极关联.
结论:
- 干预措施是必要的,以提高试用人口中的HCV知识.
- 改善获得HCV检测和治疗的机会至关重要.
- 解决与HCV和物质使用有关的偏见对于有效的公共卫生战略至关重要.
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