使用同行推广来识别注射器服务计划客户的C型肝炎感染
Journal of health care for the poor and underserved
|August 18, 2025
概括
同行工作者在注射器服务计划中提供型肝炎检测,但只有5%的客户接受. 这种低吸收率表明需要改进这种高风险人群中查C型肝炎的策略.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 成 药物 药物 药物 药物
背景情况:
- 型肝炎病毒 (HCV) 感染仍然是一个重大的公共卫生问题,特别是在注射药物使用者 (PWID) 中.
- 注射器服务计划 (SSP) 对于达到PWID的危害减轻服务至关重要,包括对传染病的测试.
- 在这个人群中增加HCV检测的普及对于早期诊断和治疗至关重要.
研究的目的:
- 在SSP中评估同行领导的基于货车的型肝炎C检测策略的有效性.
- 在注射器服务计划的客户中识别HCV检测接受障碍.
主要方法:
- 一个注射器服务计划培训了同行工作者,为客户提供快速的,现场的型肝炎C抗体测试.
- 数据从2019年8月至2020年3月和2021年6月至2022年3月收集.
- 记录了客户同意率和拒绝原因.
主要成果:
- 在573名被接触的客户中,只有28人 (5%) 同意接受C型肝炎检测.
- 拒绝的主要原因包括先前测试,缺乏时间和缺乏感知风险.
- 在28名受试者中,有9人 (32%) 对型肝炎抗体呈阳性结果.
结论:
- 目前的同行测试策略在SSP客户中表现出较低的接受率.
- 需要对测试方法进行重大调整,以改善参与,并增加这种脆弱人群中的C型肝炎查.
- 对定制干预措施的进一步研究是有必要的,以提高PWID中HCV检测的普及率.
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