在城市县监狱系统中对肝炎C治疗准备的混合方法评估
Shelley N Facente1,2, Katie Burk1, David Leiva3
1Facente Consulting, Richmond, California, USA.
概括
型肝炎病毒 (HCV) 不成比例地影响被监禁的人. 这项研究发现,许多被监禁的HCV患者可以在监狱中治愈,患者和工作人员都希望在监狱中接受治疗.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 纠正 医疗保健 医疗保健
背景情况:
- 肝炎C病毒 (HCV) 对被监禁人口产生重大影响.
- 监狱系统为HCV管理带来了独特的挑战和机会.
研究的目的:
- 在县监狱中对抗HCV抗体阳性个体进行表征.
- 评估监禁患者和医疗保健工作人员对监狱HCV治疗扩展的准备程度.
主要方法:
- 对HCV抗体和病毒载荷测试数据 (2016-2021) 的回顾性队列分析.
- 后勤回归用于识别与新的HCV诊断相关的因素.
- 对31名被监禁者和6名监狱卫生工作人员的半结构面试进行主题分析.
主要成果:
- 在6282名受试者中,有1.3% (79人) 患有活跃的HCV感染,有资格治愈,但没有接受治疗.
- 接受采访的36%的监禁人员更喜欢在监狱中接受HCV治疗.
- 监狱卫生服务人员表达了普遍的准备和愿意提供HCV治疗,等待预算拨款.
结论:
- 在监狱环境中可以有效地诊断和治疗HCV.
- 无论是被监禁的人还是医疗保健提供者,都支持并希望监狱为基础的HCV治疗计划.
- 解决障碍和利用促进者是扩大监狱HCV治疗规模的关键.
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