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Evaluating peer-supported screening as a hepatitis C case-finding model in prisoners
BACKGROUND: Hepatitis C Virus (HCV) infection is endemic in prison populations, and HCV management in prisons is suboptimal. Incarceration is a public health opportunity to target this cohort. Community peer support increases HCV screening and treatment uptake. Prison peer workers have the potential...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6612120/ https://www.ncbi.nlm.nih.gov/pubmed/31277665 http://dx.doi.org/10.1186/s12954-019-0313-7 |
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author | Crowley, Desmond Murtagh, Ross Cullen, Walter Keevans, Mary Laird, Eamon McHugh, Tina McKiernan, Susan Miggin, Sarah Jayne O’Connor, Eileen O’Reilly, Deirdre Betts-Symonds, Graham Tobin, Ciara Van Hout, Marie Claire Lambert, John S. |
author_facet | Crowley, Desmond Murtagh, Ross Cullen, Walter Keevans, Mary Laird, Eamon McHugh, Tina McKiernan, Susan Miggin, Sarah Jayne O’Connor, Eileen O’Reilly, Deirdre Betts-Symonds, Graham Tobin, Ciara Van Hout, Marie Claire Lambert, John S. |
author_sort | Crowley, Desmond |
collection | PubMed |
description | BACKGROUND: Hepatitis C Virus (HCV) infection is endemic in prison populations, and HCV management in prisons is suboptimal. Incarceration is a public health opportunity to target this cohort. Community peer support increases HCV screening and treatment uptake. Prison peer workers have the potential to support the engagement of prisoners with health services and reduce stigma. This study’s primary aim is to evaluate peer-supported screening as a model of active HCV case finding with a secondary aim to describe the HCV cascade among those infected including linkage to care and treatment outcomes. METHODS: An observational study was conducted in a medium-security Irish male prison housing 538 inmates, using a risk-based questionnaire, medical records, peer-supported screening, laboratory-based HCV serology tests and mobile elastography. RESULTS: A prison peer-supported screening initiative engaged large numbers of prisoners in HCV screening (n = 419). The mean age of participants was 32.8 years, 92% were Irish and 33% had a history of injecting drug use. Multiple risk factors for HCV acquisition were identified including needle sharing (16%). On serological testing, 87 (21%) were HCV Ab +ve and 50 (12%) were HCV RNA +ve of whom 80% were fibroscaned (25% showing evidence of liver disease). Eighty-six percent of those with active infection were linked with HCV care, with 33% undergoing or completing treatment. There was a high concordance with HCV disclosure at committal and serological testing (96% for HCV Ab +ve and 89% for HCV Ab −ve). CONCLUSION: Peer-supported screening is an effective active HCV case-finding model to find and link prisoners with untreated active HCV infection to HCV care. |
format | Online Article Text |
id | pubmed-6612120 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-66121202019-07-16 Evaluating peer-supported screening as a hepatitis C case-finding model in prisoners Crowley, Desmond Murtagh, Ross Cullen, Walter Keevans, Mary Laird, Eamon McHugh, Tina McKiernan, Susan Miggin, Sarah Jayne O’Connor, Eileen O’Reilly, Deirdre Betts-Symonds, Graham Tobin, Ciara Van Hout, Marie Claire Lambert, John S. Harm Reduct J Research BACKGROUND: Hepatitis C Virus (HCV) infection is endemic in prison populations, and HCV management in prisons is suboptimal. Incarceration is a public health opportunity to target this cohort. Community peer support increases HCV screening and treatment uptake. Prison peer workers have the potential to support the engagement of prisoners with health services and reduce stigma. This study’s primary aim is to evaluate peer-supported screening as a model of active HCV case finding with a secondary aim to describe the HCV cascade among those infected including linkage to care and treatment outcomes. METHODS: An observational study was conducted in a medium-security Irish male prison housing 538 inmates, using a risk-based questionnaire, medical records, peer-supported screening, laboratory-based HCV serology tests and mobile elastography. RESULTS: A prison peer-supported screening initiative engaged large numbers of prisoners in HCV screening (n = 419). The mean age of participants was 32.8 years, 92% were Irish and 33% had a history of injecting drug use. Multiple risk factors for HCV acquisition were identified including needle sharing (16%). On serological testing, 87 (21%) were HCV Ab +ve and 50 (12%) were HCV RNA +ve of whom 80% were fibroscaned (25% showing evidence of liver disease). Eighty-six percent of those with active infection were linked with HCV care, with 33% undergoing or completing treatment. There was a high concordance with HCV disclosure at committal and serological testing (96% for HCV Ab +ve and 89% for HCV Ab −ve). CONCLUSION: Peer-supported screening is an effective active HCV case-finding model to find and link prisoners with untreated active HCV infection to HCV care. BioMed Central 2019-07-05 /pmc/articles/PMC6612120/ /pubmed/31277665 http://dx.doi.org/10.1186/s12954-019-0313-7 Text en © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Crowley, Desmond Murtagh, Ross Cullen, Walter Keevans, Mary Laird, Eamon McHugh, Tina McKiernan, Susan Miggin, Sarah Jayne O’Connor, Eileen O’Reilly, Deirdre Betts-Symonds, Graham Tobin, Ciara Van Hout, Marie Claire Lambert, John S. Evaluating peer-supported screening as a hepatitis C case-finding model in prisoners |
title | Evaluating peer-supported screening as a hepatitis C case-finding model in prisoners |
title_full | Evaluating peer-supported screening as a hepatitis C case-finding model in prisoners |
title_fullStr | Evaluating peer-supported screening as a hepatitis C case-finding model in prisoners |
title_full_unstemmed | Evaluating peer-supported screening as a hepatitis C case-finding model in prisoners |
title_short | Evaluating peer-supported screening as a hepatitis C case-finding model in prisoners |
title_sort | evaluating peer-supported screening as a hepatitis c case-finding model in prisoners |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6612120/ https://www.ncbi.nlm.nih.gov/pubmed/31277665 http://dx.doi.org/10.1186/s12954-019-0313-7 |
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