Division of Viral Hepatitis, Centers for Disease Control and Prevention (CDC), Atlanta, GA 30333, USA.
Am J Public Health. 2013 Jan;103(1):112-9. doi: 10.2105/AJPH.2012.300858. Epub 2012 Nov 15.
We estimated rates and determinants of hepatitis C virus (HCV) testing, infection, and linkage to care among US racial/ethnic minorities.
We analyzed the Racial and Ethnic Approaches to Community Health Across the US Risk Factor Survey conducted in 2009-2010 (n = 53,896 minority adults).
Overall, 19% of respondents were tested for HCV. Only 60% of those reporting a risk factor were tested, with much lower rates among Asians reporting injection drug use (40%). Odds of HCV testing decreased with age and increased with higher education. Of those tested, 8.3% reported HCV infection. Respondents with income of $75,000 or more were less likely to report HCV infection than those with income less than $25,000. College-educated non-Hispanic Blacks and Asians had lower odds of HCV infection than those who did not finish high school. Of those infected, 44.4% were currently being followed by a physician, and 41.9% had taken HCV medications.
HCV testing and linkage to care among racial/ethnic minorities are suboptimal, particularly among those reporting HCV risk factors. Socioeconomic factors were significant determinants of HCV testing, infection, and access to care. Future HCV testing and prevention activities should be directed toward racial/ethnic minorities, particularly those of low socioeconomic status.
我们评估了美国少数族裔中丙型肝炎病毒（HCV）检测、感染和与护理的关联率及其决定因素。
我们分析了 2009-2010 年在美国进行的种族和民族社区健康方法（REACH）风险因素调查（n = 53896 名少数族裔成年人）。
总体而言，19%的受访者接受了 HCV 检测。只有 60%报告有风险因素的人接受了检测，而报告使用注射毒品的亚洲人检测率要低得多（40%）。HCV 检测的可能性随着年龄的增长而降低，随着教育程度的提高而增加。在接受检测的人中，8.3%报告 HCV 感染。收入在 75000 美元或以上的受访者报告 HCV 感染的可能性低于收入低于 25000 美元的受访者。受过大学教育的非西班牙裔黑人和亚洲人感染 HCV 的几率低于未完成高中学业的人。在感染者中，44.4%目前正在接受医生的随访，41.9%接受了 HCV 药物治疗。
少数族裔的 HCV 检测和与护理的关联率不理想，特别是在报告 HCV 风险因素的人群中。社会经济因素是 HCV 检测、感染和获得护理的重要决定因素。未来的 HCV 检测和预防活动应针对少数族裔，特别是社会经济地位较低的人群。
