Calderon Yvette, Cowan Ethan, Schramm Christopher, Stern Sam, Brusalis Christopher, Iscoe Mark, Rahman Sara, Verma Rajesh, Leider Jason
Department of Emergency Medicine, Jacobi Medical Center, Bronx, NY, USA; Department of Emergency Medicine, Albert Einstein College of Medicine, Bronx, NY, USA.
Department of Emergency Medicine, Jacobi Medical Center, Bronx, NY, USA; Department of Emergency Medicine, Albert Einstein College of Medicine, Bronx, NY, USA.
Prev Med. 2014 Apr;61:29-33. doi: 10.1016/j.ypmed.2013.12.026. Epub 2013 Dec 29.
Hepatitis C and hepatitis B are public health problems in the United States and remain largely undiagnosed. In response to the availability of rapid, point of care hepatitis tests, we assessed hepatitis knowledge and acceptability of hepatitis testing during an emergency department (ED) or pharmacy visit.
From June 2010 to May 2011, an anonymous prospective survey was administered to a convenience sample of New York City ED patients and pharmacy clients.
The study population (N=2078) was 54% female, 36% Hispanic and 41% black. Mean age was 39, SD ± 15 years. The majority (72%;1480/2,2060) of the participants responded that they would get tested if free testing were offered, and 67% (1272/1912) of those responded that they would test for hepatitis B/C in conjunction with HIV. Participants who had previously tested for hepatitis had higher mean knowledge scores than those who had never tested. Pharmacy clients, those of black race, and those with higher mean knowledge scores would be more willing to accept hepatitis B/C testing if offered.
Urban ED patients and pharmacy clients were receptive to hepatitis testing. Most individuals would elect to be tested for hepatitis with HIV, which raises the possibility of integrated testing.
丙型肝炎和乙型肝炎在美国是公共卫生问题,且很大程度上仍未得到诊断。针对快速即时护理肝炎检测的可得性,我们评估了在急诊科(ED)就诊或在药房购药期间患者的肝炎知识以及对肝炎检测的接受度。
2010年6月至2011年5月,对纽约市急诊科患者和药房顾客的便利样本进行了一项匿名前瞻性调查。
研究人群(N = 2078)中女性占54%,西班牙裔占36%,黑人占41%。平均年龄为39岁,标准差±15岁。大多数参与者(72%;1480/2060)表示,如果提供免费检测,他们会接受检测,其中67%(1272/1912)的人表示会同时检测乙型/丙型肝炎和艾滋病毒。之前接受过肝炎检测的参与者的平均知识得分高于从未检测过的人。如果提供检测,药房顾客、黑人以及平均知识得分较高的人更愿意接受乙型/丙型肝炎检测。
城市急诊科患者和药房顾客愿意接受肝炎检测。大多数人会选择同时检测肝炎和艾滋病毒,这增加了联合检测的可能性。