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迈阿密佛罗里达州社区 STD 诊所丙型肝炎和人类免疫缺陷病毒筛查率比较:少数民族人群丙型肝炎筛查障碍。

Barriers to Hepatitis C Screening in a Minority Population: A Comparison of Hepatitis C and Human Immunodeficiency Virus Screening Rates at a Community STD Clinic in Miami, Florida.

机构信息

University of Miami Miller School of Medicine, Miami, FL, USA.

University of Florida, Gainesville, FL, USA.

出版信息

J Community Health. 2017 Oct;42(5):921-925. doi: 10.1007/s10900-017-0335-6.

Abstract

METHODS

357 patients at a free STD clinic in Miami, FL were screened for HCV. Surveys were administered assessing risk factors for infectious disease transmission, and HCV and HIV screening history.

RESULTS

15.1% of participants had been screened for HCV before whereas 83.8% had been screened for HIV (n = 356). Of the patients previously screened for HCV (n = 54), 98.2% of these patients had previously been screened for HIV as well.

CONCLUSION

This data shows the low prevalence of prior HCV screenings in a high-risk population in Miami, FL. Participants who had previously received an HIV screening test were more likely to report receiving a prior HCV screening. Despite the high prevalence of HCV, most HCV infections are undiagnosed. Mortality from HIV has been declining in the United States while mortality from HCV is increasing. To decrease HCV related mortality, we recommend offering HCV screening in conjunction with HIV screening.

摘要

方法

在佛罗里达州迈阿密的一家免费性病诊所中,对 357 名患者进行了 HCV 筛查。进行了调查,以评估传染病传播的风险因素,以及 HCV 和 HIV 筛查史。

结果

15.1%的参与者之前接受过 HCV 筛查,而 83.8%接受过 HIV 筛查(n=356)。在之前接受过 HCV 筛查的患者中(n=54),98.2%的患者也接受过 HIV 筛查。

结论

该数据显示,在佛罗里达州迈阿密的高危人群中,之前 HCV 筛查的患病率较低。之前接受过 HIV 筛查测试的参与者更有可能报告之前接受过 HCV 筛查。尽管 HCV 的患病率很高,但大多数 HCV 感染仍未被诊断。美国的 HIV 死亡率一直在下降,而 HCV 的死亡率却在上升。为了降低 HCV 相关死亡率,我们建议在进行 HIV 筛查的同时提供 HCV 筛查。

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