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谈谈丙型肝炎:注射毒品的年轻人常见问题解答。

Talking About Hepatitis C: FAQs From Young Adults Who Inject Drugs.

作者信息

Knight Lauren L, Wagner Katherine, Leyva Yuridia, Bruce Veronica R, White Kirsten A M, Talamantes Yvonne S, Price Brittany, Page Kimberly, Carvour Martha L

机构信息

1 University of New Mexico Health Sciences Center, Albuquerque, NM, USA.

出版信息

Health Promot Pract. 2018 Nov;19(6):815-822. doi: 10.1177/1524839918799455. Epub 2018 Sep 18.

Abstract

INTRODUCTION

Young adults who inject drugs and live in rural communities are at high risk for hepatitis C virus (HCV) infection. Recent changes in HCV treatment must be communicated within these communities to improve access to care and reduce HCV transmission.

METHODS

Field workers in the ¡VÁLE! Hepatitis Treatment and Integrated Prevention Services study identified frequently asked questions (FAQs) posed by young-adult participants at high risk for HCV during screening and educational sessions. From 2016 to 2018, 183 young adults (44.3% women; 85.8% Latino/a) younger than 30 years who inject drugs and reside in Rio Arriba or Doña Ana counties in New Mexico were enrolled. The research team compiled deidentified questions during field enrollments.

RESULTS

FAQs were reviewed and categorized into four major domains, including risk/prevention, screening, treatment, and reinfection. FAQs were addressed by a team of medical and public health professionals, using the most current research and recommendations.

CONCLUSIONS

These FAQs address important gaps in HCV knowledge among young adults who are at high risk for infection. The FAQs also highlight the importance of risk reduction counseling provided by frontline public health providers as well as access to safe and effective HCV treatments for young adults who inject drugs.

摘要

引言

在农村社区注射毒品的年轻人感染丙型肝炎病毒(HCV)的风险很高。必须在这些社区内传达HCV治疗的最新变化,以改善医疗服务的可及性并减少HCV传播。

方法

“¡VÁLE!肝炎治疗与综合预防服务”研究中的现场工作人员确定了在筛查和教育课程期间,HCV高风险的年轻成年参与者提出的常见问题(FAQs)。2016年至2018年,招募了183名年龄小于30岁、在新墨西哥州里奥阿比县或多纳安娜县注射毒品并居住在当地的年轻人(44.3%为女性;85.8%为拉丁裔)。研究团队在现场招募期间汇总了匿名问题。

结果

对常见问题进行了审查,并分为四个主要领域,包括风险/预防、筛查、治疗和再感染。一个由医学和公共卫生专业人员组成的团队根据最新研究和建议回答了常见问题。

结论

这些常见问题解决了感染高风险的年轻人在HCV知识方面的重要差距。这些常见问题还凸显了一线公共卫生服务提供者提供降低风险咨询的重要性,以及为注射毒品的年轻人提供安全有效的HCV治疗的可及性。

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