丙型肝炎病毒筛查趋势：2016 年全国健康访谈调查更新。
Hepatitis C virus screening trends: A 2016 update of the National Health Interview Survey.
机构信息
Moffitt Cancer Center, Department of Health Outcomes and Behavior, 4115 E. Fowler Ave., Tampa, FL 33617, United States; Moffitt Cancer Center, Center for Immunization and Infection Research in Cancer, 12902 USF Magnolia Drive, Tampa, FL 33612, United States.
Moffitt Cancer Center, Center for Immunization and Infection Research in Cancer, 12902 USF Magnolia Drive, Tampa, FL 33612, United States; Moffitt Cancer Center, Department of Cancer Epidemiology, 12902 USF Magnolia Drive, Tampa, FL 33612, United States.
出版信息
Cancer Epidemiol. 2019 Jun;60:112-120. doi: 10.1016/j.canep.2019.03.007. Epub 2019 Apr 3.
BACKGROUND
50% of liver cancer is caused by hepatitis C virus (HCV). Baby boomers are at increased risk and are recommended for one-time HCV screening. However, <13% of baby boomers were screened in 2015.
MATERIALS AND METHODS
We are updating a previous study using 2013-2015 NHIS data to examine HCV screening prevalence by birth cohort, with 2016 data. We used logistic regression to evaluate whether HCV screening prevalence changed over time, stratified by birth cohort.
RESULTS AND DISCUSSION
The sample consisted of 132,742 participants from 2013-2016. Screening increased in baby boomers from 11.9 to 14.1%. Odds of HCV screening for baby boomers was significantly associated with age, gender, race/ethnicity, and other variables and increased significantly with each subsequent year (aOR = 1.21, aOR = 1.33, aOR = 1.42, consecutively). While HCV screening is increasing over time, there is still room for improvement and future interventions should focus on increasing HCV screening among groups demonstrating significantly lower screening prevalence.
背景
50%的肝癌是由丙型肝炎病毒（HCV）引起的。婴儿潮一代的风险增加，建议进行一次性 HCV 筛查。然而，在 2015 年，只有不到 13%的婴儿潮一代接受了筛查。
材料和方法
我们正在使用 2013-2015 年 NHIS 数据更新之前的研究，以检查按出生队列划分的 HCV 筛查流行率，并结合 2016 年的数据。我们使用逻辑回归来评估 HCV 筛查流行率是否随时间推移而变化，按出生队列分层。
结果与讨论
样本包括 2013-2016 年的 132742 名参与者。婴儿潮一代的筛查率从 11.9%上升到 14.1%。婴儿潮一代 HCV 筛查的可能性与年龄、性别、种族/民族和其他变量显著相关，并且随着每一年的增加而显著增加（OR=1.21，OR=1.33，OR=1.42，连续）。虽然 HCV 筛查的比例随着时间的推移而增加，但仍有改进的空间，未来的干预措施应重点关注增加 HCV 筛查的比例，以提高在筛查比例明显较低的群体中的 HCV 筛查。
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