The role of barriers to care on the propensity for hepatitis C virus nonreferral among people living with HIV
Twenty-five percent of HIV/hepatitis C virus (HCV) coinfected patients were not referred for HCV treatment despite unrestricted access in California to direct-acting antivirals (DAA) in 2018. Having unstable housing and ongoing drug use directly affected HCV treatment nonreferral. However, psychiatr...
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Veröffentlicht in: | AIDS (London) 2020-09, Vol.34 (11), p.1681-1683 |
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container_issue | 11 |
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container_title | AIDS (London) |
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creator | Cachay, Edward R. Torriani, Francesca J. Hill, Lucas Jain, Sonia Del Real, Azucena Qin, Huifang Martin, Natasha Mathews, William C. |
description | Twenty-five percent of HIV/hepatitis C virus (HCV) coinfected patients were not referred for HCV treatment despite unrestricted access in California to direct-acting antivirals (DAA) in 2018. Having unstable housing and ongoing drug use directly affected HCV treatment nonreferral. However, psychiatric history and alcohol use impacted HCV treatment nonreferral through the mediation of not being engaged in HIV care. Achieving HCV elimination requires DAA treatment outside conventional health settings, including substance rehabilitation centers, mental health crisis houses, and homeless shelters. |
doi_str_mv | 10.1097/QAD.0000000000002610 |
format | Article |
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Having unstable housing and ongoing drug use directly affected HCV treatment nonreferral. However, psychiatric history and alcohol use impacted HCV treatment nonreferral through the mediation of not being engaged in HIV care. Achieving HCV elimination requires DAA treatment outside conventional health settings, including substance rehabilitation centers, mental health crisis houses, and homeless shelters.</description><identifier>ISSN: 0269-9370</identifier><identifier>EISSN: 1473-5571</identifier><identifier>DOI: 10.1097/QAD.0000000000002610</identifier><identifier>PMID: 32769765</identifier><language>eng</language><publisher>England: Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Antiviral Agents - therapeutic use ; California ; Coinfection - epidemiology ; Continuity of Patient Care ; Delivery of Health Care, Integrated - organization & administration ; Health Services Accessibility ; Hepacivirus - isolation & purification ; Hepatitis C - complications ; Hepatitis C - drug therapy ; Hepatitis C - epidemiology ; HIV Infections - complications ; HIV Infections - drug therapy ; HIV Infections - epidemiology ; Housing ; Humans ; Referral and Consultation - statistics & numerical data ; Substance-Related Disorders - complications</subject><ispartof>AIDS (London), 2020-09, Vol.34 (11), p.1681-1683</ispartof><rights>Wolters Kluwer Health, Inc. 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Having unstable housing and ongoing drug use directly affected HCV treatment nonreferral. However, psychiatric history and alcohol use impacted HCV treatment nonreferral through the mediation of not being engaged in HIV care. Achieving HCV elimination requires DAA treatment outside conventional health settings, including substance rehabilitation centers, mental health crisis houses, and homeless shelters.</description><subject>Antiviral Agents - therapeutic use</subject><subject>California</subject><subject>Coinfection - epidemiology</subject><subject>Continuity of Patient Care</subject><subject>Delivery of Health Care, Integrated - organization & administration</subject><subject>Health Services Accessibility</subject><subject>Hepacivirus - isolation & purification</subject><subject>Hepatitis C - complications</subject><subject>Hepatitis C - drug therapy</subject><subject>Hepatitis C - epidemiology</subject><subject>HIV Infections - complications</subject><subject>HIV Infections - drug therapy</subject><subject>HIV Infections - epidemiology</subject><subject>Housing</subject><subject>Humans</subject><subject>Referral and Consultation - statistics & numerical data</subject><subject>Substance-Related Disorders - complications</subject><issn>0269-9370</issn><issn>1473-5571</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkGtLwzAUhoMobk7_gUj-QGeuTfNxzMsGAxGmX0vapjbaNiXJNvbvjc4bni-H857zvhweAC4xmmIkxfXj7GaK_hRJMToCY8wETTgX-BiMoyYTSQUagTPvX-MRR1l2CkaUiFSKlI9Bt240dLbV0NawUM4Z7TwMFpbKRa2HIe4HZwfdexP2sLYONnpQwQTj4Rxujdt42Nve6Vo7p1qoOtu_wEHbIYa2ZmvitDOhgYvl8zk4qVXr9cVXn4Cnu9v1fJGsHu6X89kqKanMSJLSulCKpyUTSnBSFBWtOFUZLiXjpSwyxnGqNBKSE6YEQ7TESlZMoowUhKZ0Atght3TW-_haPjjTKbfPMco_6OWRXv6fXrRdHWzDpuh09WP6xvWbu7NtiKDe2s1Ou7zRqg3NZx5BFCUkNiQRRklUMKHv-aN6Jw</recordid><startdate>20200901</startdate><enddate>20200901</enddate><creator>Cachay, Edward R.</creator><creator>Torriani, Francesca J.</creator><creator>Hill, Lucas</creator><creator>Jain, Sonia</creator><creator>Del Real, Azucena</creator><creator>Qin, Huifang</creator><creator>Martin, Natasha</creator><creator>Mathews, William C.</creator><general>Wolters Kluwer Health, Inc. 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Having unstable housing and ongoing drug use directly affected HCV treatment nonreferral. However, psychiatric history and alcohol use impacted HCV treatment nonreferral through the mediation of not being engaged in HIV care. Achieving HCV elimination requires DAA treatment outside conventional health settings, including substance rehabilitation centers, mental health crisis houses, and homeless shelters.</abstract><cop>England</cop><pub>Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>32769765</pmid><doi>10.1097/QAD.0000000000002610</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Antiviral Agents - therapeutic use California Coinfection - epidemiology Continuity of Patient Care Delivery of Health Care, Integrated - organization & administration Health Services Accessibility Hepacivirus - isolation & purification Hepatitis C - complications Hepatitis C - drug therapy Hepatitis C - epidemiology HIV Infections - complications HIV Infections - drug therapy HIV Infections - epidemiology Housing Humans Referral and Consultation - statistics & numerical data Substance-Related Disorders - complications |
title | The role of barriers to care on the propensity for hepatitis C virus nonreferral among people living with HIV |
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