Barriers of linkage to HCV viremia testing among people who inject drugs in Georgia

被引：3

作者：

Butsashvili, Maia ^{[1
,2
]}

Abzianidze, Tinatin ^{[1
,2
]}

Kamkamidze, George ^{[1
]}

Gulbiani, Lasha ^{[1
]}

Gvinjilia, Lia ^{[3
]}

Kuchuloria, Tinatin ^{[3
]}

Tskhomelidze, Irina ^{[3
]}

Gogia, Maka ^{[4
]}

Tsereteli, Maia ^{[5
]}

Miollany, Veronique ^{[6
]}

Kikvidze, Tamar ^{[6
]}

Shadaker, Shaun ^{[7
]}

Nasrullah, Muazzam ^{[7
]}

Averhoff, Francisco ^{[7
]}

机构：

[1] Hlth Res Union Clin NEOLAB, 8 Nutsubidze Str, GE-0177 Tbilisi, Georgia

[2] Univ Georgia, 77a MKostava Str, GE-0171 Tbilisi, Georgia

[3] TEPHINET, 9 Asatiani St, GE-0177 Tbilisi, Georgia

[4] Georgian Harm Reduct Network, 24 Shartava Str 3rd Floor,Apt 6, Tbilisi, Georgia

[5] Natl Ctr Dis Control & Publ Hlth, 99 Kakheti Highway, GE-0198 Tbilisi, Georgia

[6] Medecins Monde, 24 Paliashvili Str, GE-0179 Tbilisi, Georgia

[7] CDC, Div Viral Hepatitis, Natl Ctr HIV AIDS Viral Hepatitis STD & TB Preven, 1600 Clifton Rd, Atlanta, GA 30329 USA

来源：

SUBSTANCE ABUSE TREATMENT PREVENTION AND POLICY | 2022年 / 17卷 / 01期

关键词：

PWID; Diagnosis; HCV; Elimination; Barriers; HEPATITIS-C VIRUS; UNDERSTANDING BARRIERS; ELIMINATION PROGRAM; CARE; INFECTION; MODELS;

D O I：

10.1186/s13011-022-00438-6

中图分类号：

R194 [卫生标准、卫生检查、医药管理];

学科分类号：

摘要：

Background People who inject drugs (PWID) in Georgia have a high prevalence of hepatitis C virus antibody (anti-HCV). Access to care among PWID could be prioritized to meet the country's hepatitis C elimination goals. This study assesses barriers of linkage to HCV viremia testing among PWID in Georgia. Methods Study participants were enrolled from 13 harm reduction (HR) centers throughout Georgia. Anti-HCV positive PWID who were tested for viremia (complete diagnosis [CD]), were compared to those not tested for viremia within 90 days of screening anti-HCV positive (not complete diagnosis [NCD]). Convenience samples of CD and NCD individuals recorded at HR centers using beneficiaries' national ID were drawn from the National HCV Elimination Program database. Participants were interviewed about potential barriers to seeking care. Results A total of 500 PWID were enrolled, 245 CD and 255 NCD. CD and NCD were similar with respect to gender, age, employment status, education, knowledge of anti-HCV status, and confidence/trust in the elimination program (p > 0.05). More NCD (13.0%) than CD (7.4%) stated they were not sufficiently informed what to do after screening anti-HCV positive (p < 0.05). In multivariate analysis, HCV viremia testing was associated with perceived affordability of the elimination program (adjusted prevalence ratio = 8.53; 95% confidence interval: 4.14-17.62). Conclusions Post testing counselling and making hepatitis C services affordable could help increase HCV viremia testing among PWID in Georgia.

引用

页数：6

共 24 条

[1] Excellence in viral hepatitis elimination - Lessons from Georgia [J].