Estimating the Prevalence of Advanced Fibrosis in Homeless Adults with Hepatitis C in Boston.
J Health Care Poor Underserved
; 31(1): 128-139, 2020.
Article
em En
| MEDLINE
| ID: mdl-32037322
ABSTRACT
BACKGROUND AND AIMS:
Hepatitis C virus (HCV) infection is highly prevalent among homeless individuals, but the scope of HCV-associated liver fibrosis in this population is poorly understood.METHODS:
Using the FIB-4 Index, we describe the prevalence and correlates of advanced fibrosis among a retrospective cohort of all homeless-experienced adults with HCV seen at Boston Health Care for the Homeless Program (BHCHP) over a one-year period.RESULTS:
Of 832 BHCHP patients with HCV, 15.8% had advanced fibrosis. In multivariable regression analysis, alcohol use disorder (adjusted odds ratio [aOR] 2.50, 95% confidence interval [CI] 1.65-3.81) and having unknown or poorly characterized housing circumstances (aOR 2.88, 95% CI 1.02-8.14, relative to housed patients) were independently associated with advanced fibrosis.CONCLUSIONS:
The prevalence of advanced fibrosis in this cohort of homeless adults with HCV appears similar to national estimates among housed individuals, but their psychosocial complexity is greater, especially among those who are older.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Hepatite C Crônica
/
Cirrose Hepática
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Health Care Poor Underserved
Assunto da revista:
SERVICOS DE SAUDE
Ano de publicação:
2020
Tipo de documento:
Article