학술논문

The role of barriers to care on the propensity for hepatitis C virus nonreferral among people living with HIV.
Document Type
article
Source
AIDS (London, England). 34(11)
Subject
Humans
Hepacivirus
Hepatitis C
HIV Infections
Substance-Related Disorders
Antiviral Agents
Housing
Referral and Consultation
Continuity of Patient Care
Delivery of Health Care
Integrated
Health Services Accessibility
California
Coinfection
Biological Sciences
Medical and Health Sciences
Psychology and Cognitive Sciences
Virology
Language
Abstract
: 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.