Trends in Hepatitis C Virus and HIV Care Outcomes Among People With HIV in Georgia, United States, 2014-2019.

IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Public Health Reports Pub Date : 2024-07-01 Epub Date: 2023-11-04 DOI:10.1177/00333549231205341
Kimberly N Evans, Pascale M Wortley, Ami Gandhi, Heather Bradley
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Abstract

Objective: If untreated, hepatitis C virus (HCV) leads to poor health outcomes, including liver disease and death, particularly among people with HIV (PWH). We describe trends over time in incidence rates of HCV diagnoses among PWH in the state of Georgia.

Methods: We constructed a retrospective cohort of PWH in Georgia by using matched HIV and HCV case surveillance data from people diagnosed with HCV infection from January 1, 2014, through December 31, 2019. We calculated annual incidence rates per 1000 person-years and estimated trends over time in HCV diagnoses among the cohort of PWH by demographic characteristics and HIV care outcomes using Poisson regression analysis, with α = .05 considered significant.

Results: From 2014 through 2019, among 49 530 PWH in Georgia, 1945 (3.9%) were diagnosed with HCV infection. During this period, overall incidence per 1000 person-years of newly diagnosed HCV infection among PWH decreased from 8.7 to 4.5 (P for trend < .001). However, from 2014 through 2019, the annual incidence rates of PWH who were newly diagnosed with HCV infection increased from 4.6 to 7.1 (P for trend = .003) among people born from 1980 through 1989 and from 3.3 to 12.8 (P for trend < .001) among people born in 1990 or later.

Conclusion: Strategies are needed to increase prevention, diagnosis, and treatment of HIV/HCV coinfection, particularly among PWH born in 1980 and later. Routine linkage of state surveillance data can inform prioritization of PWH at highest risk of HCV infection.

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2014-2019年美国乔治亚州丙型肝炎病毒和艾滋病毒感染者的护理结果趋势。
目的:如果不加以治疗,丙型肝炎病毒(HCV)会导致健康状况不佳,包括肝病和死亡,尤其是在艾滋病毒感染者中。我们描述了佐治亚州PWH中HCV诊断的发病率随时间的变化趋势。方法:我们使用2014年1月1日至2019年12月31日诊断为HCV感染者的匹配HIV和HCV病例监测数据,构建了佐治亚州普华永道的回顾性队列。我们通过人口统计学特征和HIV护理结果计算了PWH队列中每1000人年的年发病率,并估计了一段时间内HCV诊断的趋势 = .05被认为是重要的。结果:从2014年到2019年,49 1945年,格鲁吉亚530名PWH(3.9%)被诊断为HCV感染。在此期间,PWH中每1000人-年新诊断的HCV感染的总发病率从8.7下降到4.5(趋势P P表示趋势 = .003)在1980年至1989年以及3.3年至12.8年出生的人群中(趋势P 结论:需要加强HIV/HCV合并感染的预防、诊断和治疗,特别是在1980年及以后出生的PWH中。州监测数据的常规联系可以为HCV感染风险最高的PWH的优先顺序提供信息。
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来源期刊
Public Health Reports
Public Health Reports 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.00
自引率
6.10%
发文量
164
审稿时长
6-12 weeks
期刊介绍: Public Health Reports is the official journal of the Office of the U.S. Surgeon General and the U.S. Public Health Service and has been published since 1878. It is published bimonthly, plus supplement issues, through an official agreement with the Association of Schools and Programs of Public Health. The journal is peer-reviewed and publishes original research and commentaries in the areas of public health practice and methodology, original research, public health law, and public health schools and teaching. Issues contain regular commentaries by the U.S. Surgeon General and executives of the U.S. Department of Health and Human Services and the Office of the Assistant Secretary of Health. The journal focuses upon such topics as tobacco control, teenage violence, occupational disease and injury, immunization, drug policy, lead screening, health disparities, and many other key and emerging public health issues. In addition to the six regular issues, PHR produces supplemental issues approximately 2-5 times per year which focus on specific topics that are of particular interest to our readership. The journal''s contributors are on the front line of public health and they present their work in a readable and accessible format.
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