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HCV infection status and care seeking among people living with HIV who use drugs in Vietnam.

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Title: HCV infection status and care seeking among people living with HIV who use drugs in Vietnam.
Authors: Li, Li, Lin, Chunqing, Liang, Li-Jung, Pham, Quang Loc, Feng, Nan, Nguyen, Anh Tuan
Source: AIDS Care. 2020 Supplement, Vol. 32, p83-90. 8p. 2 Charts, 1 Graph.
Subjects: Hepatitis C diagnosis, Mental depression, Health services accessibility, Help-seeking behavior, HIV-positive persons, Medical records, Regression analysis, Self-evaluation, Statistics, Drug abusers, Descriptive statistics, Acquisition of data methodology, Mixed infections
Geographic Terms: Vietnam
Abstract: HCV co-infection is widespread among people living with HIV who use drugs (PLHWUD). However, HCV testing was inconsistently implemented among PLHWUD. The low infection awareness and mental health challenges together impede PLHWUD's treatment-seeking. The study used baseline data of a randomized controlled trial conducted in Vietnam. HCV infection status was collected through self-report and medical record review. A linear mixed-effects regression model was used to examine the relationships between PLHWUD's perceived barriers to seeking healthcare, their depressive symptoms, and the consistencies in HCV status reports. Among the 181 PLHWUD in the study, one-third (64; 35.4%) had inconsistent self-reports and medical records of HIV infection status. The agreement between the two records was fair (Kappa statistics = 0.43). PLHWUD with consistent HCV infection confirmed by both medical records and self-reports perceived lower levels of healthcare-seeking barriers than those with discrepant HCV reports (estimated difference = −1.59, SE = 0.71, P = 0.027). Depressive symptoms were significantly correlated with healthcare-seeking barriers among those with discrepant HCV results (estimate = 0.17, SE = 0.06, P = 0.007). There is an urgent need to extend HCV screening efforts and increase HCV awareness among PLHWUD. Explicit HCV result notification and integrated mental health support are recommended to facilitate patients' access to needed care. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: HCV infection status and care seeking among people living with HIV who use drugs in Vietnam.
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  Data: <searchLink fieldCode="AR" term="%22Li%2C+Li%22">Li, Li</searchLink><br /><searchLink fieldCode="AR" term="%22Lin%2C+Chunqing%22">Lin, Chunqing</searchLink><br /><searchLink fieldCode="AR" term="%22Liang%2C+Li-Jung%22">Liang, Li-Jung</searchLink><br /><searchLink fieldCode="AR" term="%22Pham%2C+Quang+Loc%22">Pham, Quang Loc</searchLink><br /><searchLink fieldCode="AR" term="%22Feng%2C+Nan%22">Feng, Nan</searchLink><br /><searchLink fieldCode="AR" term="%22Nguyen%2C+Anh+Tuan%22">Nguyen, Anh Tuan</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. 2020 Supplement, Vol. 32, p83-90. 8p. 2 Charts, 1 Graph.
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  Data: <searchLink fieldCode="DE" term="%22Hepatitis+C+diagnosis%22">Hepatitis C diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Help-seeking+behavior%22">Help-seeking behavior</searchLink><br /><searchLink fieldCode="DE" term="%22HIV-positive+persons%22">HIV-positive persons</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+records%22">Medical records</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+analysis%22">Regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Self-evaluation%22">Self-evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+abusers%22">Drug abusers</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Acquisition+of+data+methodology%22">Acquisition of data methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Mixed+infections%22">Mixed infections</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Vietnam%22">Vietnam</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: HCV co-infection is widespread among people living with HIV who use drugs (PLHWUD). However, HCV testing was inconsistently implemented among PLHWUD. The low infection awareness and mental health challenges together impede PLHWUD's treatment-seeking. The study used baseline data of a randomized controlled trial conducted in Vietnam. HCV infection status was collected through self-report and medical record review. A linear mixed-effects regression model was used to examine the relationships between PLHWUD's perceived barriers to seeking healthcare, their depressive symptoms, and the consistencies in HCV status reports. Among the 181 PLHWUD in the study, one-third (64; 35.4%) had inconsistent self-reports and medical records of HIV infection status. The agreement between the two records was fair (Kappa statistics = 0.43). PLHWUD with consistent HCV infection confirmed by both medical records and self-reports perceived lower levels of healthcare-seeking barriers than those with discrepant HCV reports (estimated difference = −1.59, SE = 0.71, P = 0.027). Depressive symptoms were significantly correlated with healthcare-seeking barriers among those with discrepant HCV results (estimate = 0.17, SE = 0.06, P = 0.007). There is an urgent need to extend HCV screening efforts and increase HCV awareness among PLHWUD. Explicit HCV result notification and integrated mental health support are recommended to facilitate patients' access to needed care. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2020.1739209
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 83
    Subjects:
      – SubjectFull: Hepatitis C diagnosis
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Help-seeking behavior
        Type: general
      – SubjectFull: HIV-positive persons
        Type: general
      – SubjectFull: Medical records
        Type: general
      – SubjectFull: Regression analysis
        Type: general
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Drug abusers
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Acquisition of data methodology
        Type: general
      – SubjectFull: Mixed infections
        Type: general
      – SubjectFull: Vietnam
        Type: general
    Titles:
      – TitleFull: HCV infection status and care seeking among people living with HIV who use drugs in Vietnam.
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            NameFull: Li, Li
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            NameFull: Lin, Chunqing
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            NameFull: Liang, Li-Jung
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            NameFull: Pham, Quang Loc
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            NameFull: Feng, Nan
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            NameFull: Nguyen, Anh Tuan
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            – D: 02
              M: 05
              Text: 2020 Supplement
              Type: published
              Y: 2020
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              Value: 09540121
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              Value: 32
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