Community-based HCV screening

Knowledge and attitudes in a high risk urban population

Brianna L. Norton, Corrine I. Voils, Sarah H. Timberlake, Emily J. Hecker, Neela D. Goswami, Kim M. Huffman, Anneka Landgraf, Susanna Naggie, Jason E. Stout

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Background: In an attempt to curtail the rising morbidity and mortality from undiagnosed HCV (hepatitis C virus) in the United States, screening guidelines have been expanded to high-risk individuals and persons born 1945-1965. Community-based screening may be one strategy in which to reach such persons; however, the acceptance of HCV testing, when many high-risk individuals may not have access to HCV specific medications, remains unknown.Methods: We set out to assess attitudes about HCV screening and knowledge about HCV disease at several community-based testing sites that serve high-risk populations. This assessment was paired with a brief HCV educational intervention, followed by post-education evaluation.Results: Participants (n = 140) were surveyed at five sites; two homeless shelters, two drug rehabilitation centers, and a women's "drop-in" center. Personal acceptance of HCV testing was almost unanimous, and 90% of participants reported that they would still want to be tested even if they were unable to receive HCV treatment. Baseline hepatitis C knowledge was poor; however, the brief educational intervention significantly improved knowledge and increased acceptability of testing when medical access issues were explicitly stated.Conclusions: Despite inconsistencies in access to care and treatment, high-risk communities want to know their HCV status. Though baseline HCV knowledge was poor in this population, a brief on-site educational intervention improved both knowledge and acceptability of HCV testing and care. These data support the establishment of programs that utilize community-based screening, and also provide initial evidence for acceptance of the implementation of the recently expanded screening guidelines among marginalized communities.

Original languageEnglish (US)
Article number74
JournalBMC Infectious Diseases
Volume14
Issue number1
DOIs
StatePublished - Mar 10 2014
Externally publishedYes

Fingerprint

Urban Population
Hepacivirus
Substance Abuse Treatment Centers
Guidelines
Virus Diseases
Hepatitis C
Population
Morbidity
Education

Keywords

  • Attitudes
  • Behaviors
  • Health knowledge
  • Healthcare disparities
  • Hepatitis C
  • Patient education
  • Screening

ASJC Scopus subject areas

  • Infectious Diseases
  • Medicine(all)

Cite this

Norton, B. L., Voils, C. I., Timberlake, S. H., Hecker, E. J., Goswami, N. D., Huffman, K. M., ... Stout, J. E. (2014). Community-based HCV screening: Knowledge and attitudes in a high risk urban population. BMC Infectious Diseases, 14(1), [74]. https://doi.org/10.1186/1471-2334-14-74

Community-based HCV screening : Knowledge and attitudes in a high risk urban population. / Norton, Brianna L.; Voils, Corrine I.; Timberlake, Sarah H.; Hecker, Emily J.; Goswami, Neela D.; Huffman, Kim M.; Landgraf, Anneka; Naggie, Susanna; Stout, Jason E.

In: BMC Infectious Diseases, Vol. 14, No. 1, 74, 10.03.2014.

Research output: Contribution to journalArticle

Norton, BL, Voils, CI, Timberlake, SH, Hecker, EJ, Goswami, ND, Huffman, KM, Landgraf, A, Naggie, S & Stout, JE 2014, 'Community-based HCV screening: Knowledge and attitudes in a high risk urban population', BMC Infectious Diseases, vol. 14, no. 1, 74. https://doi.org/10.1186/1471-2334-14-74
Norton, Brianna L. ; Voils, Corrine I. ; Timberlake, Sarah H. ; Hecker, Emily J. ; Goswami, Neela D. ; Huffman, Kim M. ; Landgraf, Anneka ; Naggie, Susanna ; Stout, Jason E. / Community-based HCV screening : Knowledge and attitudes in a high risk urban population. In: BMC Infectious Diseases. 2014 ; Vol. 14, No. 1.
@article{6b1317afa0304015a4cbca8098a7535e,
title = "Community-based HCV screening: Knowledge and attitudes in a high risk urban population",
abstract = "Background: In an attempt to curtail the rising morbidity and mortality from undiagnosed HCV (hepatitis C virus) in the United States, screening guidelines have been expanded to high-risk individuals and persons born 1945-1965. Community-based screening may be one strategy in which to reach such persons; however, the acceptance of HCV testing, when many high-risk individuals may not have access to HCV specific medications, remains unknown.Methods: We set out to assess attitudes about HCV screening and knowledge about HCV disease at several community-based testing sites that serve high-risk populations. This assessment was paired with a brief HCV educational intervention, followed by post-education evaluation.Results: Participants (n = 140) were surveyed at five sites; two homeless shelters, two drug rehabilitation centers, and a women's {"}drop-in{"} center. Personal acceptance of HCV testing was almost unanimous, and 90{\%} of participants reported that they would still want to be tested even if they were unable to receive HCV treatment. Baseline hepatitis C knowledge was poor; however, the brief educational intervention significantly improved knowledge and increased acceptability of testing when medical access issues were explicitly stated.Conclusions: Despite inconsistencies in access to care and treatment, high-risk communities want to know their HCV status. Though baseline HCV knowledge was poor in this population, a brief on-site educational intervention improved both knowledge and acceptability of HCV testing and care. These data support the establishment of programs that utilize community-based screening, and also provide initial evidence for acceptance of the implementation of the recently expanded screening guidelines among marginalized communities.",
keywords = "Attitudes, Behaviors, Health knowledge, Healthcare disparities, Hepatitis C, Patient education, Screening",
author = "Norton, {Brianna L.} and Voils, {Corrine I.} and Timberlake, {Sarah H.} and Hecker, {Emily J.} and Goswami, {Neela D.} and Huffman, {Kim M.} and Anneka Landgraf and Susanna Naggie and Stout, {Jason E.}",
year = "2014",
month = "3",
day = "10",
doi = "10.1186/1471-2334-14-74",
language = "English (US)",
volume = "14",
journal = "BMC Infectious Diseases",
issn = "1471-2334",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - Community-based HCV screening

T2 - Knowledge and attitudes in a high risk urban population

AU - Norton, Brianna L.

AU - Voils, Corrine I.

AU - Timberlake, Sarah H.

AU - Hecker, Emily J.

AU - Goswami, Neela D.

AU - Huffman, Kim M.

AU - Landgraf, Anneka

AU - Naggie, Susanna

AU - Stout, Jason E.

PY - 2014/3/10

Y1 - 2014/3/10

N2 - Background: In an attempt to curtail the rising morbidity and mortality from undiagnosed HCV (hepatitis C virus) in the United States, screening guidelines have been expanded to high-risk individuals and persons born 1945-1965. Community-based screening may be one strategy in which to reach such persons; however, the acceptance of HCV testing, when many high-risk individuals may not have access to HCV specific medications, remains unknown.Methods: We set out to assess attitudes about HCV screening and knowledge about HCV disease at several community-based testing sites that serve high-risk populations. This assessment was paired with a brief HCV educational intervention, followed by post-education evaluation.Results: Participants (n = 140) were surveyed at five sites; two homeless shelters, two drug rehabilitation centers, and a women's "drop-in" center. Personal acceptance of HCV testing was almost unanimous, and 90% of participants reported that they would still want to be tested even if they were unable to receive HCV treatment. Baseline hepatitis C knowledge was poor; however, the brief educational intervention significantly improved knowledge and increased acceptability of testing when medical access issues were explicitly stated.Conclusions: Despite inconsistencies in access to care and treatment, high-risk communities want to know their HCV status. Though baseline HCV knowledge was poor in this population, a brief on-site educational intervention improved both knowledge and acceptability of HCV testing and care. These data support the establishment of programs that utilize community-based screening, and also provide initial evidence for acceptance of the implementation of the recently expanded screening guidelines among marginalized communities.

AB - Background: In an attempt to curtail the rising morbidity and mortality from undiagnosed HCV (hepatitis C virus) in the United States, screening guidelines have been expanded to high-risk individuals and persons born 1945-1965. Community-based screening may be one strategy in which to reach such persons; however, the acceptance of HCV testing, when many high-risk individuals may not have access to HCV specific medications, remains unknown.Methods: We set out to assess attitudes about HCV screening and knowledge about HCV disease at several community-based testing sites that serve high-risk populations. This assessment was paired with a brief HCV educational intervention, followed by post-education evaluation.Results: Participants (n = 140) were surveyed at five sites; two homeless shelters, two drug rehabilitation centers, and a women's "drop-in" center. Personal acceptance of HCV testing was almost unanimous, and 90% of participants reported that they would still want to be tested even if they were unable to receive HCV treatment. Baseline hepatitis C knowledge was poor; however, the brief educational intervention significantly improved knowledge and increased acceptability of testing when medical access issues were explicitly stated.Conclusions: Despite inconsistencies in access to care and treatment, high-risk communities want to know their HCV status. Though baseline HCV knowledge was poor in this population, a brief on-site educational intervention improved both knowledge and acceptability of HCV testing and care. These data support the establishment of programs that utilize community-based screening, and also provide initial evidence for acceptance of the implementation of the recently expanded screening guidelines among marginalized communities.

KW - Attitudes

KW - Behaviors

KW - Health knowledge

KW - Healthcare disparities

KW - Hepatitis C

KW - Patient education

KW - Screening

UR - http://www.scopus.com/inward/record.url?scp=84896739528&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84896739528&partnerID=8YFLogxK

U2 - 10.1186/1471-2334-14-74

DO - 10.1186/1471-2334-14-74

M3 - Article

VL - 14

JO - BMC Infectious Diseases

JF - BMC Infectious Diseases

SN - 1471-2334

IS - 1

M1 - 74

ER -