Hepatitis C Diagnoses in an American Indian Primary Care Population
BACKGROUND: Despite large disparities in the burden of chronic liver disease, data on hepatitis C virus (HCV) infection among American Indians (AIs) are lacking. We reviewed hepatitis C diagnoses in 35,712 AI/AN primary care patients. MAIN FINDINGS: At least one HCV-associated ICD-9 code was recorde...
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ftuninevadalveg:oai:digitalscholarship.unlv.edu:jhdrp-1059 2023-05-15T16:16:33+02:00 Hepatitis C Diagnoses in an American Indian Primary Care Population Norton, Hillary E. Redd, John T. Bryan, Ralph T. 2012-05-10T21:27:12Z application/pdf https://digitalscholarship.unlv.edu/jhdrp/vol3/iss2/5 https://digitalscholarship.unlv.edu/cgi/viewcontent.cgi?article=1059&context=jhdrp unknown Digital Scholarship@UNLV https://digitalscholarship.unlv.edu/jhdrp/vol3/iss2/5 https://digitalscholarship.unlv.edu/cgi/viewcontent.cgi?article=1059&context=jhdrp Journal of Health Disparities Research and Practice Communicable diseases Community/public health Diagnostic services Hepatitis C Indians of North America Infectious Disease Liver – Diseases Primary Care Issues Special population: Native American/First Nations Community-Based Research Demography Population and Ecology Inequality and Stratification Medicine and Health Public Health Race and Ethnicity text 2012 ftuninevadalveg 2023-01-16T16:21:58Z BACKGROUND: Despite large disparities in the burden of chronic liver disease, data on hepatitis C virus (HCV) infection among American Indians (AIs) are lacking. We reviewed hepatitis C diagnoses in 35,712 AI/AN primary care patients. MAIN FINDINGS: At least one HCV-associated ICD-9 code was recorded in 251 (1%) patients between October 1, 2001 and September 30, 2003. An HCV enzyme-linked immunoassay (HCVEIA) was sent in 209 (83.0%); 206/209 (99%) were positive. Confirmatory testing was performed in 144/206 (70%) HCV-EIA positive patients; HCV infection was confirmed in 144 (100%). In the 90/144 (63%) charts with risk factor documentation, injection drug use was the most common risk factor (61/90, 68%). Deficiencies were present in hepatitis B and HIV testing, and hepatitis A and B vaccination. PRINCIPAL CONCLUSIONS: Improvements in laboratory workup of HCV and co-infections, risk factor ascertainment and documentation, and adult vaccination are needed to address HCV effectively in this population. Text First Nations University of Nevada, Las Vegas: Digital Scholarship@UNLV Eia ENVELOPE(7.755,7.755,63.024,63.024) Indian |
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University of Nevada, Las Vegas: Digital Scholarship@UNLV |
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ftuninevadalveg |
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topic |
Communicable diseases Community/public health Diagnostic services Hepatitis C Indians of North America Infectious Disease Liver – Diseases Primary Care Issues Special population: Native American/First Nations Community-Based Research Demography Population and Ecology Inequality and Stratification Medicine and Health Public Health Race and Ethnicity |
spellingShingle |
Communicable diseases Community/public health Diagnostic services Hepatitis C Indians of North America Infectious Disease Liver – Diseases Primary Care Issues Special population: Native American/First Nations Community-Based Research Demography Population and Ecology Inequality and Stratification Medicine and Health Public Health Race and Ethnicity Norton, Hillary E. Redd, John T. Bryan, Ralph T. Hepatitis C Diagnoses in an American Indian Primary Care Population |
topic_facet |
Communicable diseases Community/public health Diagnostic services Hepatitis C Indians of North America Infectious Disease Liver – Diseases Primary Care Issues Special population: Native American/First Nations Community-Based Research Demography Population and Ecology Inequality and Stratification Medicine and Health Public Health Race and Ethnicity |
description |
BACKGROUND: Despite large disparities in the burden of chronic liver disease, data on hepatitis C virus (HCV) infection among American Indians (AIs) are lacking. We reviewed hepatitis C diagnoses in 35,712 AI/AN primary care patients. MAIN FINDINGS: At least one HCV-associated ICD-9 code was recorded in 251 (1%) patients between October 1, 2001 and September 30, 2003. An HCV enzyme-linked immunoassay (HCVEIA) was sent in 209 (83.0%); 206/209 (99%) were positive. Confirmatory testing was performed in 144/206 (70%) HCV-EIA positive patients; HCV infection was confirmed in 144 (100%). In the 90/144 (63%) charts with risk factor documentation, injection drug use was the most common risk factor (61/90, 68%). Deficiencies were present in hepatitis B and HIV testing, and hepatitis A and B vaccination. PRINCIPAL CONCLUSIONS: Improvements in laboratory workup of HCV and co-infections, risk factor ascertainment and documentation, and adult vaccination are needed to address HCV effectively in this population. |
format |
Text |
author |
Norton, Hillary E. Redd, John T. Bryan, Ralph T. |
author_facet |
Norton, Hillary E. Redd, John T. Bryan, Ralph T. |
author_sort |
Norton, Hillary E. |
title |
Hepatitis C Diagnoses in an American Indian Primary Care Population |
title_short |
Hepatitis C Diagnoses in an American Indian Primary Care Population |
title_full |
Hepatitis C Diagnoses in an American Indian Primary Care Population |
title_fullStr |
Hepatitis C Diagnoses in an American Indian Primary Care Population |
title_full_unstemmed |
Hepatitis C Diagnoses in an American Indian Primary Care Population |
title_sort |
hepatitis c diagnoses in an american indian primary care population |
publisher |
Digital Scholarship@UNLV |
publishDate |
2012 |
url |
https://digitalscholarship.unlv.edu/jhdrp/vol3/iss2/5 https://digitalscholarship.unlv.edu/cgi/viewcontent.cgi?article=1059&context=jhdrp |
long_lat |
ENVELOPE(7.755,7.755,63.024,63.024) |
geographic |
Eia Indian |
geographic_facet |
Eia Indian |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
Journal of Health Disparities Research and Practice |
op_relation |
https://digitalscholarship.unlv.edu/jhdrp/vol3/iss2/5 https://digitalscholarship.unlv.edu/cgi/viewcontent.cgi?article=1059&context=jhdrp |
_version_ |
1766002406835879936 |