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Prevalence of Hepatitis C Screening, Testing, and Care Experience Among Young Adults Who Use Prescription Opioids Nonmedically

      Abstract

      Purpose

      Examine the prevalence of hepatitis C virus (HCV) screening, confirmatory testing, and care experiences among young adult nonmedical prescription opioid (NMPO) users.

      Methods

      We examined self-reported HCV screening history in a sample of 18- to 29-year-olds reporting past-month NMPO use, and we used modified Poisson regression to identify associated sociodemographic and drug use patterns.

      Results

      Among 196 participants, 154 (78.6%) reported prior HCV screening, among whom 18 (11.7%) reported positive results. Of these, 13 (72.2%) reported receiving a confirmatory test; 12 (66.7%) were referred for specialty HCV care. Screening was associated with injection drug use (adjusted prevalence ratio [APR] = 1.19; 95% confidence interval [CI] = 1.05–1.33) and history of hospitalization for psychiatric illness (APR = 1.23; 95% CI = 1.09–1.39). Younger participants (18–23 years) were less likely to have been screened (APR = .69; 95% CI = .57–.85).

      Conclusion

      Among young adult NMPO users, post-HCV screening support and referral to care were inadequate.

      Keywords

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