{"title":"2022-2023年马萨诸塞州监狱丙型肝炎检测方案：干预的机会。","authors":"Caitlin M Farrell, Elizabeth C Pino","doi":"10.1177/00333549251325067","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Hepatitis C virus (HCV), the most common blood-borne infection in the United States and a leading cause of liver disease, disproportionately affects populations who are incarcerated. Despite the prevalence of HCV infection among people involved in the criminal legal system, HCV testing and treatment policies are not yet standardized. Our study sought to examine the differences in HCV testing and treatment protocols across Massachusetts county jails.</p><p><strong>Methods: </strong>In this cross-sectional study, we examined the HCV testing and treatment protocols of the 14 county jails in Massachusetts from November 2022 through February 2023.</p><p><strong>Results: </strong>Of the 12 jails that responded to requests for information, 10 jails used opt-in testing, 1 jail used opt-out testing, and 1 jail had no testing protocol. All 12 jails explicitly inquired about HCV history at intake, but only 3 jails inquired about current HCV treatment. For the 5 jails that had treatment initiation policies, all had barriers to treatment, including mandatory length-of-stay or sobriety requirements.</p><p><strong>Conclusion: </strong>Findings from this study underscore the need for policy changes that require adoption of universal opt-out HCV testing across county jails and standardized HCV treatment protocols, with a focus on linkage to outpatient care and treatment of substance use disorder. This approach can address HCV in populations who are incarcerated and can help mitigate health disparities between incarcerated people and the general public.</p>","PeriodicalId":20793,"journal":{"name":"Public Health Reports","volume":" ","pages":"333549251325067"},"PeriodicalIF":3.0000,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170544/pdf/","citationCount":"0","resultStr":"{\"title\":\"Hepatitis C Testing Protocols Across Massachusetts Jails, 2022-2023: An Opportunity for Intervention.\",\"authors\":\"Caitlin M Farrell, Elizabeth C Pino\",\"doi\":\"10.1177/00333549251325067\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>Hepatitis C virus (HCV), the most common blood-borne infection in the United States and a leading cause of liver disease, disproportionately affects populations who are incarcerated. Despite the prevalence of HCV infection among people involved in the criminal legal system, HCV testing and treatment policies are not yet standardized. Our study sought to examine the differences in HCV testing and treatment protocols across Massachusetts county jails.</p><p><strong>Methods: </strong>In this cross-sectional study, we examined the HCV testing and treatment protocols of the 14 county jails in Massachusetts from November 2022 through February 2023.</p><p><strong>Results: </strong>Of the 12 jails that responded to requests for information, 10 jails used opt-in testing, 1 jail used opt-out testing, and 1 jail had no testing protocol. All 12 jails explicitly inquired about HCV history at intake, but only 3 jails inquired about current HCV treatment. For the 5 jails that had treatment initiation policies, all had barriers to treatment, including mandatory length-of-stay or sobriety requirements.</p><p><strong>Conclusion: </strong>Findings from this study underscore the need for policy changes that require adoption of universal opt-out HCV testing across county jails and standardized HCV treatment protocols, with a focus on linkage to outpatient care and treatment of substance use disorder. This approach can address HCV in populations who are incarcerated and can help mitigate health disparities between incarcerated people and the general public.</p>\",\"PeriodicalId\":20793,\"journal\":{\"name\":\"Public Health Reports\",\"volume\":\" \",\"pages\":\"333549251325067\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2025-06-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170544/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Public Health Reports\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/00333549251325067\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Public Health Reports","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/00333549251325067","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Hepatitis C Testing Protocols Across Massachusetts Jails, 2022-2023: An Opportunity for Intervention.
Objectives: Hepatitis C virus (HCV), the most common blood-borne infection in the United States and a leading cause of liver disease, disproportionately affects populations who are incarcerated. Despite the prevalence of HCV infection among people involved in the criminal legal system, HCV testing and treatment policies are not yet standardized. Our study sought to examine the differences in HCV testing and treatment protocols across Massachusetts county jails.
Methods: In this cross-sectional study, we examined the HCV testing and treatment protocols of the 14 county jails in Massachusetts from November 2022 through February 2023.
Results: Of the 12 jails that responded to requests for information, 10 jails used opt-in testing, 1 jail used opt-out testing, and 1 jail had no testing protocol. All 12 jails explicitly inquired about HCV history at intake, but only 3 jails inquired about current HCV treatment. For the 5 jails that had treatment initiation policies, all had barriers to treatment, including mandatory length-of-stay or sobriety requirements.
Conclusion: Findings from this study underscore the need for policy changes that require adoption of universal opt-out HCV testing across county jails and standardized HCV treatment protocols, with a focus on linkage to outpatient care and treatment of substance use disorder. This approach can address HCV in populations who are incarcerated and can help mitigate health disparities between incarcerated people and the general public.
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.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
