ArticlePublic health reports (Washington, D.C. : 1974)
Viral hepatitis and injection drug use in Appalachian Kentucky: a survey of rural health department clients.
Article in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.
- The opioid and related drug epidemics in rural Appalachia: A systematic review of populations affected, risk factors, and infectious diseases.Substance abuse · 2020Pooled it
- Injection drug use, HIV/HCV, and related services in nonurban areas of the United States: A systematic review.Drug and alcohol dependence · 2018Pooled it
- Promoting Safe Injection Practices, Substance Use Reduction, Hepatitis C Testing, and Overdose Prevention Among Syringe Service Program Clients Using a Computer-Tailored Intervention: Pilot Randomized Controlled Trial.Journal of medical Internet research · 2020Trial
- The paradox of high greenness and poor health in rural Central Appalachia.Environmental research · 2024Article
- Hepatitis A Outbreaks Associated With the Opioid Epidemic in Kentucky Counties, 2017-2018.American journal of public health · 2020Article
- Rural risk environments for hepatitis c among young adults in appalachian kentucky.The International journal on drug policy · 2019Article
- Hepatitis C Testing Increased Among Baby Boomers Following The 2012 Change To CDC Testing Recommendations.Health affairs (Project Hope) · 2017Article
- Hepatitis C vaccine clinical trials among people who use drugs: potential for participation and involvement in recruitment.Contemporary clinical trials · 2015Article
- Association of opioid agonist therapy with lower incidence of hepatitis C virus infection in young adult injection drug users.JAMA internal medicine · 2014Observational
- Epidemiology of hepatitis C virus in Pennsylvania state prisons, 2004-2012: limitations of 1945-1965 birth cohort screening in correctional settings.American journal of public health · 2014Article
- Article
- Injection drug use and hepatitis C virus infection in young adult injectors: using evidence to inform comprehensive prevention.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe identified correlates of exposure to hepatitis B and C viruses among health department clients in Appalachian Kentucky, a rural region noted for high poverty and low education. Additionally, we investigated risk factors for transmission, and the frequency of use of preventive measures.
methodsPatients screened for hepatitis B or C at four county health departments in Appalachian Kentucky were administered a routine prescreening questionnaire and an additional survey designed to obtain detailed personal and behavioral risk factor data. These data were linked to produce a more comprehensive dataset for analysis, including test results, which were attached to the prescreening questionnaire.
resultsIn total, 92 health department clients participated in the study survey. Of these, test results were available for 80 of the clients. Very few subjects who enrolled in this study tested positive for hepatitis B. Twelve out of 80 participants (15%) tested positive for previous exposure to hepatitis C. No participants reported having human immunodeficiency virus.
conclusionsTransmission of hepatitis C in these rural Appalachian communities is predominantly due to injection drug use. Patients with hepatitis C exposure are similar in their demographic and risk profiles as those seen in urban areas and, despite small numbers, can have a serious impact on small, rural public health systems.
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Registered trials
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