Evidence map›Paper›PMID 30071457›Full record

ArticleDrug and alcohol dependence2018

'Hep C's like the common cold': understanding barriers along the HCV care continuum among young people who inject drugs.

Margie R Skeer, Keren Ladin, Lindsay E Wilkins, David M Landy, Thomas J Stopka

Open access · greenAbstract read
In one paragraph

Article in Drug and alcohol dependence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
6.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 92 citations in OpenAlex.

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  17. Outcomes of Low Barrier Hepatitis C Treatment in High Risk Populations From Primary Care.Journal of community hospital internal medicine perspectives · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Margie R SkeerTufts University School of Medicine, Department of Public Health and Community Medicine, 136 Harrison Avenue, Boston, MA 02186, USA. Electronic address: Margie.Skeer@tufts.edu.
Keren LadinTufts University, Departments of Occupational Therapy and Community Health, 574 Boston Avenue, Suite 216, Medford, MA 02155, USA. Electronic address: Keren.Ladin@tufts.edu.
Lindsay E WilkinsTufts University School of Medicine, Department of Public Health and Community Medicine, 136 Harrison Avenue, Boston, MA 02186, USA. Electronic address: Lindsay.Wilkins@tufts.edu.
David M LandyTufts University School of Medicine, Department of Public Health and Community Medicine, 136 Harrison Avenue, Boston, MA 02186, USA. Electronic address: David.Landy@tufts.edu.
Thomas J StopkaTufts University School of Medicine, Department of Public Health and Community Medicine, 136 Harrison Avenue, Boston, MA 02186, USA. Electronic address: Thomas.Stopka@tufts.edu.
Tufts University · US

Funding

Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI JOSEPH W HOGAN · 1998 to 2026
$51.7M
Tufts Clinical and Translational Research InstituteUL1TR001064 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2013 to 2017
$26.4M
Tufts Clinical and Translational Research InstituteKL2TR001063 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2013 to 2017
$2.1M
NCATS NIH HHS KL2 TR001063NCATS NIH HHS UL1 TR001064NIAID NIH HHS P30 AI042853
6 · The paper itself

Abstract

backgroundNew highly effective medications are available to treat the hepatitis C virus (HCV). However, little is known about HCV treatment knowledge and readiness among young people who inject drugs (PWID), or factors that may contribute to treatment uptake and adherence in this treatment era. PURPOSE: Using a framework for understanding healthcare utilization, we examined perspectives and experiences of young PWID tied to the HCV care continuum in Boston, Massachusetts, to inform future strategies.

methodsWe conducted 24 in-depth interviews with active and recent PWID aged 22-30 years living with HCV in Boston, February-August 2016. At the time of the interviews, no participants had been prescribed or had taken the new direct acting antivirals. We developed a codebook deductively from the interview guide and coded and analyzed the data into themes using a consensus-based process.

resultsThe following five themes emerged, which captured PWID's knowledge of and experiences with HCV along the care continuum through social determinants of engagement in care, as well as illness level: (1) deservingness of HCV treatment and stigma, (2) dissatisfaction with provider interactions, (3) perceived lack of referral to treatment and care continuity, (4) disincentives around HCV treatment for PWID; and (5) perceived need for treatment. Young PWID living with HCV face unique barriers to HCV testing, counseling, and treatment.

conclusionBreakdowns in the HCV care continuum may have adverse effects on HCV-treatment readiness and willingness. Improved public health and practice approaches are needed to address these barriers to effectively engage young PWID in care.

Indexed as

Health Knowledge, Attitudes, PracticePatient Acceptance of Health CareAdultAntiviral AgentsBostonCommon ColdContinuity of Patient CareFemaleHepacivirusHepatitis CHumansMaleMassachusettsSubstance Abuse, IntravenousYoung AdultAntiviral AgentsHCV treatment readinessHepatitis CQualitative researchYoung people who inject drugs

Identifiers

PMID30071457
PMCPMC6367928
OpenAlexW2884908542

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.