Evidence map›Paper›PMID 34038430›Full record

ArticlePloS one2021

"I'm not gonna be able to do anything about it, then what's the point?": A broad group of stakeholders identify barriers and facilitators to HCV testing in a Massachusetts jail.

Alysse G Wurcel, Jessica Reyes, Julia Zubiago, Peter J Koutoujian, Deirdre Burke, Tamsin A Knox, Thomas Concannon, Stephenie C Lemon, John B Wong, Karen M Freund and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. 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.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 21% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  4. State-of-the-Art Review: The Intersection of Infectious Diseases and Carceral Medicine.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Review
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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

12 authors at 5 institutions in 1 country.

Alysse G WurcelDivision of Geographic Medicine and Infectious Diseases, Department of Medicine, Tufts Medical Center, Boston, MA, United States of America.ORCID 0000-0002-8255-8387
Jessica ReyesTufts University School of Medicine, Boston, MA, United States of America.
Julia ZubiagoDivision of Geographic Medicine and Infectious Diseases, Department of Medicine, Tufts Medical Center, Boston, MA, United States of America.
Peter J KoutoujianMiddlesex Sheriff's Office, Medford, MA, United States of America.
Deirdre BurkeDivision of Geographic Medicine and Infectious Diseases, Department of Medicine, Tufts Medical Center, Boston, MA, United States of America.
Tamsin A KnoxTufts University School of Medicine, Boston, MA, United States of America.
Thomas ConcannonDepartment of Medicine, Tufts Medical Center, Boston, MA, United States of America.
Stephenie C LemonDepartment of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, United States of America.
John B WongTufts University School of Medicine, Boston, MA, United States of America.ORCID 0000-0003-4203-9010
Karen M FreundTufts University School of Medicine, Boston, MA, United States of America.
Curt G BeckwithDivision of Infectious Diseases, Alpert Medical School of Brown University, The Miriam Hospital, Providence, Rhode Island, United States of America.
Amy M LeClairDepartment of Medicine, Tufts Medical Center, Boston, MA, United States of America.
Tufts University · USTufts Medical Center · USBrown University · USCook County Sheriff's Office · USUniversity of Massachusetts Chan Medical School · US

Funding

Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI CURT G BECKWITH · 1998 to 2026
$51.7M
Tufts Clinical and Translational Science Institute (Pilot Supplement)UL1TR002544 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2018 to 2022
$50.2M
CTSA Institutional Mentored Career Development Program (KL2)KL2TR002545 · NCATS · TUFTS UNIVERSITY BOSTON · PI FREUND, KAREN · 2018 to 2022
$5.0M
The Lifespan/Brown Criminal Justice Research Program on Substance Use and HIVR25DA037190 · NIDA · MIRIAM HOSPITAL · PI CURT G BECKWITH · 2014 to 2026
$3.5M
Unlocking Access to HCV Testing in Jail: Stakeholder Involvement in Research Is the Missing KeyK08HS026008 · AHRQ · TUFTS MEDICAL CENTER · PI WURCEL, ALYSSE GAIL · 2020 to 2022
$450k
AHRQ HHS K08 HS026008NCATS NIH HHS KL2 TR002545NCATS NIH HHS L60 TR003921NCATS NIH HHS UL1 TR002544NIAID NIH HHS P30 AI042853NIDA NIH HHS R25 DA037190
6 · The paper itself

Abstract

backgroundDespite national guidelines promoting hepatitis C virus (HCV) testing in prisons, there is substantial heterogeneity on the implementation of HCV testing in jails. We sought to better understand barriers and opportunities for HCV testing by interviewing a broad group of stakeholders involved in HCV testing and treatment policies and procedures in Massachusetts jails.

methodsWe conducted semi-structured interviews with people incarcerated in Middlesex County Jail (North Billerica, MA), clinicians working in jail and community settings, corrections administrators, and representatives from public health, government, and industry between November 2018-April 2019.

results51/120 (42%) of people agreed to be interviewed including 21 incarcerated men (mean age 32 [IQR 25, 39], 60% non-White). Themes that emerged from these interviews included gaps in knowledge about HCV testing and treatment opportunities in jail, the impact of captivity and transience, and interest in improving linkage to HCV care after release. Many stakeholders discussed stigma around HCV infection as a factor in reluctance to provide HCV testing or treatment in the jail setting. Some stakeholders expressed that stigma often led decisionmakers to estimate a lower "worth" of incarcerated individuals living with HCV and therefore to decide against paying for HCV testing.".

conclusionAll stakeholders agreed that HCV in the jail setting is a public health issue that needs to be addressed. Exploring stakeholders' many ideas about how HCV testing and treatment can be approached is the first step in developing feasible and acceptable strategies.

Indexed as

AdultClinical Laboratory TechniquesFemaleHepatitis CHumansJailsMaleMassachusettsPrisonersPrisonsPublic HealthSocial StigmaSurveys and Questionnaires

Identifiers

PMID34038430
PMCPMC8153419
OpenAlexW3164257580

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.