Evidence map›Paper›PMID 41001177›Full record

ArticleO&G open2025

Association Between Sex and Recent Pregnancy and Hepatitis C Virus Treatment in People With Opioid Use Disorder.

Caroline B Cary, L Madeline McCrary, Laura R Marks, Jeannie C Kelly, Sarah M Hartz, Lisa Hayibor, Richard A Grucza, Kevin Y Xu, Megan R Curtis

Abstract read
In one paragraph

Article in O&G open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

9 authors.

Caroline B CaryDepartment of Obstetrics and Gynecology, the Division of Infectious Diseases, and the Department of Psychiatry, Washington University School of Medicine, and the Advanced Health Data (AHEAD) Institute, Department of Family and Community Medicine, Saint Louis University, St. Louis, Missouri.
L Madeline McCraryDepartment of Obstetrics and Gynecology, the Division of Infectious Diseases, and the Department of Psychiatry, Washington University School of Medicine, and the Advanced Health Data (AHEAD) Institute, Department of Family and Community Medicine, Saint Louis University, St. Louis, Missouri.
Laura R MarksDepartment of Obstetrics and Gynecology, the Division of Infectious Diseases, and the Department of Psychiatry, Washington University School of Medicine, and the Advanced Health Data (AHEAD) Institute, Department of Family and Community Medicine, Saint Louis University, St. Louis, Missouri.
Jeannie C KellyDepartment of Obstetrics and Gynecology, the Division of Infectious Diseases, and the Department of Psychiatry, Washington University School of Medicine, and the Advanced Health Data (AHEAD) Institute, Department of Family and Community Medicine, Saint Louis University, St. Louis, Missouri.
Sarah M HartzDepartment of Obstetrics and Gynecology, the Division of Infectious Diseases, and the Department of Psychiatry, Washington University School of Medicine, and the Advanced Health Data (AHEAD) Institute, Department of Family and Community Medicine, Saint Louis University, St. Louis, Missouri.
Lisa HayiborDepartment of Obstetrics and Gynecology, the Division of Infectious Diseases, and the Department of Psychiatry, Washington University School of Medicine, and the Advanced Health Data (AHEAD) Institute, Department of Family and Community Medicine, Saint Louis University, St. Louis, Missouri.
Richard A GruczaDepartment of Obstetrics and Gynecology, the Division of Infectious Diseases, and the Department of Psychiatry, Washington University School of Medicine, and the Advanced Health Data (AHEAD) Institute, Department of Family and Community Medicine, Saint Louis University, St. Louis, Missouri.
Kevin Y XuDepartment of Obstetrics and Gynecology, the Division of Infectious Diseases, and the Department of Psychiatry, Washington University School of Medicine, and the Advanced Health Data (AHEAD) Institute, Department of Family and Community Medicine, Saint Louis University, St. Louis, Missouri.
Megan R CurtisDepartment of Obstetrics and Gynecology, the Division of Infectious Diseases, and the Department of Psychiatry, Washington University School of Medicine, and the Advanced Health Data (AHEAD) Institute, Department of Family and Community Medicine, Saint Louis University, St. Louis, Missouri.

Funding

Washington University Career Development Program in Drug Abuse and AddictionK12DA041449 · NIDA · WASHINGTON UNIVERSITY · PI Laura J. Bierut, Patricia A Cavazos-Rehg · 2017 to 2026
$4.2M
The Opioid in Pregnancy: Imaging of Oxygenation, Inflammation, and Development in Brain & Placenta Project (OPIOID BPP)R01HD113199 · NICHD · WASHINGTON UNIVERSITY · PI Jeannie Chen Kelly, Yong Wang · 2023 to 2026
$3.1M
Using Big Data to Optimize Treatment of Opioid Use Disorder in PregnancyK08DA061258 · NIDA · WASHINGTON UNIVERSITY · PI Kevin Young Xu · 2024 to 2026
$664k
Using the Transdermal Patch for Buprenorphine Induction during Pregnancy: A Pilot Randomized Controlled TrialR21DA057493 · NIDA · WASHINGTON UNIVERSITY · PI KELLY, JEANNIE CHEN · 2023 to 2024
$442k
NICHD NIH HHS R01 HD113199NIDA NIH HHS K08 DA061258NIDA NIH HHS K12 DA041449NIDA NIH HHS R21 DA057493
6 · The paper itself

Abstract

objectiveTo evaluate the association between sex and recent pregnancy and treatment of hepatitis C virus (HCV) infection in individuals entering opioid use disorder (OUD) treatment in the United States.

methodsWe used the Merative MarketScan Commercial and Multi-State Medicaid Databases (2015-2019) to conduct a retrospective cohort study of individuals with HCV infection entering OUD treatment. The outcome variable of interest was the prescription of direct-acting antivirals (DAAs) after the initiation of OUD treatment, and the exposure variables of interest were sex and recent pregnancy status. We used Cox regression models to perform univariate analyses to determine differences in HCV treatment rates based on sex and recent pregnancy status and ran multivariable analyses adjusted for covariates including age, year of enrollment, insurance type, race and ethnicity, psychiatric comorbidities, co-occurring substance use disorders (alcohol use disorder, cannabis use disorder, stimulant use disorder), hospitalizations for drug-related poisoning, OUD treatment type, and Charlson Comorbidity Index score.

resultsOur analysis included 19,668 people with HCV infection initiating OUD treatment (90.8% with Medicaid insurance, 89.2% non-Hispanic White), of whom 8,864 (45.1%) were men, 7,567 (38.5%) were women without recent pregnancy, and 3,237 (16.5%) were women with recent pregnancy. Overall, 7,332 individuals (37.3%) were prescribed DAAs within 1 year of OUD treatment. Men were most likely to be prescribed DAAs within 1 year of OUD treatment (40.6%), followed by women without recent pregnancy (35.7%) and women with recent pregnancy (31.8%). In adjusted analyses, men and women without recent pregnancy had higher rates of HCV treatment compared with women with recent pregnancy (adjusted hazard ratio 1.18, 95% CI, 1.13-1.24; and 1.09, 95% CI, 1.04-1.13, respectively).

conclusionAmong people with HCV infection entering OUD treatment in the United States, female sex and recent pregnancy are independent risk factors for reduced likelihood of direct-acting antiviral prescription, of which the latter may contribute to sex-based disparities in access to DAAs.

Identifiers

PMID41001177
PMCPMC12421971

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.