Treatment of Chronic Hepatitis C Infection among Current And Former Injection Drug Users within a Multidisciplinary Treatment Model at a Community Health Centre
The aim of the present prospective observational study was to assess uptake and success of hepatitis C virus (HCV) treatment among a group of former and current injection drug users with chronic HCV infection at the Street Health Centre in Kingston, Ontario. The Street Health Centre offers hepatitis...
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| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Canadian Journal of Gastroenterology |
| Online Access: | http://dx.doi.org/10.1155/2013/515636 |
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| _version_ | 1832553753883967488 |
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| author | Adam I Newman Shelley Beckstead David Beking Susan Finch Tina Knorr Carol Lynch Meredith MacKenzie Daphne Mayer Brenda Melles Ron Shore |
| author_facet | Adam I Newman Shelley Beckstead David Beking Susan Finch Tina Knorr Carol Lynch Meredith MacKenzie Daphne Mayer Brenda Melles Ron Shore |
| author_sort | Adam I Newman |
| collection | DOAJ |
| description | The aim of the present prospective observational study was to assess uptake and success of hepatitis C virus (HCV) treatment among a group of former and current injection drug users with chronic HCV infection at the Street Health Centre in Kingston, Ontario. The Street Health Centre offers hepatitis C education, assessment and treatment within a multidisciplinary, integrated and collaborative treatment model of care delivered by primary care professionals. The study enrolled a convenience sample of 34 patients. Seventy per cent of study patients had no postsecondary education, 85% were unemployed and one-third were unstably housed. A majority of study patients self-reported mental health problems. Of the 14 patients who initiated antiviral treatment in the study period, eight (57%) achieved sustained virological response. Regardless of virological outcome, patients who initiated treatment showed positive trends toward increased social and psychiatric stability, and decreases in high-risk behaviours. These results suggest that not only is successful treatment of chronic HCV infection in current and former injection drug users with concurrent psychiatric disorders possible, but the benefits of such treatment delivered in a community-based, multidisciplinary, primary care model may extend beyond narrowly defined virological outcomes. |
| format | Article |
| id | doaj-art-6d806b867f9e4542a60044147004b254 |
| institution | Kabale University |
| issn | 0835-7900 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology |
| spelling | doaj-art-6d806b867f9e4542a60044147004b2542025-02-03T05:53:18ZengWileyCanadian Journal of Gastroenterology0835-79002013-01-0127421722310.1155/2013/515636Treatment of Chronic Hepatitis C Infection among Current And Former Injection Drug Users within a Multidisciplinary Treatment Model at a Community Health CentreAdam I Newman0Shelley Beckstead1David Beking2Susan Finch3Tina Knorr4Carol Lynch5Meredith MacKenzie6Daphne Mayer7Brenda Melles8Ron Shore9Street Health Centre, Kingston Community Health Centres, Kingston, Ontario, CanadaStreet Health Centre, Kingston Community Health Centres, Kingston, Ontario, CanadaDepartment of Community Health and Epidemiology, Kingston, Ontario, CanadaStreet Health Centre, Kingston Community Health Centres, Kingston, Ontario, CanadaStreet Health Centre, Kingston Community Health Centres, Kingston, Ontario, CanadaStreet Health Centre, Kingston Community Health Centres, Kingston, Ontario, CanadaStreet Health Centre, Kingston Community Health Centres, Kingston, Ontario, CanadaStreet Health Centre, Kingston Community Health Centres, Kingston, Ontario, CanadaStreet Health Centre, Kingston Community Health Centres, Kingston, Ontario, CanadaStreet Health Centre, Kingston Community Health Centres, Kingston, Ontario, CanadaThe aim of the present prospective observational study was to assess uptake and success of hepatitis C virus (HCV) treatment among a group of former and current injection drug users with chronic HCV infection at the Street Health Centre in Kingston, Ontario. The Street Health Centre offers hepatitis C education, assessment and treatment within a multidisciplinary, integrated and collaborative treatment model of care delivered by primary care professionals. The study enrolled a convenience sample of 34 patients. Seventy per cent of study patients had no postsecondary education, 85% were unemployed and one-third were unstably housed. A majority of study patients self-reported mental health problems. Of the 14 patients who initiated antiviral treatment in the study period, eight (57%) achieved sustained virological response. Regardless of virological outcome, patients who initiated treatment showed positive trends toward increased social and psychiatric stability, and decreases in high-risk behaviours. These results suggest that not only is successful treatment of chronic HCV infection in current and former injection drug users with concurrent psychiatric disorders possible, but the benefits of such treatment delivered in a community-based, multidisciplinary, primary care model may extend beyond narrowly defined virological outcomes.http://dx.doi.org/10.1155/2013/515636 |
| spellingShingle | Adam I Newman Shelley Beckstead David Beking Susan Finch Tina Knorr Carol Lynch Meredith MacKenzie Daphne Mayer Brenda Melles Ron Shore Treatment of Chronic Hepatitis C Infection among Current And Former Injection Drug Users within a Multidisciplinary Treatment Model at a Community Health Centre Canadian Journal of Gastroenterology |
| title | Treatment of Chronic Hepatitis C Infection among Current And Former Injection Drug Users within a Multidisciplinary Treatment Model at a Community Health Centre |
| title_full | Treatment of Chronic Hepatitis C Infection among Current And Former Injection Drug Users within a Multidisciplinary Treatment Model at a Community Health Centre |
| title_fullStr | Treatment of Chronic Hepatitis C Infection among Current And Former Injection Drug Users within a Multidisciplinary Treatment Model at a Community Health Centre |
| title_full_unstemmed | Treatment of Chronic Hepatitis C Infection among Current And Former Injection Drug Users within a Multidisciplinary Treatment Model at a Community Health Centre |
| title_short | Treatment of Chronic Hepatitis C Infection among Current And Former Injection Drug Users within a Multidisciplinary Treatment Model at a Community Health Centre |
| title_sort | treatment of chronic hepatitis c infection among current and former injection drug users within a multidisciplinary treatment model at a community health centre |
| url | http://dx.doi.org/10.1155/2013/515636 |
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