Linkage-to-Care Following Community-Based HBV and HCV Screening Among Immigrants from the Washington-Baltimore Metropolitan Area, 2016-2019

J Immigr Minor Health. 2022 Oct;24(5):1137-1144. doi: 10.1007/s10903-022-01327-7. Epub 2022 Jan 22.

Abstract

Understanding characteristics that impact linkage-to-care (LTC) among individuals living with HBV and/or HCV can enhance public health efforts to provide tailored care services to prevent and treat viral hepatitis among immigrants. Using HBV/HCV screening and LTC data from immigrants (2016-2019), descriptive and logistic regression analyses were conducted to assess (1) the relationship between LTC and sociodemographic factors and (2) factors associated with HBV/HCV LTC. About 87% of those positive HBsAg had LTC and 52% had LTC among those with HCVAB and confirmed PCR. Access to care was an important LTC predictor for HBV-LTC: those who had neither health insurance nor primary care provider (PCP) were more likely to have HBV-LTC than those who had either health insurance or PCP (aOR = 2.95, 95% CI = 1.32-6.59). It is essential to equally provide HBV/HCV LTC support to all immigrants from countries with high prevalence regardless of access to care.

Keywords: African Americans; Asian Americans; Emigrants and immigrants; Health disparities; Liver diseases.

MeSH terms

  • Baltimore
  • Emigrants and Immigrants*
  • Hepatitis B virus
  • Hepatitis C* / diagnosis
  • Humans
  • Mass Screening
  • Prevalence
  • Washington / epidemiology