Hepatitis B virus (HBV) screening, linkage and retention-in-care in inclusion health populations : Evaluation of an outreach screening programme in London
Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved..
OBJECTIVES: We evaluated a hepatitis B virus (HBV) screening programme, delivered by a specialist pan-London multidisciplinary outreach team, to understand population characteristics and care cascade among people who experience extreme social exclusion (Inclusion Health (IH) groups).
METHODS: Point-of-care HBV screening was performed in temporary accommodation for people experiencing homelessness (PEH) and people seeking asylum (initial accommodation centres, IACs) via a mobile unit staffed by peers with lived experience, nurses, and doctors. We analysed demographics and HBV characteristics of adults screened between May 2020 and January 2022. We ascertained linkage-to-care (LTC), retention-in-care (RIC) and loss-to-follow-up (LTFU). People LTFU were contacted by peers to re-engage in care.
RESULTS: 2473 people were screened: 809 in IACs, 1664 in other temporary accommodation. Overall hepatitis B surface antigen (HBsAg) prevalence was 1.7% (43/2473), highest in IACs (3.5%, 28/809). LTC within 3 months was 56% (24/43) and RIC, 87% (26/30). LTC was higher when referred to a local IH-specialist hepatitis service, compared to other services (77%, 17/22 vs 33%, 7/21; p = 0.006). LTFU was 30% (13/43), reduced to 21% (9/43) after intervention by peers.
CONCLUSION: Our findings support outreach screening among IH populations and peer-supported linkage to IH-specialist hepatitis services. We recommend increased HBV testing and HBV-specific IH specialist services.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:88 |
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| Enthalten in: |
The Journal of infection - 88(2024), 2 vom: 15. Feb., Seite 167-172 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Martyn, Emily [VerfasserIn] |
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| Links: |
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| Themen: |
Hepatitis |
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| Anmerkungen: |
Date Completed 07.02.2024 Date Revised 04.03.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.jinf.2023.12.012 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM366502255 |
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| 100 | 1 | |a Martyn, Emily |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Hepatitis B virus (HBV) screening, linkage and retention-in-care in inclusion health populations |b Evaluation of an outreach screening programme in London |
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| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved. | ||
| 520 | |a OBJECTIVES: We evaluated a hepatitis B virus (HBV) screening programme, delivered by a specialist pan-London multidisciplinary outreach team, to understand population characteristics and care cascade among people who experience extreme social exclusion (Inclusion Health (IH) groups) | ||
| 520 | |a METHODS: Point-of-care HBV screening was performed in temporary accommodation for people experiencing homelessness (PEH) and people seeking asylum (initial accommodation centres, IACs) via a mobile unit staffed by peers with lived experience, nurses, and doctors. We analysed demographics and HBV characteristics of adults screened between May 2020 and January 2022. We ascertained linkage-to-care (LTC), retention-in-care (RIC) and loss-to-follow-up (LTFU). People LTFU were contacted by peers to re-engage in care | ||
| 520 | |a RESULTS: 2473 people were screened: 809 in IACs, 1664 in other temporary accommodation. Overall hepatitis B surface antigen (HBsAg) prevalence was 1.7% (43/2473), highest in IACs (3.5%, 28/809). LTC within 3 months was 56% (24/43) and RIC, 87% (26/30). LTC was higher when referred to a local IH-specialist hepatitis service, compared to other services (77%, 17/22 vs 33%, 7/21; p = 0.006). LTFU was 30% (13/43), reduced to 21% (9/43) after intervention by peers | ||
| 520 | |a CONCLUSION: Our findings support outreach screening among IH populations and peer-supported linkage to IH-specialist hepatitis services. We recommend increased HBV testing and HBV-specific IH specialist services | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Hepatitis | |
| 650 | 4 | |a Hepatitis B | |
| 650 | 4 | |a Inclusion health | |
| 650 | 4 | |a Key populations | |
| 650 | 4 | |a Outreach | |
| 650 | 4 | |a Screening | |
| 650 | 7 | |a Hepatitis B Surface Antigens |2 NLM | |
| 700 | 1 | |a O'Regan, Sive |e verfasserin |4 aut | |
| 700 | 1 | |a Harris, Philippa |e verfasserin |4 aut | |
| 700 | 1 | |a Leonard, Mark |e verfasserin |4 aut | |
| 700 | 1 | |a Veitch, Martha |e verfasserin |4 aut | |
| 700 | 1 | |a Sultan, Binta |e verfasserin |4 aut | |
| 700 | 1 | |a Matthews, Philippa C |e verfasserin |4 aut | |
| 700 | 1 | |a Ghosh, Indrajit |e verfasserin |4 aut | |
| 700 | 1 | |a Story, Alistair |e verfasserin |4 aut | |
| 700 | 1 | |a Surey, Julian |e verfasserin |4 aut | |
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