Human Immunodeficiency Virus and Hepatitis C Virus Infection Testing Among Commercially Insured Persons Who Inject Drugs, United States, 2010–2017

Details

• Alternative Title:
  J Infect Dis
• Personal Author:
  Bull-Otterson, Lara ; Huang, Ya-Lin A. ; Zhu, Weiming ; King, Hope ; Edlin, Brian R. ; Hoover, Karen W.
• Description:
  Background.
  
  We assessed prevalence of testing for human immunodeficiency virus (HIV) and hepatitis C virus (HCV) infection among persons who inject drugs (PWID).
  
  Methods.
  
  Using a nationwide health insurance database for claims paid during 2010–2017, we identified PWID by using codes from the International Classification of Diseases, Current Procedural Terminology, and National Drug Codes directory. We then estimated the percentage of PWIDs tested for HIV or HCV within 1 year of an index encounter, and we used multivariate logistic regression models to assess demographic and clinical factors associated with testing.
  
  Results.
  
  Of 844 242 PWIDs, 71 938 (8.5%) were tested for HIV and 65 188 (7.7%) were tested for HCV infections. Missed opportunities were independently associated with being male (odds ratios [ORs]: HIV, 0.50 [95% confidence interval {CI}, 0.49–0.50], P < .001; HCV, 0.66 [95% CI, 0.65–0.72], P < .001), rural residence (ORs: HIV, 0.67 [95% CI, 0.65–0.69], P < .001; HCV, 0.75 [95% CI, 0.73–0.77], P < .001), and receiving services for skin infections or endocarditis (adjusted ORs: HIV, 0.91 [95% CI, 0.87–0.95], P < .001; HCV, 0.90 [95% CI, 0.86–0.95], P < .001).
  
  Conclusions.
  
  Approximately 90% of presumed PWIDs missed opportunities for HIV or HCV testing, especially male rural residents with claims for skin infections or endocarditis, commonly associated with injection drug use.
  
  
• Subjects:
  Adolescent Adult Coinfection Drug Users Female Hepatitis C History, 21st Century HIV Infections HIV Testing Humans Insurance, Health Male Middle Aged Public Health Surveillance Risk Factors Substance Abuse, Intravenous United States Young Adult

  More +
• Keywords:
  Drug Users Hepatitis C HIV Seropositivity Insurance Coverage/Statistics And Numerical Data Substance-related Disorders
• Source:
  J Infect Dis. 222(6):940-947
• Pubmed ID:
  32002537
• Pubmed Central ID:
  PMC11440361
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  222
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:af1bbfaac1b2addf424b5a15eb20fe74170b16f1bfe3cdef79c8e14cd99dd56d4c94ca324815273a89f660f303f7726a79f0c5c08be2cd716464c0a826a02ffb
• Download URL:
  https://stacks.cdc.gov/view/cdc/164630/cdc_164630_DS1.pdf
• File Type:
  [PDF - 371.88 KB ]