Table 2.
Receipt of HCV Testing, Gastrointestinal Referral, Liver Biopsy, and HCV Treatment by HIV-positive Homeless and Marginally Housed Persons in San Francisco, 1997–2000, According to Selected Population Characteristics at Study Follow-up
| HCV- tested | Referred to GI | Liver biopsied | Offered therapy | HCV- treated | ||
|---|---|---|---|---|---|---|
| HCV-positives | 182 | 139 | 38 | 21 | 32 | 7 |
| n (%) | % (n/N) | % (n/N) | % (n/N) | % (n/N) | % (n/N) | |
| Gender | ||||||
| Male | 145 (80) | 75 (109) | 21 (31) | 12 (17) | 19 (27) | 5 (7) |
| Female | 37 (20) | 81 (30) | 19 (7) | 11 (4) | 14 (5) | 0 |
| Age | ||||||
| <40 | 58 (32) | 72 (42) | 21 (12) | 7 (4) | 12 (7) | 2 (1) |
| 40–46 | 60 (33) | 80 (48) | 23 (14) | 10 (6) | 18 (11) | 5 (3) |
| >46 | 64 (35) | 77 (49) | 19 (12) | 17 (11) | 22 (14) | 5 (3) |
| Race/ethnicity | ||||||
| White | 78 (43) | 90 (70) | 31 (24)* | 13 (10) | 18 (14) | 4 (3) |
| African American | 75 (41) | 71 (53)* | 16 (12) | 11 (8) | 17 (13) | 4 (3) |
| Latin | 10 (6) | 50 (5) | 10 (1) | 0 | 30 (3) | 0 |
| Other | 19 (10) | 58 (11) | 3 (1) | 16 (3) | 10 (2) | 5 (1) |
| IDU history | ||||||
| Yes | 144 (79) | 81 (117)* | 23 (33) | 12 (17) | 16 (23) | 3 (4) |
| No | 38 (21) | 58 (22) | 13 (5) | 10 (4) | 24 (9) | 8 (3) |
| Current IDU (last 30 day) | ||||||
| Yes | 49 (27) | 84 (41) | 22 (11) | 14 (7) | 18 (9) | 8 (4) |
| No | 133 (73) | 74 (98) | 20 (27) | 10 (14) | 17 (23) | 2 (3) |
| Current HAART† | ||||||
| Yes | 78 (43) | 73 (57) | 20 (16) | 13 (10) | 19 (15) | 3 (2) |
| No | 104 (57) | 79 (82) | 21 (22) | 11 (11) | 16 (17) | 5 (5) |
| ART adherence‡ | ||||||
| >90% | 10 (13) | 90 (19) | 50 (5) | 30 (3) | 20 (2) | 10 (1) |
| 70–90% | 21 (27) | 76 (17) | 19 (4) | 5 (1) | 14 (3) | 0 |
| <70% | 34 (44) | 68 (23) | 15 (5) | 18 (6) | 21 (7) | 0 |
| In primary medical care§ | ||||||
| Yes | 172 (94) | 78 (134) | 22 (38) | 12 (21) | 17 (30) | 4 (7) |
| No | 10 (6) | 50 (5) | 0 | 0 | 20 (2) | 0 |
| In public health care system|| | ||||||
| Yes | 133 (73) | 80 (100) | 18 (23) | 11 (14) | 14 (17) | 3 (4) |
| No | 49 (27) | 69 (34) | 29 (14) | 14 (7) | 26 (13) | 6 (3) |
| Homeless over 1 year¶ | ||||||
| Yes | 112 (62) | 72 (81) | 20 (22) | 9 (10) | 16 (18) | 3 (3) |
| No | 69 (38) | 83 (57) | 23 (16) | 16 (11) | 20 (14) | 6 (4) |
| Alcohol use (days of last 30) | ||||||
| none | 114 (63) | 75 (85) | 20 (23) | 11 (13) | 18 (20) | 4 (5) |
| 1–4 | 28 (15) | 79 (22) | 29 (8) | 18 (5) | 21 (6) | 4 (1) |
| >4 | 40 (22) | 80 (32) | 18 (7) | 8 (3) | 15 (6) | 3 (1) |
| Depression (BDI score)# | ||||||
| Minimal (<14) | 75 (41) | 72 (54) | 21 (16) | 12 (9) | 12 (9) | 1 (1) |
| Mild-moderate (14–18) | 63 (35) | 76 (48) | 21 (13) | 8 (5) | 21 (13) | 6 (4) |
| Severe (>28) | 20 (11) | 90 (18) | 20 (4) | 10 (2) | 20 (4) | 5 (1) |
*
P < .05, compared within characteristic group for service analyzed. Characteristics determined within 28 days (median) of HCV data collection, unless otherwise noted.
†
Minimum of 3 drugs.
‡
Based on available pill count from ART adherence substudy.
§
Contact with provider within the last 6 months.
||
The SFDPH Community Health Network.
¶
Self-report at cohort baseline.
#
Reflect those participants undergoing Beck Depression Inventory (BDI) assessment within 102 days of HCV data collection.