Hepatitis B virus (HBV) screening, linkage and retention-in-care in inclusion health populations: Evaluation of an outreach screening programme in London - 03/02/24
, Sive O’Regan c, 1, Philippa Harris c, Mark Leonard c, Martha Veitch c, Binta Sultan d, e, Philippa C. Matthews b, d, f, g, Indrajit Ghosh c, d, Alistair Story c, h, Julian Surey c, e, iSummary |
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.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Hepatitis B disproportionately affects people experiencing extreme social exclusion. |
• | Specialist services enable people experiencing exclusion to attend hepatitis clinic. |
• | Peers with lived experience can help re-engage people in hepatitis B care. |
Keywords : Hepatitis, Hepatitis B, Inclusion health, Key populations, Outreach, Screening
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Vol 88 - N° 2
P. 167-172 - février 2024 Retour au numéro
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