Hepatitis C screening rate among underserved adults with serious mental illness receiving care in California community mental health centers

E. Trager, M. Khalili, C.L. Masson, E. Vittinghoff, J. Creasman and C. Mangurian

American Journal of Public Health, 2016, vol. 106, issue 4, 740-742

Abstract: Although HCV is more prevalent among people with severe mental illness (SMI; e.g., schizophrenia, bipolar disorder) than in the general population (17% vs 1%), no large previous studies have examined HCV screening in this population. In this cross-sectional study, we examined administrative data for 57 170 California Medicaid enrollees with SMI to identify prevalence and predictors of HCV screening from October 2010 through September 2011. Only 4.7% (2674 of 57 170) received HCV screening, with strongest predictors being nonpsychiatric health care utilization and comorbid substance abuse.

Keywords: adolescent; adult; aged; California; community mental health center; cross-sectional study; drug dependence; hepatitis C; human; integrated health care system; medicaid; Mental Disorders; middle aged; multiphasic screening; prevalence; procedures; United States; utilization; vulnerable population; young adult, Adolescent; Adult; Aged; California; Community Mental Health Centers; Cross-Sectional Studies; Delivery of Health Care, Integrated; Hepatitis C; Humans; Medicaid; Mental Disorders; Middle Aged; Multiphasic Screening; Prevalence; Substance-Related Disorders; United States; Vulnerable Populations; Young Adult (search for similar items in EconPapers)
Date: 2016
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2016.303059_0

DOI: 10.2105/AJPH.2016.303059

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