Receipt of alcohol-related care among patients with HCV and unhealthy alcohol use

Drug and Alcohol Dependence
Mandy D OwensEmily C Williams

Abstract

Alcohol use-particularly unhealthy alcohol use-exacerbates risks associated with Hepatitis C virus (HCV). However, whether unhealthy alcohol use is appropriately addressed among HCV+ patients is understudied. We examined receipt of alcohol-related care among HCV+ patients and unhealthy alcohol use. All positive alcohol screens (AUDIT-C score ≥5) documented 10/01/09-5/30/13 were identified from national electronic health records data from the Veterans Health Administration (VA). Regression models estimated unadjusted and adjusted proportions of HCV+ and HCV- patients receiving 1) brief intervention within 14 days of positive screening, 2) specialty addictions treatment, and 3) pharmacotherapy for alcohol use disorder (AUD) in the year following positive screening. Adjusted models included demographics, alcohol use severity, and mental health and substance use disorder comorbidities. Among 830,825 VA outpatients with positive alcohol screening, 31,841 were HCV+. Among HCV+, unadjusted and adjusted prevalences were 69.2% (CI, 68.7-69.6) and 71.9% (CI, 71.4-72.4) for brief intervention, 29.9% (CI, 29.4-30.4) and 12.7% (CI 12.5-12.9) for specialty addictions treatment, and 5.9% (CI, 5.7-6.1) and 3.3% (CI, 3.1-3.4) for pharmacotherap...Continue Reading

Citations

Oct 24, 2019·AIDS and Behavior·Jumi HayakiMichael D Stein
Nov 24, 2019·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Shari RogalKevin L Kraemer
Aug 25, 2020·Implementation Science Communications·Madeline C FrostEmily C Williams
Feb 12, 2021·Journal of General Internal Medicine·Judith I TsuiKatharine A Bradley

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