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Identification of Hidden Key Hepatitis C Populations: An Evaluation of Screening Practices Using Mixed Epidemiological Methods

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  • Angelique P A Vermeiren
  • Nicole H T M Dukers-Muijrers
  • Inge H M van Loo
  • Frans Stals
  • Dirk W van Dam
  • Ton Ambergen
  • Christian J P A Hoebe

Abstract

Background: Hepatitis C virus (HCV) is a major cause of liver diseases worldwide. Due to its asymptomatic nature, screening is necessary for identification. Because screening of the total population is not cost effective, it is important to identify which risk factors for positivity characterize the key populations in which targeting of screening yields the highest numbers of HCV positives, and assess which of these key populations have remained hidden to current care. Methods: Laboratory registry data (2002–2008) were retrieved for all HCV tests (23,800) in the south of the Netherlands (adult population 500,000). Screening trends were tested using Poisson regression and chi-square tests. Risk factors for HCV positivity were assessed using a logistic regression. The hidden HCV-positive population was estimated by a capture-recapture approach. Results: The number of tests increased over time (2,388 to 4,149, p

Suggested Citation

  • Angelique P A Vermeiren & Nicole H T M Dukers-Muijrers & Inge H M van Loo & Frans Stals & Dirk W van Dam & Ton Ambergen & Christian J P A Hoebe, 2012. "Identification of Hidden Key Hepatitis C Populations: An Evaluation of Screening Practices Using Mixed Epidemiological Methods," PLOS ONE, Public Library of Science, vol. 7(12), pages 1-8, December.
    • Handle: RePEc:plo:pone00:0051194
    DOI: 10.1371/journal.pone.0051194
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    Cited by:

    1. Coralie Hermetet & Frederic Dubois & Catherine Gaudy-Graffin & Yannick Bacq & Bernard Royer & Christophe Gaborit & Louis D’Alteroche & Jean Claude Desenclos & Philippe Roingeard & Leslie Grammatico-Gu, 2017. "Continuum of hepatitis C care in France: A 20-year cohort study," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-13, August.

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