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Prevalence of Hepatitis C and Needle/Syringe Sharing in Emergency Department Opioid Overdose Patients: 273

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reported an HRSN: 17 (15%) reported housing instability, 22 (17%) reported food insecurity, 14 (11%) reported transportation needs, 8 (6%) reported utility needs, and 19 (15%) reported interpersonal safety concerns.… Click to show full abstract

reported an HRSN: 17 (15%) reported housing instability, 22 (17%) reported food insecurity, 14 (11%) reported transportation needs, 8 (6%) reported utility needs, and 19 (15%) reported interpersonal safety concerns. In unadjusted analyses, HRSN were not associated with location of enrollment (Fast Track or Pediatrics) or sex, but were associated with language. In a multivariable model adjusting for location and sex, language remained significantly associated with presence of any HRSN (OR 4.15 [95% CI: 1.28-13.4]). Conclusions: Almost one-third of ED patients reported an HRSN in this pilot study, with Spanish-speaking patients at significantly higher risk. These data demonstrate the importance of HRSN screening in the ED, while also highlighting the significance of ensuring that screening programs and referral resources are accessible to non-English-speaking patients.

Keywords: syringe sharing; needle syringe; emergency; hepatitis needle; prevalence hepatitis; sharing emergency

Journal Title: Annals of Emergency Medicine
Year Published: 2018

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