Age cohort differences in illicit drug use and hepatitis C among African American substance users

J Addict Dis. 2014;33(4):314-21. doi: 10.1080/10550887.2014.969605.

Abstract

Identifying prognostic indicators for undiagnosed Hepatitis C is crucial to attenuate the negative impact of this disease. This study explored the influence of recent and more distal injection drug use on biologically confirmed Hepatitis C infection among a sample (N = 260) of older and younger African Americans. Data from the baseline assessment of the NEURO-HIV epidemiologic study was analyzed using confounder adjusted regression techniques. Older adults were more likely to test positive for Hepatitis C (OR = 2.80, 95% CI = 1.53-5.11) due to lifetime injection drug use (AOR = 5.37, 95% CI = 3.10-9.28). Clinical implications are discussed.

Keywords: Hepatitis C; medically underserved; older adult; substance use.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Black or African American / statistics & numerical data*
  • Female
  • Hepatitis C / epidemiology*
  • Humans
  • Male
  • Middle Aged
  • Regression Analysis
  • Risk Factors
  • Substance Abuse, Intravenous / epidemiology*
  • Time Factors
  • United States / epidemiology
  • Young Adult