Treatment for hepatitis C virus with direct acting antiviral agents: Perspectives and treatment experiences of people who inject drugs

Overcome Health Inequities to Eliminate Viral Hepatitis

“…But, as noted by others who have worked to engage highrisk populations in HCV care-in this instance, persons who inject drugs-even when low-threshold care is made available, structural variables such as homelessness and lack of social support can pose substantial barriers to engagement and retention in treatment. 8 Raising concerns about the social, economic, environmental, and structural barriers that can affect hepatitis elimination outcomes does not mean we are dismissive of efforts to expand prevention, treatment, and care for HBV and HCV. Instead, we seek to emphasize the critical importance of addressing those nonclinical factors that can substantially influence an individual's willingness to engage in hepatitis prevention and treatment services.…”

“…The proposed program’s stated focus on persons with poor access to health care who experience social inequities and are likely to be encountered in high-impact settings such as correctional facilities and substance use treatment clinics evidences a clear emphasis on addressing health disparities. But, as noted by others who have worked to engage high-risk populations in HCV care—in this instance, persons who inject drugs—even when low-threshold care is made available, structural variables such as homelessness and lack of social support can pose substantial barriers to engagement and retention in treatment …”