Takeaway
- HCV screening among baby boomers has increased slightly but remains low overall, according to the latest 2013-2015 National Health Interview Survey (NHIS) data.
Why this matters
- In 2012, the CDC issued a recommendation for universal HCV screening for individuals born 1945-1965.
- Although 35% of baby boomers had seen a provider in the preceding 12 months, only 12% had received HCV screening, suggesting missed opportunities.
Study design
- NHIS 2013-2015 data for 88,744 individuals born before 1945 (n=15,100), during 1945-1965 (n=28,725), during 1966-1985 (n=28,089), and after 1985 (n=13,296).
- Funding: NIH, National Cancer Institute.
Key results
- Baby boomer screening rate rose from 11.9% in 2013 to 12.8% in 2015.
- In multivariate analysis, screening odds rose by 20% from 2013 to 2014 (OR, 1.20; 95% CI, 1.05-1.38), and by 31% from 2014 to 2015 (OR, 1.31; 95% CI, 1.13-1.52).
- Significant factors for nontesting (P<.05>
- Increasing age (per 5 years, aOR, 0.90);
- Female sex (aOR, 0.71);
- Black race (aOR, 0.81); and
- Hispanic ethnicity (aOR, 0.79).
Limitations
- Not all HCV risk factors addressed in survey; high-risk populations excluded.
- Self-reported data.
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