Predictors of poor mental and physical health status among patients with chronic hepatitis C infection: the Chronic Hepatitis Cohort Study (CHeCS)
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Our objective was to assess the extent and risk factors for depression and poor physical health among patients with chronic hepatitis C virus (HCV) infection. We surveyed HCV‐infected patients seen at four large healthcare systems participating in the Chronic Hepatitis Cohort Study (CHeCS). Survey data included demographics, depression and physical health measures, substance use history, current social support, recent stressor exposures, and, from the electronic medical record, treatment history, and Charlson Comorbidity Index scores. There were 4,781 respondents, who were a mean of 56.7 years old, 71% White, and 57% male. Altogether, 51.4% reported past injection drug use, 33.9% were current smokers, and 17.7% had abused alcohol in the previous year. Additionally, 47.4% had been previously treated for HCV and 14.8% had a 12‐week sustained viral response (SVR) following HCV therapy. Overall, 29.7% of patients met criteria for current depression and 24.6% were in poor physical health. In multivariate analyses, significant predictors of depression and poor health included: male gender (versus female, odds ratios [ORs], 0.70 and 0.81), Black race (versus white, ORs, 0.60 and 0.61), having education less than high school (versus college, ORs, 1.81 and 1.54), being employed (versus not, ORs, 0.36 and 0.25), having high life stressors (versus low, ORs, 2.44 and 1.64), having low social support (versus high, ORs = 2.78 and 1.40), and having high Charlson scores (versus none, ORs = 1.58 and 2.12). Achieving a 12‐week SVR was found to be protective for depression.Conclusion: This large survey of U.S. HCV patients indicates the extent of adverse health behaviors and mental and physical comorbidities among these patients. (H epatology 2015;61:802–811)
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Depression and anxiety symptoms often occur at a higher rate in patients with hepatitis C virus compared to patients with hepatitis B virus or healthy controls.
“and they often occur at a higher rate compared to patients with HBV or healthy controls.[17][18][19]”
From Prevalence of depression and anxiety symptoms by liver disease etiology (2023) · cites this paper as [18]
Two population-based studies in the United States and Germany reported the prevalence of depression as 29.7% and 25.9%, respectively, though neither survey investigation measured anxiety.
“Two population-based studies in the United States [18] and Germany [20] reported the prevalence of DEP as 29.7% and 25.9%, respectively, though neither survey investigation measured ANX.”
From Prevalence of depression and anxiety symptoms by liver disease etiology (2023) · cites this paper as [18]
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- Authors
- Boscarino, J. A., Lu, M., Moorman, A. C., Gordon, S. C., Rupp, L. B., Spradling, P. R., Teshale, E. H., Schmidt, M. A., Vijayadeva, V., Holmberg, S. D., & for the Chronic Hepatitis Cohort Study (CHeCS) Investigators
- Affiliations
- Geisinger Health System (US)
- Henry Ford Health System,Detroit,MI
- Centers for Disease Control and Prevention (US)
- Henry Ford Health (US)
- Kaiser Permanente (US)
- Corresponding author
- Boscarino, Joseph A.
- ORCID
- Venue
- Hepatology
- Published
- 2015-01-30
- Volume
- 61
- Issue
- 3
- Pages
- 802-811
- ISSN
- 0270-9139 (ISSN-L)
- 1527-3350
- PMC
- PMC5675518
- OpenAlex
- W2133862404
- Cited by
- 75
- References
- 43
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 6 · 2021: 4 · 2020: 5 · 2019: 9 · 2018: 12 · 2017: 13 · 2016: 10 · 2015: 10
- FWCI
- 6.14
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Hepatology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- CDC Foundation
- Topics
- Health Sciences › Medicine › Hepatology › Hepatitis C virus research
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Keywords
- chronic hepatitis C, depression, physical health, risk factors, social support, life events, Charlson Comorbidity Index, sustained virological response, intravenous drug use, smoking, alcohol abuse, gender differences, race, educational attainment, employment status
- MeSH terms
- Adult, Aged, Depression, Female, Health Status, Humans, Male, Mental Health, Middle Aged, Social Support, Cohort Studies, Hepatitis C, Chronic
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