PDF(Pubmed)
Abstract：
BACKGROUND: Hepatitis C virus (HCV) infection is a major global concern, with Indigenous Peoples bearing the highest burden. Previous studies exploring HCV prevalence within Indigenous populations have predominantly used a pan-Indigenous approach, consequently resulting in limited availability of Métis-specific HCV data. The Métis are one of the three recognized groups of Indigenous Peoples in Canada with a distinct history and language. The Métis Nation of Ontario (MNO) is the only recognized Métis government in Ontario. This study aims to examine the prevalence of self-reported HCV testing and positive results among citizens of the MNO, as well as to explore the association between sociodemographic variables and HCV testing and positive results.
METHODS: A population-based online survey was implemented by the MNO using their citizenship registry between May 6 and June 13, 2022. The survey included questions about hepatitis C testing and results, socio-demographics, and other health related outcomes. Census sampling was used, and 3,206 MNO citizens responded to the hepatitis C-related questions. Descriptive statistics and bivariate analysis were used to analyze the survey data.
RESULTS: Among the respondents, 827 (25.8%, CI: 24.3-27.3) reported having undergone HCV testing and 58 indicated testing positive, resulting in a prevalence of 1.8% (CI: 1.3-2.3). Respondents with a strong sense of community belonging, higher education levels, and lower household income were more likely to report having undergone HCV testing. Among those who had undergone testing, older age groups, individuals with lower education levels, and retired individuals were more likely to test positive for HCV.
CONCLUSIONS: This study is the first Métis-led and Métis-specific study to report on HCV prevalence among Métis citizens. This research contributes to the knowledge base for Métis health and will support the MNO\'s health promotion program and resources for HCV. Future research will examine the actual HCV incidence and prevalence among MNO citizens.
METHODS: A population-based online survey was implemented by the MNO using their citizenship registry between May 6 and June 13, 2022. The survey included questions about hepatitis C testing and results, socio-demographics, and other health related outcomes. Census sampling was used, and 3,206 MNO citizens responded to the hepatitis C-related questions. Descriptive statistics and bivariate analysis were used to analyze the survey data.
RESULTS: Among the respondents, 827 (25.8%, CI: 24.3-27.3) reported having undergone HCV testing and 58 indicated testing positive, resulting in a prevalence of 1.8% (CI: 1.3-2.3). Respondents with a strong sense of community belonging, higher education levels, and lower household income were more likely to report having undergone HCV testing. Among those who had undergone testing, older age groups, individuals with lower education levels, and retired individuals were more likely to test positive for HCV.
CONCLUSIONS: This study is the first Métis-led and Métis-specific study to report on HCV prevalence among Métis citizens. This research contributes to the knowledge base for Métis health and will support the MNO\'s health promotion program and resources for HCV. Future research will examine the actual HCV incidence and prevalence among MNO citizens.
摘要：
背景：丙型肝炎病毒（HCV）感染是全球关注的主要问题，土著人民承担着最大的负担。以前在土著居民中探索HCV流行的研究主要使用泛土著方法，因此导致Métis特异性HCV数据的可用性有限。梅蒂斯人是加拿大三个公认的土著民族之一，具有独特的历史和语言。安大略省梅蒂斯国家（MNO）是安大略省唯一公认的梅蒂斯政府。这项研究旨在检查MNO公民中自我报告的HCV检测的患病率和阳性结果，以及探讨社会人口统计学变量与HCV检测和阳性结果之间的关系。
方法：MNO在2022年5月6日至6月13日之间使用其公民身份注册表进行了基于人群的在线调查。调查包括有关丙型肝炎检测和结果的问题，社会人口统计学，以及其他与健康相关的结果。使用人口普查抽样，3,206MNO公民回答了与丙型肝炎有关的问题。采用描述性统计和双变量分析对调查数据进行分析。
结果：在受访者中，827（25.8%，CI：24.3-27.3）报告已接受HCV检测，58项显示检测呈阳性，患病率为1.8%（CI：1.3-2.3）。具有强烈社区归属感的受访者，高等教育水平，较低的家庭收入更有可能报告接受了HCV检测。在那些接受过测试的人中，老年群体,受教育程度较低的人，退休人员HCV检测呈阳性的可能性更大.
结论：这项研究是第一个由Métis主导的、针对Métis的研究，报告了Métis公民中HCV的流行情况。这项研究有助于建立梅蒂斯健康的知识库，并将支持MNO的HCV健康促进计划和资源。未来的研究将检查MNO公民中HCV的实际发病率和患病率。
方法：MNO在2022年5月6日至6月13日之间使用其公民身份注册表进行了基于人群的在线调查。调查包括有关丙型肝炎检测和结果的问题，社会人口统计学，以及其他与健康相关的结果。使用人口普查抽样，3,206MNO公民回答了与丙型肝炎有关的问题。采用描述性统计和双变量分析对调查数据进行分析。
结果：在受访者中，827（25.8%，CI：24.3-27.3）报告已接受HCV检测，58项显示检测呈阳性，患病率为1.8%（CI：1.3-2.3）。具有强烈社区归属感的受访者，高等教育水平，较低的家庭收入更有可能报告接受了HCV检测。在那些接受过测试的人中，老年群体,受教育程度较低的人，退休人员HCV检测呈阳性的可能性更大.
结论：这项研究是第一个由Métis主导的、针对Métis的研究，报告了Métis公民中HCV的流行情况。这项研究有助于建立梅蒂斯健康的知识库，并将支持MNO的HCV健康促进计划和资源。未来的研究将检查MNO公民中HCV的实际发病率和患病率。
