{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T16:34:22Z","timestamp":1759336462406,"version":"3.37.3"},"reference-count":34,"publisher":"Wiley","issue":"23-24","license":[{"start":{"date-parts":[[2017,5,23]],"date-time":"2017-05-23T00:00:00Z","timestamp":1495497600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["CDC PS12\u20101209PPHF12"],"award-info":[{"award-number":["CDC PS12\u20101209PPHF12"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["KL2 TR001118"],"award-info":[{"award-number":["KL2 TR001118"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To identify support needs of low\u2010income baby boomers recently diagnosed with chronic hepatitis C virus infection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>The U.S. Preventive Services Task Force has endorsed one\u2010time screening of all baby boomers (born 1945\u20131965) for hepatitis C because 75% of the estimated 2\u20133\u00a0million persons with chronic infection are in this age range. We hypothesised that persons diagnosed by routine screening would have significant psycho\u2010emotional, cognitive and healthcare challenges that need to be met by collaborative care and services from nurses and other healthcare personnel.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Qualitative descriptive study of data from three focus groups with predominantly minority participants (<jats:italic>N<\/jats:italic>\u00a0=\u00a016). Data were analysed using qualitative content analysis, and transcribed data were categorised by three domains in a previously developed model and a new domain identified in this study. Frequencies of unique participants\u2019 comments about each theme were calculated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Elucidated domains were as follows: (i) psycho\u2010emotional effects due to social stigma, shame, fear and dealing with risky behaviours; (ii) social effects due to concerns about infecting others; and (iii) cognitive deficits because of poor understanding about hepatitis C virus infection and its care. A new domain related to health care emerged reflecting the following themes: poor access to care, barriers to costly treatment, and navigating complex care for comorbidities. Despite these challenges, participants strongly endorsed universal baby boomer hepatitis C virus screening.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study describes psycho\u2010emotional and social challenges of people dealing with a hepatitis C diagnosis which are compounded by poor knowledge and barriers to supportive care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Nursing and other allied health personnel require structured support programmes to assist older persons diagnosed with hepatitis C with addressing these common challenges with the ultimate goal of achieving a cure.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.13806","type":"journal-article","created":{"date-parts":[[2017,3,15]],"date-time":"2017-03-15T14:06:52Z","timestamp":1489586812000},"page":"4605-4612","source":"Crossref","is-referenced-by-count":7,"title":["Improving support and education of low\u2010income baby boomers diagnosed with chronic hepatitis C virus infection through universal screening"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0736-1071","authenticated-orcid":false,"given":"Barbara J","family":"Turner","sequence":"first","affiliation":[{"name":"Department of Medicine University of Texas Health San Antonio (UT Health San Antonio) San Antonio TX USA"},{"name":"Center for Research to Advance Community Health (ReACH) UT Health San Antonio San Antonio TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn","family":"Craig","sequence":"additional","affiliation":[{"name":"School of Medicine UT Health San Antonio San\u00a0Antonio TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vidhi S","family":"Makanji","sequence":"additional","affiliation":[{"name":"School of Medicine UT Health San Antonio San\u00a0Antonio TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bertha E","family":"Flores","sequence":"additional","affiliation":[{"name":"Center for Research to Advance Community Health (ReACH) UT Health San Antonio San Antonio TX USA"},{"name":"School of Nursing UT Health San Antonio San\u00a0Antonio TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ludivina","family":"Hernandez","sequence":"additional","affiliation":[{"name":"Center for Research to Advance Community Health (ReACH) UT Health San Antonio San Antonio TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,5,23]]},"reference":[{"key":"e_1_2_13_2_1","first-page":"1","article-title":"Recommendations for the identification of chronic hepatitis C virus infection among persons born during 1945\u20131965","volume":"61","author":"Centers for Disease Control and Prevention","year":"2012","journal-title":"Morbidity and Mortality Weekly Report"},{"key":"e_1_2_13_3_1","first-page":"357","article-title":"Vital signs: Evaluation of hepatitis C virus infection testing and reporting \u2013 Eight U.S. sites, 2005\u20132011","volume":"62","author":"Centers for Disease Control and Prevention","year":"2013","journal-title":"Morbidity and Mortality Weekly Report"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jvh.12095"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/SGA.0000000000000130"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/00333549161310S211"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04569.x"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2011.12.061"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jvh.12507"},{"key":"e_1_2_13_10_1","unstructured":"Fitch K. 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