{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T23:31:36Z","timestamp":1792798296466,"version":"4.5.0"},"reference-count":50,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2015,1,14]],"date-time":"2015-01-14T00:00:00Z","timestamp":1421193600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"crossref","award":["MOP135260"],"award-info":[{"award-number":["MOP135260"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"crossref","award":["MOP210232"],"award-info":[{"award-number":["MOP210232"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"crossref"}]},{"name":"R\u00e9seau SIDA et Maladies Infectieuses du Fonds de la Recherche en Sant\u00e9 du Qu\u00e9bec","award":["FRSQ5227"],"award-info":[{"award-number":["FRSQ5227"]}]},{"name":"National CIHR Research Training Program in Hepatitis C"},{"DOI":"10.13039\/100009874","name":"University of Sherbrooke","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100009874","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Charles Lemoyne Hospital Foundation","id":[{"id":"https:\/\/ror.org\/01jnc6p74","id-type":"ROR","asserted-by":"crossref"}]},{"name":"University of Sherbrooke Foundation in Qu\u00e9bec, Canada"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Viral Hepatitis"],"published-print":{"date-parts":[[2015,10]]},"abstract":"Summary<\/jats:title>\n \n The role of primary care physicians (\n PCP<\/jats:styled-content>\n ) in hepatitis\n C<\/jats:styled-content>\n virus (\n HCV<\/jats:styled-content>\n ) prevention is increasingly emphasized. Yet, little is known about the patterns of contacts with\n PCP<\/jats:styled-content>\n among persons who inject drugs (\n PWID<\/jats:styled-content>\n ). We sought to assess the 6\u2010month prevalence of\n PCP<\/jats:styled-content>\n visiting among\n PWID<\/jats:styled-content>\n at risk of\n HCV<\/jats:styled-content>\n infection and to explore the associated factors. Baseline data were collected from\n HCV<\/jats:styled-content>\n \u2010seronegative\n PWID<\/jats:styled-content>\n recruited in HEPCO, an observational Hepatitis Cohort study (2004\u20132011) in\n M<\/jats:styled-content>\n ontreal,\n C<\/jats:styled-content>\n anada. An interviewer\u2010administered questionnaire elicited information on socio\u2010demographic factors, drug use patterns and healthcare services utilization. Blood samples were tested for\n HCV<\/jats:styled-content>\n antibodies. Using the\n G<\/jats:styled-content>\n elberg\u2010\n A<\/jats:styled-content>\n ndersen\n B<\/jats:styled-content>\n ehavioral\n M<\/jats:styled-content>\n odel, hierarchical logistic regression analyses were conducted to identify predisposing, need and enabling factors associated with\n PCP<\/jats:styled-content>\n visiting. Of the 349 participants (mean age\u00a0=\u00a034; 80.8% male), 32.1% reported visiting a\n PCP<\/jats:styled-content>\n . In the multivariate model, among predisposing factors, male gender [adjusted odds ratio (\n AOR<\/jats:styled-content>\n )\u00a0=\u00a00.45 (0.25\u20130.83)], chronic homelessness [\n AOR<\/jats:styled-content>\n \u00a0=\u00a00.08 (0.01\u20130.67)], cocaine injection [\n AOR<\/jats:styled-content>\n \u00a0=\u00a00.46 (0.28\u20130.76)] and reporting greater illegal or semi\u2010legal income [\n AOR<\/jats:styled-content>\n \u00a0=\u00a00.48 (0.27\u20130.85)] were negatively associated with\n PCP<\/jats:styled-content>\n visits. Markers of need were not associated with the outcome. Among enabling factors, contact with street nurses [\n AOR<\/jats:styled-content>\n \u00a0=\u00a03.86 (1.49\u20139.90)] and food banks [\n AOR<\/jats:styled-content>\n \u00a0=\u00a02.01 (1.20\u20133.37)] was positively associated with\n PCP<\/jats:styled-content>\n visiting. Only one third of participating\n PWID<\/jats:styled-content>\n reported a recent visit to a\n PCP<\/jats:styled-content>\n . While a host of predisposing factors seems to hamper timely contacts with\n PCP<\/jats:styled-content>\n among high\u2010risk\n PWID<\/jats:styled-content>\n , community\u2010based support services may play an important role in initiating dialogue with primary healthcare services in this population.\n <\/jats:p>","DOI":"10.1111\/jvh.12393","type":"journal-article","created":{"date-parts":[[2015,1,14]],"date-time":"2015-01-14T05:06:57Z","timestamp":1421212017000},"page":"792-799","source":"Crossref","is-referenced-by-count":41,"title":["Visits to primary care physicians among persons who inject drugs at high risk of hepatitis\n C<\/scp>\n virus infection: room for improvement"],"prefix":"10.1111","volume":"22","author":[{"given":"A. A.","family":"Artenie","sequence":"first","affiliation":[{"name":"Research Center Centre Hospitalier de l'Universit\u00e9 de Montr\u00e9al (CRCHUM) Montr\u00e9al QC Canada"},{"name":"Department of Family Medicine Faculty of Medicine McGill University Montr\u00e9al QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Jutras\u2010Aswad","sequence":"additional","affiliation":[{"name":"Research Center Centre Hospitalier de l'Universit\u00e9 de Montr\u00e9al (CRCHUM) Montr\u00e9al QC Canada"},{"name":"Department of Psychiatry Faculty of Medicine Universit\u00e9 de Montr\u00e9al Montr\u00e9al QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c9.","family":"Roy","sequence":"additional","affiliation":[{"name":"Addiction Research and Study Program Faculty of Medicine and Health Sciences Universit\u00e9 de Sherbrooke Longueuil QC Canada"},{"name":"Montr\u00e9al Public Health Department Agence de la sant\u00e9 et des services sociaux de Montr\u00e9al Montr\u00e9al QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Zang","sequence":"additional","affiliation":[{"name":"Research Center Centre Hospitalier de l'Universit\u00e9 de Montr\u00e9al (CRCHUM) Montr\u00e9al QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.\u2010M.","family":"Bamvita","sequence":"additional","affiliation":[{"name":"Research Center Centre Hospitalier de l'Universit\u00e9 de Montr\u00e9al (CRCHUM) Montr\u00e9al QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"L\u00e9vesque","sequence":"additional","affiliation":[{"name":"Research Center Centre Hospitalier de l'Universit\u00e9 de Montr\u00e9al (CRCHUM) Montr\u00e9al QC Canada"},{"name":"Department of Family Medicine Faculty of Medicine McGill University Montr\u00e9al QC 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