{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T01:04:05Z","timestamp":1780448645154,"version":"3.54.1"},"reference-count":12,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100004917","name":"Cancer Prevention and Research Institute of Texas","doi-asserted-by":"publisher","award":["0017555"],"award-info":[{"award-number":["0017555"]}],"id":[{"id":"10.13039\/100004917","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004917","name":"Cancer Prevention and Research Institute of Texas","doi-asserted-by":"publisher","award":["PP220022"],"award-info":[{"award-number":["PP220022"]}],"id":[{"id":"10.13039\/100004917","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Cancer Control"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Hepatitis B and C (HBV\/HCV) are bloodborne infections, with individuals who have histories of substance use and homelessness bearing a disproportionate risk. Long-standing difficulties in engaging these populations have made testing and treatment challenging. This retrospective observational study describes a community-based approach to HBV\/HCV prevention and treatment, comparing the effectiveness of different engagement site types in reaching and engaging this high-need population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>GRASSROOTS HEALTH was launched in 2018 to improve HBV\/HCV care by providing on-site testing, HBV vaccination, treatment navigation, and adherence support across various housing and drop-in centers. Outcomes were tracked through REDCap and analyzed by engagement site.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>GRASSROOTS HEALTH reached nearly 2000 clients, with the greatest needs for HCV treatment in drop-in centers and HBV vaccination in low-income\/permanent supportive housing. All sites demonstrated a relatively high return on effort, as evidenced by the percentage of participants needing HBV vaccination or HCV\/HBV treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Engaging individuals through housing and service centers effectively reached a high-need community, with findings suggesting that different engagement points may enhance outreach based on the primary focus (HCV treatment vs HBV vaccination).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10732748251374419","type":"journal-article","created":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T04:40:41Z","timestamp":1756960841000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Optimizing Community-Based Hepatitis B and C Care for Engaging Housing-Insecure Individuals"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1976-5145","authenticated-orcid":false,"given":"Vanessa","family":"Schick","sequence":"first","affiliation":[{"name":"School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abigail","family":"Grace","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. Tiffany","family":"Quan","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cathy","family":"Troisi","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0329-648X","authenticated-orcid":false,"given":"Jack","family":"Tsai","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,3]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2011.12.061"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0101554"},{"key":"e_1_3_5_4_2","volume-title":"Viral Hepatitis National Strategic Plan for the U.S.: A Roadmap to Elimination, 2021-2025","year":"2021","unstructured":"Viral Hepatitis National Strategic Plan for the U.S.: A Roadmap to Elimination, 2021-2025; ASI. 2021. https:\/\/www.hhs.gov\/sites\/default\/files\/Viral-Hepatitis-National-Strategic-Plan-2021-2025.pdf"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/hep.26245"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(12)70177-9"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2016.11.020"},{"key":"e_1_3_5_8_2","unstructured":"State cancer profilesState cancer profiles web site. 2023. https:\/\/statecancerprofiles.cancer.gov\/incidencerates\/index.php?stateFIPS=00&areatype=state&cancer=035&race=00&sex=0&age=001&stage=999&year=0&type=incd&sortVariableName=rate&sortOrder=desc#results (Accessed September 9 2023)."},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-147-8-200710160-00010"},{"issue":"1","key":"e_1_3_5_10_2","first-page":"3","article-title":"The prevalence of hepatitis C virus infection in Texas: implications for future health care","volume":"18","author":"Yalamanchili K","year":"2005","unstructured":"Yalamanchili K, Saadeh S, Lepe R, Davis GL. The prevalence of hepatitis C virus infection in Texas: implications for future health care. SAVE Proc. 2005;18(1):3-6.","journal-title":"SAVE Proc"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.rr7201a1"},{"issue":"7","key":"e_1_3_5_12_2","first-page":"ofaa191","article-title":"Low yield of hepatitis C infection in an outreach screening program in harris County","volume":"7","author":"Kim H","year":"2020","unstructured":"Kim H, Guerrero R, Reader SW, et al. Low yield of hepatitis C infection in an outreach screening program in harris County. Texas. 2020;7(7):ofaa191.","journal-title":"Texas"},{"key":"e_1_3_5_13_2","doi-asserted-by":"crossref","unstructured":"Centers for Disease Control and Prevention. Surveillance of Vaccination Coverage Among Adult Populations \u2014 United States 2018. 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