{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T02:18:36Z","timestamp":1776824316205,"version":"3.51.2"},"reference-count":47,"publisher":"Public Library of Science (PLoS)","issue":"5","license":[{"start":{"date-parts":[[2021,5,26]],"date-time":"2021-05-26T00:00:00Z","timestamp":1621987200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1KL2TR002545-01"],"award-info":[{"award-number":["1KL2TR002545-01"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K08HS026008-01"],"award-info":[{"award-number":["K08HS026008-01"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["P30AI42853"],"award-info":[{"award-number":["P30AI42853"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R25DA037190"],"award-info":[{"award-number":["R25DA037190"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Despite national guidelines promoting hepatitis C virus (HCV) testing in prisons, there is substantial heterogeneity on the implementation of HCV testing in jails. We sought to better understand barriers and opportunities for HCV testing by interviewing a broad group of stakeholders involved in HCV testing and treatment policies and procedures in Massachusetts jails.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>We conducted semi-structured interviews with people incarcerated in Middlesex County Jail (North Billerica, MA), clinicians working in jail and community settings, corrections administrators, and representatives from public health, government, and industry between November 2018\u2014April 2019.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>51\/120 (42%) of people agreed to be interviewed including 21 incarcerated men (mean age 32 [IQR 25, 39], 60% non-White). Themes that emerged from these interviews included gaps in knowledge about HCV testing and treatment opportunities in jail, the impact of captivity and transience, and interest in improving linkage to HCV care after release. Many stakeholders discussed stigma around HCV infection as a factor in reluctance to provide HCV testing or treatment in the jail setting. Some stakeholders expressed that stigma often led decisionmakers to estimate a lower \u201cworth\u201d of incarcerated individuals living with HCV and therefore to decide against paying for HCV testing.\u201d.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>All stakeholders agreed that HCV in the jail setting is a public health issue that needs to be addressed. Exploring stakeholders\u2019 many ideas about how HCV testing and treatment can be approached is the first step in developing feasible and acceptable strategies.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0250901","type":"journal-article","created":{"date-parts":[[2021,5,26]],"date-time":"2021-05-26T17:54:57Z","timestamp":1622051697000},"page":"e0250901","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":17,"title":["\u201cI\u2019m not gonna be able to do anything about it, then what\u2019s the point?\u201d: A broad group of stakeholders identify barriers and facilitators to HCV testing in a Massachusetts jail"],"prefix":"10.1371","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8255-8387","authenticated-orcid":true,"given":"Alysse G.","family":"Wurcel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Reyes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Zubiago","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter J.","family":"Koutoujian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deirdre","family":"Burke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamsin A.","family":"Knox","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Concannon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephenie C.","family":"Lemon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4203-9010","authenticated-orcid":true,"given":"John B.","family":"Wong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen M.","family":"Freund","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Curt G.","family":"Beckwith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy M.","family":"LeClair","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2021,5,26]]},"reference":[{"issue":"6","key":"pone.0250901.ref001","doi-asserted-by":"crossref","first-page":"2449","DOI":"10.1002\/hep.29685","article-title":"Toward the elimination of hepatitis C in the United States","volume":"67","author":"S Saab","year":"2018","journal-title":"Hepatology"},{"key":"pone.0250901.ref002","article-title":"HCV prevalence estimates among incarcerated persons","author":"AC Spaulding","year":"2019","journal-title":"Hepatology"},{"issue":"2","key":"pone.0250901.ref003","doi-asserted-by":"crossref","first-page":"84","DOI":"10.7326\/M15-0617","article-title":"Prevention of Hepatitis C by Screening and Treatment in U.S. Prisons","volume":"164","author":"T He","year":"2016","journal-title":"Ann Intern Med"},{"issue":"4","key":"pone.0250901.ref004","doi-asserted-by":"crossref","first-page":"1215","DOI":"10.1002\/hep.26387","article-title":"Incidence and prevalence of hepatitis C in prisons and other closed settings: results of a systematic review and meta-analysis","volume":"58","author":"S Larney","year":"2013","journal-title":"Hepatology"},{"issue":"Suppl 1","key":"pone.0250901.ref005","doi-asserted-by":"crossref","first-page":"S3","DOI":"10.1093\/cid\/cis393","article-title":"Evolving epidemiology of hepatitis C virus in the United States","volume":"55","author":"RM Klevens","year":"2012","journal-title":"Clin Infect Dis"},{"issue":"10","key":"pone.0250901.ref006","doi-asserted-by":"crossref","first-page":"1893","DOI":"10.1377\/hlthaff.2016.0296","article-title":"New Hepatitis C Drugs Are Very Costly And Unavailable To Many State Prisoners","volume":"35","author":"AL Beckman","year":"2016","journal-title":"Health Aff (Millwood)."},{"key":"pone.0250901.ref007","article-title":"Cost-effectiveness and budgetary impact of HCV testing, treatment and linkage to care in U.S. prisons","author":"SA Assoumou","year":"2019","journal-title":"Clin Infect Dis"},{"key":"pone.0250901.ref008","unstructured":"Evaluation and Management of Chronic Hepatitis C Virus (HCV) Infection. 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