{"id":21274,"date":"2025-02-22T09:44:07","date_gmt":"2025-02-22T14:44:07","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=21274"},"modified":"2025-02-27T09:45:10","modified_gmt":"2025-02-27T14:45:10","slug":"health-utilities-in-people-with-hepatitis-c-virus-infection","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/health-utilities-in-people-with-hepatitis-c-virus-infection\/","title":{"rendered":"Health utilities in people with hepatitis C virus infection: a study using real-world population-level data"},"content":{"rendered":"<p><strong>Background<\/strong> \u2014 Hepatitis C virus (HCV) infection is associated with reduced quality of life and health utility. It is unclear whether this is primarily due to HCV infection itself or commonly co-occurring patient characteristics such as low income and mental health issues. This study aims to estimate and separate the effects of HCV infection on health utility from the effects of clinical and sociodemographic factors using real-world population-level data.<\/p>\n<p><strong>Methods<\/strong> \u2014 We conducted a cross-sectional retrospective cohort study to estimate health utilities in people with and without HCV infection in Ontario, Canada, from 2000 to 2014 using linked survey data from the Canadian Community Health Survey and health administrative data. Utilities were derived from the Health Utilities Index Mark 3 instrument. We used propensity score matching and multivariable linear regression to examine the impact of HCV infection on utility scores while adjusting for clinical and sociodemographic factors.<\/p>\n<p><strong>Results<\/strong> \u2014 There were 7,102 individuals with hepatitis C status and health utility data available (506 HCV-positive, 6,596 HCV-negative). Factors associated with marginalization were more prevalent in the HCV-positive cohort (e.g., household income &lt;$20,000: 36% versus 15%). Propensity score matching resulted in 454 matched pairs of HCV-positive and HCV-negative individuals. HCV-positive individuals had substantially lower unadjusted utilities than HCV-negative individuals did (mean\u2009\u00b1\u2009standard error: 0.662\u2009\u00b1\u20090.016 versus 0.734\u2009\u00b1\u20090.015). The regression model showed that HCV positivity (coefficient: \u22120.066), age, comorbidity, mental health history, and household income had large impacts on health utility.<\/p>\n<p><strong>Conclusions<\/strong> \u2014 HCV infection is associated with low health utility even after controlling for clinical and sociodemographic variables. Individuals with HCV infection may benefit from additional social services and supports alongside antiviral therapy to improve their quality of life.<\/p>\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background \u2014 Hepatitis C virus (HCV) infection is associated with reduced quality of life and health utility. It is unclear whether this is primarily due to HCV infection itself or commonly co-occurring patient characteristics such as low income and mental health issues. This study aims to estimate and separate the effects of HCV infection on [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[62,39],"migration-helper-qa-sample-set":[],"class_list":["post-21274","journal_article","type-journal_article","status-publish","hentry","topic-health-services-research","topic-infectious-diseases"],"acf":{"citation":"Saeed YA, Mitsakakis N, Feld JJ, Krahn MD, Kwong JC, Wong WWL. <em>Med Decis Making<\/em>. 2025; 272989X251319342. Epub 2025 Feb 22.","source_url":"https:\/\/doi.org\/10.1177\/0272989x251319342","ices_scientist":[1149,1120],"site":[6733],"research_program":[6746],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Health utilities in people with hepatitis C virus infection: a study using real-world population-level data<\/title>\n<meta name=\"description\" content=\"Background \u2014 Hepatitis C virus (HCV) infection is associated with reduced quality of life and health utility. 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