Impact of hepatitis coinfection on healthcare utilization among persons living with HIV

Trevor A. Crowell, Stephen A. Berry, John A. Fleishman, Richard W. LaRue, Philip T. Korthuis, Ank E. Nijhawan, Richard D. Moore, Kelly A. Gebo

Research output: Contribution to journalArticlepeer-review

26 Scopus citations


Hepatitis B virus (HBV) and hepatitis C virus (HCV) coinfection are increasingly important sources of morbidity among HIVinfected persons. We determined associations between hepatitis coinfection and healthcare utilization among HIV-infected adults at 4 US sites during 2006-2011. Outpatient HIV visits did not differ by hepatitis serostatus and decreased over time. Mental health visits were more common among HIV/HCV coinfected persons than among HIV monoinfected persons [incidence rate ratio (IRR): 1.27, 95% confidence interval (CI): 1.08 to 1.50]. Hospitalization rates were higher among all hepatitis-infected groups than among HIV monoinfected (HIV/HBV: IRR: 1.23, 95% CI: 1.05 to 1.44; HIV/HCV: IRR: 1.22, 95% CI: 1.10 to 1.36; HIV/HBV/HCV: IRR: 1.31, 95% CI: 1.02 to 1.68). These findings may inform the design of clinical services and allocation of resources.

Original languageEnglish (US)
Pages (from-to)425-431
Number of pages7
JournalJournal of Acquired Immune Deficiency Syndromes
Issue number4
StatePublished - Apr 1 2015


  • HIV
  • healthcare utilization
  • hepatitis B virus
  • hepatitis C virus
  • hospitalization
  • mental health

ASJC Scopus subject areas

  • Infectious Diseases
  • Pharmacology (medical)


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