Source:http://linkedlifedata.com/resource/pubmed/id/18622707
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2009-1-22
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pubmed:abstractText |
Hepatitis B vaccination and targeted testing for hepatitis C virus (HCV) are recommended for jails with medical services available. This study estimates hepatitis B virus (HBV) and HCV infection prevalence among jail inmates, since most previous studies have been conducted among prison inmates. Prison and jail populations differ: jails hold a wide spectrum of persons for an average of 10-20 days, including persons awaiting arraignment, trial, conviction, or sentencing, while prisons typically hold convicted criminals for at least 1 year. A stratified random sample of sera obtained during routine syphilis testing of inmates entering jails in Chicago (March-April 2000), Detroit (March-August 1999), and San Francisco (June 1999-December 2000) was tested for serologic markers of HBV and HCV infection. All sera had been previously tested for antibody to HIV (anti-HIV). A total of 1,292 serum samples (12% of new inmates) was tested. Antibody to HCV (anti-HCV) prevalence was 13%. Antibody to hepatitis B core antigen (anti-HBc) prevalence was 19%, and hepatitis B surface antigen (HBsAg) prevalence was 0.9%; 12% had serologic evidence of hepatitis B vaccination. Hispanics had high rates of chronic HBV infection (3.6% HBsAg positive) along with Asians (4.7% HBsAg positive). Among HIV-infected persons, 38% were anti-HCV positive and 8.2% were HBsAg positive. Anti-HBc positivity was associated with anti-HCV positivity (aOR=4.58), anti-HIV positivity (aOR=2.94), syphilis infection (aOR=2.10), and previous incarceration (aOR=1.78). Anti-HCV-positivity was associated with anti-HBc positivity (aOR=4.44), anti-HIV-positivity (aOR=2.51), and previous incarceration (aOR=2.90). Jail entrants had high levels of HCV and HBV infection and HIV co-infection; HBV prevalence was comparable to previous prison studies, and HCV prevalence was lower than prison studies. Hispanics had an unexpectedly high rate of chronic hepatitis B infection and had the lowest rate of hepatitis B vaccination. The finding that hepatitis B vaccination coverage among jail entrants is lower than the general population, despite this population's increased risk for infection, highlights the need to support vaccination in jail settings.
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pubmed:commentsCorrections |
http://linkedlifedata.com/resource/pubmed/commentcorrection/18622707-10214102,
http://linkedlifedata.com/resource/pubmed/commentcorrection/18622707-12034909,
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http://linkedlifedata.com/resource/pubmed/commentcorrection/18622707-9987458
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
1099-3460
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
86
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
93-105
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pubmed:dateRevised |
2010-9-21
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pubmed:meshHeading |
pubmed-meshheading:18622707-Adolescent,
pubmed-meshheading:18622707-Adult,
pubmed-meshheading:18622707-Age Factors,
pubmed-meshheading:18622707-Female,
pubmed-meshheading:18622707-HIV Infections,
pubmed-meshheading:18622707-Health Surveys,
pubmed-meshheading:18622707-Hepatitis B,
pubmed-meshheading:18622707-Hepatitis B Antibodies,
pubmed-meshheading:18622707-Hepatitis C,
pubmed-meshheading:18622707-Hepatitis C Antibodies,
pubmed-meshheading:18622707-Humans,
pubmed-meshheading:18622707-Male,
pubmed-meshheading:18622707-Prevalence,
pubmed-meshheading:18622707-Prisons,
pubmed-meshheading:18622707-Seroepidemiologic Studies,
pubmed-meshheading:18622707-Sex Factors,
pubmed-meshheading:18622707-United States,
pubmed-meshheading:18622707-Young Adult
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pubmed:year |
2009
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pubmed:articleTitle |
Prevalence of infection with hepatitis B and C viruses and co-infection with HIV in three jails: a case for viral hepatitis prevention in jails in the United States.
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pubmed:affiliation |
Division of Viral Hepatitis, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention NCHHSTP, Centers for Disease Control and Prevention (CDC), Atlanta, GA 30333, USA. khennessey@cdc.gov
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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