Historique
Article de Périodique
Prisoners are at risk for hepatitis C transmission (2004)
Auteur(s) :
BUTLER, T. ;
KARIMINIA, A. ;
LEVY, M. ;
KALDOR, J.
Année
2004
Page(s) :
1119-1122
Langue(s) :
Anglais
Refs biblio. :
19
Domaine :
Drogues illicites / Illicit drugs
Discipline :
MAL (Maladies infectieuses / Infectious diseases)
Thésaurus mots-clés
PRISON
;
HEPATITE
;
PREVALENCE
;
INJECTION
;
ENQUETE
;
EPIDEMIOLOGIE DESCRIPTIVE
Thésaurus géographique
AUSTRALIE
Résumé :
Objective: Determine the incidence of hepatitis C virus antibodies among a cohort of prisoners. Design: Follow-up study of a random sample of prisoners who participated in a cross-sectional survey in 1996. Setting: 29 correctional centres in New South Wales (Australia). Participants: 181 adult prisoners (163 men and 18 women). Results: The incidence of hepatitis C virus antibody among the 90 inmates who were seronegative at the first test in 1996 was 7.1 per 100 person-years (16 seroconverters). Among the 90 inmates, 37 had re-entered the prison system following release into the community and 53 had been continuously detained. The seroconversion rate was higher among the re-entrants compared with those who had been continuously incarcerated (10.8 vs. 4.5 per 100 person-years, p=0.07). However, when the data was stratified by injecting status, the seroconversion rate in the two groups was similar. Most of the seroconverters had histories of injecting drug users (14/16). The overall incidence among injectors was 19.3 per 100 person years (95% CI: 9.129.2). Conclusions: Hepatitis C transmission occurs inside the prison with injecting drug use the likely cause. Among non-injectors, tattooing was the most likely mode of transmission. Harm minimisation measures with proven effectiveness need to be considered for this environment.
Affiliation :
Australia