Titre : | Substance abuse and the transmission of hepatitis C among persons with severe mental illness |
Titre traduit : | (Abus de substances et transmission de l'hépatite C chez des personnes atteintes de troubles mentaux sévères) |
Auteurs : | F. C. OSHER ; R. W. GOLDBERG ; MCNARY S. W. ; SWARTEZ M. S. ; S. M. ESSOCK ; M. I. BUTTERFIELD ; S. D. ROSENBERG ; FIVE-SITE HEALTH AND RISK STUDY RESEARCH COMMITTEE |
Type de document : | Périodique |
Année de publication : | 2003 |
Format : | 842-847 / tabl. |
Note générale : |
Psychiatric Services, 2003, 54, (6), 842-847 |
Langues: | Français |
Discipline : | MAL (Maladies infectieuses / Infectious diseases) |
Mots-clés : |
Thésaurus mots-clés HEPATITE ; PSYCHIATRIE ; DEPENDANCE ; ENQUETE ; VOIE INTRAVEINEUSE ; CONDUITE A RISQUE ; VIH ; PARTAGE DE SERINGUE ; MATERIEL LIE A L'USAGEThésaurus géographique ETATS-UNIS |
Résumé : |
ENGLISH : OBJECTIVES: The authors sought to better understand the relationship of substance abuse to higher rates of transmission of hepatitis C among persons with severe mental illness. METHOD:S: The authors assessed 668 persons with severe mental illness for HIV, hepatitis B, and hepatitis C infection through venipuncture. Demographic characteristics, substance abuse, and risk behaviors for blood-borne infections were assessed through interviews and collection of clinical data. RESULTS: Eighty-two percent of the assessed persons were not infected, and 18 percent had hepatitis C. Among those with hepatitis C infection, 546 (82 percent) tested negative for all viruses. Of the 122 (18 percent) who had hepatitis C, 53 (8 percent) had only hepatitis C, 56 (8 percent) had both hepatitis C and hepatitis B, three (1 percent) had hepatitis C and HIV, and ten (2 percent) had all three infections. More than 20 percent of the sample reported lifetime intravenous drug use, and 14 percent reported lifetime needle sharing. Fifty-seven percent had sniffed of snorted cocaine, and 39 percent had smoked crack. A stepwise regression model was used to identify interaction effects of these behaviors and risk of hepatitis C infection among persons with severe mental illness. Use of needles and of crack cocaine were associated with a large increase in the likelihood of hepatitis C infection. CONCLUSION:S: The high rates of co-occurring substance use disorders among persons with severe mental illness, coupled with the role of substance abuse as the primary vector for hepatitis C transmission, warrants special consideration. (Review' s abstract) |
Note de contenu : | tabl. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 28 |
Affiliation : |
Center of Behavioral Health, Justice, and Public Policy at the University of Maryland School of Medicine, 3700 Koppers Street, Suite 402, Baltimore, Maryland 21227 Etats-Unis. United States. |
Numéro Toxibase : | 1300786 |
Centre Emetteur : | 13 OFDT |
Cote : | A01492 |
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