Hepatitis B in Wisconsin male prisoners: considerations for serologic screening and vaccination
| Autor: | V N Dodson, D J D'Alessio, J P Davis, R F Anda, S B Perlman |
|---|---|
| Rok vydání: | 1985 |
| Předmět: |
Adult
Male Risk medicine.medical_specialty HBsAg Substance-Related Disorders Radioimmunoassay medicine.disease_cause Hepatitis Wisconsin Internal medicine medicine Humans Mass Screening Risk factor Mass screening Hepatitis B virus Hepatitis B Surface Antigens business.industry Prisoners Vaccination Hepatobiliary disease Public Health Environmental and Occupational Health Transfusion Reaction virus diseases Hepatitis B medicine.disease Immunology business Research Article |
| Zdroj: | American Journal of Public Health. 75:1182-1185 |
| ISSN: | 1541-0048 0090-0036 |
| DOI: | 10.2105/ajph.75.10.1182 |
| Popis: | To develop a protocol for prevention of hepatitis B virus (HBV) transmission in Wisconsin prisons, we interviewed 619 male prisoners at incarceration to obtain information on hepatitis B risk factors. We defined previous infections by the presence of hepatitis B surface antigen (HBsAg), antibody to hepatitis B surface antigen (anti-HBs), or antibody to hepatitis B core antigen (anti-HBc). Logistic regression was used to develop a model of relative risk (RR) of HBV infection. Use of illicit intravenous (IV) drugs was the most important risk factor because of a high prevalence of IV drug use and an RR which ranged from 2.93-7.47. Other important risk factors were: prior hepatitis or jaundice (RR = 6.28), race (RR = 2.54 for Blacks, RR = 3.28 for Latinos), transfusion (RR = 3.00), and age. Previous imprisonment was not an independent risk factor for HBV, hence selective serologic screening and vaccination of prisoners are justified rather than mass screening and vaccination. Based upon prevalence of hepatitis B markers in subgroups, it is necessary to screen prisoners with prior hepatitis or jaundice, prior transfusion, and users of IV drugs. The identification of HBsAg carriers by such screening could prevent infection of "household" contacts. Users of IV drugs who are susceptible to HBV infection should be vaccinated. The remaining prisoners constitute a low-risk group for HBV infection and do not require serologic screening or vaccination. |
| Databáze: | OpenAIRE |
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