2004年至2012年宾夕法尼亚州立监狱在押人员丙型肝炎感染负担特征分析

IF 0.8 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Correctional Health Care Pub Date : 2016-01-01 DOI:10.1177/1078345815618384

M. Mahowald, S. Larney, N. Zaller, N. Scharff, L. Taylor, C. Beckwith, A. Noska, J. Rich, T. Flanigan

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引用次数: 10

摘要

尽管丙型肝炎(HCV)感染在囚犯中很常见，但接受治疗评估的相对较少。本研究报告了监禁人群中慢性感染的患病率和基因型分布。对进入宾夕法尼亚州监狱的成年人进行丙型肝炎病毒抗体检测;对符合治疗条件的患者进行验证性和基因型检测。101727人的抗体患病率为18.1%。在7633名接受确认性检测的个体中，69.3%的人检测到RNA。在3247例接受基因型检测的个体中，基因1型最常见(76.6%)。丙型肝炎病毒暴露后的慢性感染率与社区报告的相似，基因型分布也是如此。惩教设施为疾病负担沉重的人群提供了接触机会，为评估和治疗创造了公共卫生机会。

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Characterizing the Burden of Hepatitis C Infection Among Entrants to Pennsylvania State Prisons, 2004 to 2012

Although hepatitis C (HCV) infection is common among prisoners, relatively few undergo evaluation for treatment. This study reports the prevalence of chronic infection and the genotype distribution among an incarcerated population. HCV antibody testing was provided to adults entering Pennsylvania prisons; confirmatory and genotype testing were offered to those eligible for treatment. Antibody prevalence among 101,727 individuals was 18.1%. Among 7,633 individuals who underwent confirmatory testing, 69.3% had detectable RNA. Among 3,247 individuals who underwent genotype testing, genotype 1 was the most common (76.6%). The rate of chronic infection after HCV exposure is similar to that reported in the community, as is genotype distribution. Correctional facilities provide access to a population with a high disease burden, creating a public health opportunity for evaluation and treatment.

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来源期刊

Journal of Correctional Health Care PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： The Journal of Correctional Health Care is the only national, peer-reviewed scientific journal to focus on this complex and evolving field. Targeting clinicians, allied health practitioners and administrators, it is the primary resource for information on research and developments in clinical care for chronic and infectious disease, mental health care, substance abuse treatment, health services management, quality improvement, medical records, medical-legal issues, discharge planning, staffing, cost analysis and other topics. Coverage includes empirical research, case studies, best practices, literature reviews and letters, plus NCCHC clinical guidelines and position statements. A self-study exam offers CE credit for health care professionals.