Prisoners are a risk for hepatitis C transmission

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 priso...

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Main Authors: Butler, Tony, Kariminia, A., Levy, M., Kaldor, J.
Format: Journal Article
Published: Kluwer Academic Publishers 2004
Online Access:http://hdl.handle.net/20.500.11937/13777
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author Butler, Tony
Kariminia, A.
Levy, M.
Kaldor, J.
author_facet Butler, Tony
Kariminia, A.
Levy, M.
Kaldor, J.
author_sort Butler, Tony
building Curtin Institutional Repository
collection Online Access
description 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: 9.1–29.2). 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.
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spelling curtin-20.500.11937-137772017-09-13T15:54:45Z Prisoners are a risk for hepatitis C transmission Butler, Tony Kariminia, A. Levy, M. Kaldor, J. 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: 9.1–29.2). 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. 2004 Journal Article http://hdl.handle.net/20.500.11937/13777 10.1007/s10654-004-1705-9 Kluwer Academic Publishers restricted
spellingShingle Butler, Tony
Kariminia, A.
Levy, M.
Kaldor, J.
Prisoners are a risk for hepatitis C transmission
title Prisoners are a risk for hepatitis C transmission
title_full Prisoners are a risk for hepatitis C transmission
title_fullStr Prisoners are a risk for hepatitis C transmission
title_full_unstemmed Prisoners are a risk for hepatitis C transmission
title_short Prisoners are a risk for hepatitis C transmission
title_sort prisoners are a risk for hepatitis c transmission
url http://hdl.handle.net/20.500.11937/13777