Prevalence and Determinants of Hepatitis B Antigenemia in 15007 Inmates in Taiwan

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概要

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• Background: The goal of this study was to determine the prevalence and risk factors for horizontal transmission of hepatitis B infection due to intravenous drug abuse (IVDA), tattooing, blood transfusion, and combinations of these risk factors.Methods: All people detained in 19 prisons were invited to participate. Subjects underwent a physical examination and completed a questionnaire. Blood samples were collected and screened for hepatitis B surface antigen and Venereal Disease Research Laboratory (VDRL) reactivity.Results: A total of 16 204 prisoners were invited to participate. The response rate was 92.6% and the mean age was 29.73 years. The overall prevalence of HBsAg positivity was 21.7%. Among 3333 subjects with a history of blood transfusion, the carrier rate was 23.19%. Among the 3071 subjects with a history of IVDA and the 6908 subjects with tattoos, the carrier rate was 26.4% and 29.3%, respectively. IVDA appeared to be the strongest risk factor among the 3, with an adjusted odds ratio (AOR) of 1.54 (95% confidence interval, 1.27–1.86), followed by tattooing (1.40, 1.23–1.55), and blood transfusion (1.27, 1.05–1.61). When blood transfusion was combined with either of the other 2 risk factors, the risk increased multiplicatively, and the combination of the 3 factors increased the AOR to 2.76 (2.20–3.47). The prevalence of a positive VDRL test result was 1.01%.Conclusions: The prevalence of HBV antigenemia in prisoners was high and was associated with BT, IVDA, and tattooing. A national vaccination program against HBV should be considered for prisoners and other people with these risk factors.

• 2010-05-01

著者

• Lin Ching-Feng

  Institute of Occupational Medicine and Industrial Hygiene, College of Public Health, National Taiwan

• Chen Ping-Ho

  Division of Environmental Health and Occupational Medicine, National Health Research Institutes

• Cheng Jror-Serk

  Bali Psychiatric Hospital, Department of Health, Executive Yuan

• Wang Jung-der

  Institute Of Occupational Medicine And Industrial Hygiene

• Lin Ching-feng

  台湾

• Cheng Jror-serk

  Bali Psychiatric Hospital Department Of Health Executive Yuan

• Twu Shiing-jer

  Department Of Health Executive Yuan

• Chen Ping-ho

  Division Of Environmental Health And Occupational Medicine National Health Research Institutes

• Wang Jung-der

  Institute Of Occupational Medicine And Industrial Hygiene College Of Public Health National Taiwan U

• Lin Ching-feng

  Institute Of Occupational Medicine And Industrial Hygiene College Of Public Health National Taiwan U

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