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Correlates of hepatitis B among patients with mental illness in Brazil.
Carmo, Ricardo Andrade; Melo, Ana Paula Souto; Dezanet, Lorenza Nogueira Campos; de Oliveira, Helian Nunes; Cournos, Francine; Guimarães, Mark Drew Crosland.
Afiliação
  • Carmo RA; Infectious Diseases Reference Center CTR-DIP Orestes Diniz, Municipal Health Division/Federal University of Minas Gerais, Belo Horizonte, Brazil; Research Group in Epidemiology and Health Service Evaluation, Belo Horizonte, Brazil. Electronic address: ricardocarmo.bhz@gmail.com.
  • Melo AP; Research Group in Epidemiology and Health Service Evaluation, Belo Horizonte, Brazil; School of Medicine, Federal University of São João Del-Rei, Divinópolis, Brazil.
  • Dezanet LN; Research Group in Epidemiology and Health Service Evaluation, Belo Horizonte, Brazil; Eduardo de Menezes Hospital, State Health Department of Minas Gerais, Belo Horizonte, Brazil.
  • de Oliveira HN; Research Group in Epidemiology and Health Service Evaluation, Belo Horizonte, Brazil; Raul Soares Hospital, State Health Department of Minas Gerais, Belo Horizonte, Brazil.
  • Cournos F; Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
  • Guimarães MD; Research Group in Epidemiology and Health Service Evaluation, Belo Horizonte, Brazil; School of Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Gen Hosp Psychiatry ; 36(4): 398-405, 2014.
Article em En | MEDLINE | ID: mdl-24725973
OBJECTIVE: To assess correlates of hepatitis B among adults with mental illness under care in Brazil. METHOD: Cross-sectional national multicenter study of 2206 patients with mental illnesses randomly selected from 26 public mental health services. Sociodemographic and behavioral data were obtained from face-to-face interviews and psychiatric diagnoses from medical charts. Serology testing was conducted, and prevalence rate ratios were estimated by log-binomial regression. RESULTS: The weighted prevalence rates of current hepatitis B virus (HBV) infection (HBsAg+) and previous HBV exposure (anti-HBc+) were 2.0% [95% confidence interval (CI): 1.5%-2.7%] and 17.1% (95% CI: 16.0%-19.0%), respectively. Correlates of HBsAg+ included male gender, younger age (18-29 years), unstable place of residence, intellectual disability, main psychiatric diagnosis of dementia, presence of other medical comorbitidy, use of alcohol/drugs during sex, more than one sexual partner and use of cocaine. Correlates of anti-HBc+ included male gender, older age (≥30 years), black skin color, lower education, unstable place of residence, currently hospitalized, intellectual disability, history of any sexually transmitted disease or syphilis, poor HIV knowledge, history of imprisonment and sexual violence. CONCLUSIONS: Hepatitis B is an important comorbidity among psychiatric patients in Brazil. Screening for HBV, effective prevention and intervention strategies, including universal HBV immunization, should be routine practices in these mental health services.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Hepatite B / Transtornos Mentais Tipo de estudo: Clinical_trials / Diagnostic_studies / Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: Gen Hosp Psychiatry Ano de publicação: 2014 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Hepatite B / Transtornos Mentais Tipo de estudo: Clinical_trials / Diagnostic_studies / Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: Gen Hosp Psychiatry Ano de publicação: 2014 Tipo de documento: Article País de publicação: Estados Unidos