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Seroprevalence and risk factors associated with hepatitis C: a cross-sectional study of persons who inject drugs in Puerto Rico, 2018.
Colón-López, Vivian; Alvelo-Fernández, Paola M; Centeno-Alvarado, Nadia; Agudelo Salas, Ivony Y; Rolón Colón, Yadira; Pabón Martínez, María; Rodríguez-Lebrón, Jorge L; Reyes-Pulliza, Juan C.
Afiliação
  • Colón-López V; Cancer Control and Population Sciences Program, University of Puerto Rico Comprehensive Cancer Center, Primer Piso Oficina #151 Paseo José C. Barbosa San Juan, San Juan, 00935, Puerto Rico. vivian.colon@upr.edu.
  • Alvelo-Fernández PM; Cancer Control and Population Sciences Program, University of Puerto Rico Comprehensive Cancer Center, Primer Piso Oficina #151 Paseo José C. Barbosa San Juan, San Juan, 00935, Puerto Rico.
  • Centeno-Alvarado N; Graduate School of Public Health, Medical Sciences Campus, University of Puerto Rico, San Juan, Puerto Rico.
  • Agudelo Salas IY; Graduate School of Public Health, Medical Sciences Campus, University of Puerto Rico, San Juan, Puerto Rico.
  • Rolón Colón Y; HIV/AIDS Surveillance Program, Puerto Rico Department of Health, San Juan, Puerto Rico.
  • Pabón Martínez M; HIV/AIDS Surveillance Program, Puerto Rico Department of Health, San Juan, Puerto Rico.
  • Rodríguez-Lebrón JL; HIV/AIDS Surveillance Program, Puerto Rico Department of Health, San Juan, Puerto Rico.
  • Reyes-Pulliza JC; Department of Biostatistics and Epidemiology, Graduate School of Public Health, Medical Sciences Campus, University of Puerto Rico, San Juan, Puerto Rico.
BMC Public Health ; 23(1): 704, 2023 04 18.
Article em En | MEDLINE | ID: mdl-37072733
BACKGROUND: People Who Inject Drugs (PWID) are at a higher risk of acquiring bloodborne infections. We aimed to estimate the seroprevalence of the Hepatitis C Virus (HCV) in PWID and identify correlates and risk factors using data from the Puerto Rico National HIV Behavioral Surveillance System, PWID cycle 5, conducted in 2018. METHODS: A total of 502 San Juan Metropolitan Statistical Area participants were recruited through the Respondent Driven Sampling method. Sociodemographic, health-related, and behavioral characteristics were assessed. Testing for HCV antibodies was completed after the face-to-face survey. Descriptive and logistic regression analyses were performed. RESULTS: Overall seroprevalence of HCV was 76.5% (95% CI: 70.8-81.4%). A significantly (p < 0.05) higher HCV seroprevalence was observed among PWID with the following characteristics: heterosexuals (78.5%), high school graduates (81.3%), tested for sexually transmitted infections (STI) in the past 12 months (86.1%), frequent speedball injection (79.4%), and knowing the HCV serostatus of the last sharing partner (95.4%). Adjusted logistic regression models showed that having completed high school and reported STI testing in the past 12 months were significantly associated with HCV infection (ORa = 2.23; 95% CI: 1.06-4.69; ORa = 2.14; 95% CI: 1.06-4.30, respectively). CONCLUSIONS: We report a high seroprevalence of HCV infection in PWID. Social health disparities and potential missed opportunities validate the continuing call for local action for public health and prevention strategies.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções por HIV / Abuso de Substâncias por Via Intravenosa / Hepatite C / Usuários de Drogas Tipo de estudo: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Equity_inequality Limite: Humans País/Região como assunto: Caribe / Puerto rico Idioma: En Revista: BMC Public Health Assunto da revista: SAUDE PUBLICA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Porto Rico País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções por HIV / Abuso de Substâncias por Via Intravenosa / Hepatite C / Usuários de Drogas Tipo de estudo: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Equity_inequality Limite: Humans País/Região como assunto: Caribe / Puerto rico Idioma: En Revista: BMC Public Health Assunto da revista: SAUDE PUBLICA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Porto Rico País de publicação: Reino Unido