Araştırma Makalesi
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Hepatitis B-C and HIV Seropositivity and Risk Factors in Prisoners

Yıl 2023, Sayı: 19, 255 - 261, 29.04.2023
https://doi.org/10.38079/igusabder.1009637

Öz

Aim: It was aimed to investigate the frequency of hepatitis B-C and Human Immunodeficiency Virus (HIV) and the affecting factors from the file records of the prisoners admitted to the family medicine unit of Kayseri Closed Penitentiary Institution between March-April 2021.
Method: The analysis results of the prisoners who were admitted to Kayseri Closed Prison from various places in March-April 2021 were scanned retrospectively and the rates of hepatitis B-C and HIV infection were calculated, and their socio-demographic characteristics and significance levels were calculated. A total of 112 prisoners were included in the study. Chi-square test, and descriptive statistics were calculated using SPSS-21 (IBM SPSS Corp; Armonk, NY, USA). Necessary permissions were obtained from Kayseri Provincial Health Directorate. Ethical approval was obtained from Sivas Cumhuriyet University Faculty of Medicine, Non-Interventional Clinical Research Ethics Committee with the decision number 2021-05/03 and date 26.05.2021.
Results: A total of 112 prisoners were included in the study. All the prisoners are male. The mean age of the prisoners is 32.28 ±10.668. Anti HCV and Anti HIV values of all prisoners were found to be negative. The mean AntiHBS value of the prisoners was 267.8±386.754. AntiHBS values of 68 prisoners were found to be positive. HbsAg value was found positive in 2 prisoners (1.8%). It was found that there was a significant effect in the Chi-square test performed to determine the effect of age on AntiHBS values (X2: 15.557 p:0.0001).
Conclusion: It is important to conduct screenings for infectious diseases in prisons, to administer vaccines to people who have not been diagnosed with the disease, to treat people with the disease and provide training to prevent transmission to other people.

Kaynakça

  • Hunt DR, Saab S. Viral hepatitis in incarcerated adults: A Medical and public health concern. The American Journal of Gastroenterology. 2009;104(4):1024–31.
  • Sutton Aj, Gay Nj, Edmunds Wj, Gill On. Modelling alternative strategies for delivering hepatitis B vaccine in prisons: the impact on the vaccination coverage of the injecting drug user population. Epidemiology and Infection. 2008;136(12):1644–9.
  • Hennessey KA, Kim AA, Griffin V, Collins NT, Weinbaum CM, Sabin K. Prevalence of infection with Hepatitis B and C viruses and co-infection with HIV in three Jails: A case for viral hepatitis prevention in jails in the United States. Journal of Urban Health. 2009;86(1):93–105.
  • Plugge EH, Yudkin PL, Douglas N. Predictors of hepatitis B vaccination in women prisoners in two prisons in England. Journal of Public Health.1;29(4):429–33.
  • https://www.klimik.org.tr/wp-content/uploads/2014/03/AY%C5%9EE-ERBAY.pdf Erişim Tarihi: 14 Eylül 2021
  • Keten D, Ova ME, Keten HS, et al. The prevalence of Hepatitis B and C among prisoners in Kahramanmaras, Turkey. Jundishapur J Microbiol. 2016;9(2):e31598.
  • Tozun N, Ozdogan OC, Cakaloglu Y, et al. A nationwide prevalence study and risk factors for hepatitis A, B, C and D infections in Turkey. Hepatology. 2010;52(Suppl. 1):697.
  • Mıstık R. The Epidemiology Of Hepatitis C Virus Infection. In: Tabak F, Tosun S, editors. viral Hepatitis 2013. Ankara: Viral Hepatitis Prevention Association; 2013.
  • Reekie JM, Levy MH, Richards AH, et al. Trends in HIV, hepatitis B and hepatitis C prevalence among Australian prisoners - 2004, 2007, 2010. Med J Aust. 2014;200(5):277-80.
  • Okie S. Sex, drugs, prisons, and HIV. N Engl J Med. 2007;356(2):105-8. doi:10.1056/NEJMp068277.
  • Balcı E, Türker K, Senol V, Günay O. Mahkûmlarda Hepatit A, Hepatit B, Hepatit C ve HIV infeksiyonu göstergelerinin taranması. Viral Hepatitis Journal. 2012;18(2):64-7.
  • Gahrton C, Westman G, Lindahl K, et al. Prevalence of viremic hepatitis C, hepatitis B, and HIV infection and vaccination status among prisoners in Stockholm County. BMC Infectious Diseases. 2019;19(1):955.
  • Kazi AM, Shah SA, Jenkins CA, Shepherd BE, Vermund SH. Risk factors and prevalence of tuberculosis, human immunodeficiency virus, syphilis, hepatitis B virus, and hepatitis C virus among prisoners in Pakistan. International Journal of Infectious Diseases. 2010;14 Suppl 3 e60-e66. doi:10.1016/j.ijid.2009.11.012.
  • Mohamed HI, Saad ZM, Abd-Elreheem EM, et al. Hepatitis C, hepatitis B and HIV infection among Egyptian prisoners: Seroprevalence, risk factors and related chronic liver diseases. Journal of Infection and Public Health. 2013;6:186-195. doi:dx.doi.org/10.1016/j.jiph.2012.12.003.

Mahkumlarda Hepatit B-C ve HIV Seropozitifliği ve Risk Faktörleri

Yıl 2023, Sayı: 19, 255 - 261, 29.04.2023
https://doi.org/10.38079/igusabder.1009637

Öz

Amaç: Kayseri Kapalı Ceza İnfaz Kurumu aile hekimliği birimine Mart-Nisan 2021 tarihlerinde kabulü yapılan mahkumların dosya kayıtlarından hepatit B-C ve İnsan Bağışıklık Yetmezliği Virüsü (Human Immunodeficiency Virus – HIV) sıklığını ve etkileyen faktörleri araştırmak amaçlanmıştır.
Yöntem: Mart-Nisan 2021 tarihinde çeşitli yerlerden Kayseri Kapalı Cezaevine girişi yapılan mahkumların retrospektif olarak tahlil sonuçları taranarak hepatit B-C ve HIV enfeksiyonu oranları çıkarılarak sosyo-demografik özelliklerle anlamlılık düzeyleri hesaplanmıştır. Toplam 112 mahkum çalışmaya dahil edilmiştir. SPSS-21 (IBM SPSS Corp; Armonk, NY, ABD) kullanılarak, ki kare testi, tanımlayıcı istatistikler hesaplanmıştır. Kayseri İl Sağlık Müdürlüğü’nden gerekli izinler alınmıştır. Sivas Cumhuriyet Üniversitesi Tıp Fakültesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulundan 2021-05/03 karar no ve 26.05.2021 tarih ile etik izin alınmıştır.
Bulgular: Çalışmaya toplam 112 mahkum dahil edilmiştir. Mahkumların hepsi erkektir. Mahkumların yaş ortalamaları 32,28±10,668 yıldır. Bütün mahkumların Anti HCV, Anti HIV değerleri negatif bulunmuştur. Mahkumların Anti HBS değer ortalamaları 267,8±386,754’tür. 68 mahkumun Anti HBS değeri pozitif bulunmuştur. 2 mahkumun HbsAg değeri pozitif bulunmuştur (%1,8). Yaşın Anti HBS değerlerine etkisini belirlemek için yapılan Kikare testinde anlamlı bir etkisinin olduğu bulunmuştur (X2:15,557 p:0,0001).
Sonuç: Cezaevlerinde bulaşıcı hastalıklara karşı taramaların yapılması ve hastalık tespit edilmeyen kişilere aşıların uygulanması, hastalık tespit edilen kişilerin tedavilerinin yapılması ve başka kişilere bulaştırmaması için eğitimlerin verilmesi önemlidir.

Kaynakça

  • Hunt DR, Saab S. Viral hepatitis in incarcerated adults: A Medical and public health concern. The American Journal of Gastroenterology. 2009;104(4):1024–31.
  • Sutton Aj, Gay Nj, Edmunds Wj, Gill On. Modelling alternative strategies for delivering hepatitis B vaccine in prisons: the impact on the vaccination coverage of the injecting drug user population. Epidemiology and Infection. 2008;136(12):1644–9.
  • Hennessey KA, Kim AA, Griffin V, Collins NT, Weinbaum CM, Sabin K. Prevalence of infection with Hepatitis B and C viruses and co-infection with HIV in three Jails: A case for viral hepatitis prevention in jails in the United States. Journal of Urban Health. 2009;86(1):93–105.
  • Plugge EH, Yudkin PL, Douglas N. Predictors of hepatitis B vaccination in women prisoners in two prisons in England. Journal of Public Health.1;29(4):429–33.
  • https://www.klimik.org.tr/wp-content/uploads/2014/03/AY%C5%9EE-ERBAY.pdf Erişim Tarihi: 14 Eylül 2021
  • Keten D, Ova ME, Keten HS, et al. The prevalence of Hepatitis B and C among prisoners in Kahramanmaras, Turkey. Jundishapur J Microbiol. 2016;9(2):e31598.
  • Tozun N, Ozdogan OC, Cakaloglu Y, et al. A nationwide prevalence study and risk factors for hepatitis A, B, C and D infections in Turkey. Hepatology. 2010;52(Suppl. 1):697.
  • Mıstık R. The Epidemiology Of Hepatitis C Virus Infection. In: Tabak F, Tosun S, editors. viral Hepatitis 2013. Ankara: Viral Hepatitis Prevention Association; 2013.
  • Reekie JM, Levy MH, Richards AH, et al. Trends in HIV, hepatitis B and hepatitis C prevalence among Australian prisoners - 2004, 2007, 2010. Med J Aust. 2014;200(5):277-80.
  • Okie S. Sex, drugs, prisons, and HIV. N Engl J Med. 2007;356(2):105-8. doi:10.1056/NEJMp068277.
  • Balcı E, Türker K, Senol V, Günay O. Mahkûmlarda Hepatit A, Hepatit B, Hepatit C ve HIV infeksiyonu göstergelerinin taranması. Viral Hepatitis Journal. 2012;18(2):64-7.
  • Gahrton C, Westman G, Lindahl K, et al. Prevalence of viremic hepatitis C, hepatitis B, and HIV infection and vaccination status among prisoners in Stockholm County. BMC Infectious Diseases. 2019;19(1):955.
  • Kazi AM, Shah SA, Jenkins CA, Shepherd BE, Vermund SH. Risk factors and prevalence of tuberculosis, human immunodeficiency virus, syphilis, hepatitis B virus, and hepatitis C virus among prisoners in Pakistan. International Journal of Infectious Diseases. 2010;14 Suppl 3 e60-e66. doi:10.1016/j.ijid.2009.11.012.
  • Mohamed HI, Saad ZM, Abd-Elreheem EM, et al. Hepatitis C, hepatitis B and HIV infection among Egyptian prisoners: Seroprevalence, risk factors and related chronic liver diseases. Journal of Infection and Public Health. 2013;6:186-195. doi:dx.doi.org/10.1016/j.jiph.2012.12.003.
Toplam 14 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Makaleler
Yazarlar

Mehmet Emin Özdemir 0000-0001-6043-5063

İrem Akova 0000-0002-2672-8863

Hakan Gökçek 0000-0003-3742-9946

Ahmet Ceylan 0000-0001-9543-0000

Erken Görünüm Tarihi 29 Nisan 2023
Yayımlanma Tarihi 29 Nisan 2023
Kabul Tarihi 28 Şubat 2023
Yayımlandığı Sayı Yıl 2023 Sayı: 19

Kaynak Göster

JAMA Özdemir ME, Akova İ, Gökçek H, Ceylan A. Mahkumlarda Hepatit B-C ve HIV Seropozitifliği ve Risk Faktörleri. IGUSABDER. 2023;:255–261.

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