Prevalence and risk factors for hepatitis C virus infection among adolescents in detention

Rita M. Bair, Jacques Baillargeon, Patricia J. Kelly, Sarah J. Lerand, Janet F. Williams, Rob Lyerla, Miriam J. Alter

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Objective: To assess the prevalence and correlates of hepatitis C virus infection in a sample of detained adolescents. Design/Setting/Participants: Cross-sectional prevalence study with 10- to 18-year-old adolescents who were consecutively admitted to a juvenile detention center in San Antonio, Tex. Main Outcome Measures: The prevalence of hepatitis C virus infection and associated risk factors. Results: Of the 1002 participants, 75% were Hispanic and the mean age was 15 years. Twenty adolescents had laboratory data consistent with hepatitis C virus infection, giving an overall prevalence of 2.0% (95% confidence interval, 1.2-3.1). All adolescents infected with hepatitis C virus were Hispanic (13 boys and 7 girls). Although a high proportion of the participants reported having had intranasal drug use (55.6%), tattooing (50.5%), or body piercing (25.3%), the only factor significantly associated with hepatitis C virus infection was having a history of injection drug use. Injection drug use was reported by 5.3% of the participants but by 95% (19/20) of those infected with the hepatitis C virus. Conclusions: This study indicates that injection drug use was linked with the majority of hepatitis C virus infections in this population of detained adolescents, similar to findings in adults. These adolescents reported a high frequency of other behaviors that could potentially pose a risk for contracting bloodborne infections. Effective prevention and awareness programs in a detention setting need to be comprehensive and include screening, hepatitis A and B immunizations, and risk-reduction counseling.

Original languageEnglish (US)
Pages (from-to)1015-1018
Number of pages4
JournalArchives of Pediatrics and Adolescent Medicine
Volume159
Issue number11
DOIs
StatePublished - Nov 2005
Externally publishedYes

Fingerprint

Virus Diseases
Hepacivirus
Hispanic Americans
Pharmaceutical Preparations
Injections
Cross-Sectional Studies
Body Piercing
Tattooing
Hepatitis A
Risk Reduction Behavior
Hepatitis B
Counseling
Immunization
Outcome Assessment (Health Care)
Confidence Intervals
Infection
Population

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Prevalence and risk factors for hepatitis C virus infection among adolescents in detention. / Bair, Rita M.; Baillargeon, Jacques; Kelly, Patricia J.; Lerand, Sarah J.; Williams, Janet F.; Lyerla, Rob; Alter, Miriam J.

In: Archives of Pediatrics and Adolescent Medicine, Vol. 159, No. 11, 11.2005, p. 1015-1018.

Research output: Contribution to journalArticle

Bair, Rita M. ; Baillargeon, Jacques ; Kelly, Patricia J. ; Lerand, Sarah J. ; Williams, Janet F. ; Lyerla, Rob ; Alter, Miriam J. / Prevalence and risk factors for hepatitis C virus infection among adolescents in detention. In: Archives of Pediatrics and Adolescent Medicine. 2005 ; Vol. 159, No. 11. pp. 1015-1018.
@article{34e76919574c4181bcbddcfbe45d07c8,
title = "Prevalence and risk factors for hepatitis C virus infection among adolescents in detention",
abstract = "Objective: To assess the prevalence and correlates of hepatitis C virus infection in a sample of detained adolescents. Design/Setting/Participants: Cross-sectional prevalence study with 10- to 18-year-old adolescents who were consecutively admitted to a juvenile detention center in San Antonio, Tex. Main Outcome Measures: The prevalence of hepatitis C virus infection and associated risk factors. Results: Of the 1002 participants, 75{\%} were Hispanic and the mean age was 15 years. Twenty adolescents had laboratory data consistent with hepatitis C virus infection, giving an overall prevalence of 2.0{\%} (95{\%} confidence interval, 1.2-3.1). All adolescents infected with hepatitis C virus were Hispanic (13 boys and 7 girls). Although a high proportion of the participants reported having had intranasal drug use (55.6{\%}), tattooing (50.5{\%}), or body piercing (25.3{\%}), the only factor significantly associated with hepatitis C virus infection was having a history of injection drug use. Injection drug use was reported by 5.3{\%} of the participants but by 95{\%} (19/20) of those infected with the hepatitis C virus. Conclusions: This study indicates that injection drug use was linked with the majority of hepatitis C virus infections in this population of detained adolescents, similar to findings in adults. These adolescents reported a high frequency of other behaviors that could potentially pose a risk for contracting bloodborne infections. Effective prevention and awareness programs in a detention setting need to be comprehensive and include screening, hepatitis A and B immunizations, and risk-reduction counseling.",
author = "Bair, {Rita M.} and Jacques Baillargeon and Kelly, {Patricia J.} and Lerand, {Sarah J.} and Williams, {Janet F.} and Rob Lyerla and Alter, {Miriam J.}",
year = "2005",
month = "11",
doi = "10.1001/archpedi.159.11.1015",
language = "English (US)",
volume = "159",
pages = "1015--1018",
journal = "JAMA Pediatrics",
issn = "2168-6203",
publisher = "American Medical Association",
number = "11",

}

TY - JOUR

T1 - Prevalence and risk factors for hepatitis C virus infection among adolescents in detention

AU - Bair, Rita M.

AU - Baillargeon, Jacques

AU - Kelly, Patricia J.

AU - Lerand, Sarah J.

AU - Williams, Janet F.

AU - Lyerla, Rob

AU - Alter, Miriam J.

PY - 2005/11

Y1 - 2005/11

N2 - Objective: To assess the prevalence and correlates of hepatitis C virus infection in a sample of detained adolescents. Design/Setting/Participants: Cross-sectional prevalence study with 10- to 18-year-old adolescents who were consecutively admitted to a juvenile detention center in San Antonio, Tex. Main Outcome Measures: The prevalence of hepatitis C virus infection and associated risk factors. Results: Of the 1002 participants, 75% were Hispanic and the mean age was 15 years. Twenty adolescents had laboratory data consistent with hepatitis C virus infection, giving an overall prevalence of 2.0% (95% confidence interval, 1.2-3.1). All adolescents infected with hepatitis C virus were Hispanic (13 boys and 7 girls). Although a high proportion of the participants reported having had intranasal drug use (55.6%), tattooing (50.5%), or body piercing (25.3%), the only factor significantly associated with hepatitis C virus infection was having a history of injection drug use. Injection drug use was reported by 5.3% of the participants but by 95% (19/20) of those infected with the hepatitis C virus. Conclusions: This study indicates that injection drug use was linked with the majority of hepatitis C virus infections in this population of detained adolescents, similar to findings in adults. These adolescents reported a high frequency of other behaviors that could potentially pose a risk for contracting bloodborne infections. Effective prevention and awareness programs in a detention setting need to be comprehensive and include screening, hepatitis A and B immunizations, and risk-reduction counseling.

AB - Objective: To assess the prevalence and correlates of hepatitis C virus infection in a sample of detained adolescents. Design/Setting/Participants: Cross-sectional prevalence study with 10- to 18-year-old adolescents who were consecutively admitted to a juvenile detention center in San Antonio, Tex. Main Outcome Measures: The prevalence of hepatitis C virus infection and associated risk factors. Results: Of the 1002 participants, 75% were Hispanic and the mean age was 15 years. Twenty adolescents had laboratory data consistent with hepatitis C virus infection, giving an overall prevalence of 2.0% (95% confidence interval, 1.2-3.1). All adolescents infected with hepatitis C virus were Hispanic (13 boys and 7 girls). Although a high proportion of the participants reported having had intranasal drug use (55.6%), tattooing (50.5%), or body piercing (25.3%), the only factor significantly associated with hepatitis C virus infection was having a history of injection drug use. Injection drug use was reported by 5.3% of the participants but by 95% (19/20) of those infected with the hepatitis C virus. Conclusions: This study indicates that injection drug use was linked with the majority of hepatitis C virus infections in this population of detained adolescents, similar to findings in adults. These adolescents reported a high frequency of other behaviors that could potentially pose a risk for contracting bloodborne infections. Effective prevention and awareness programs in a detention setting need to be comprehensive and include screening, hepatitis A and B immunizations, and risk-reduction counseling.

UR - http://www.scopus.com/inward/record.url?scp=27744447710&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=27744447710&partnerID=8YFLogxK

U2 - 10.1001/archpedi.159.11.1015

DO - 10.1001/archpedi.159.11.1015

M3 - Article

VL - 159

SP - 1015

EP - 1018

JO - JAMA Pediatrics

JF - JAMA Pediatrics

SN - 2168-6203

IS - 11

ER -