Prevalence and correlates of HCV, HVB, and HIV infection among prison inmates and staff, Hungary

Bálint Tresó, Erzsébet Barcsay, Anna Tarján, Gergely Horváth, Ágnes Dencs, Andrea Hettmann, Mária Magdolna Csépai, Zoltán Győri, Erzsébet Rusvai, Mária Takács

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18 Citations (Scopus)

Abstract

The aim of this national, multicenter, cross-sectional study was to assess the prevalence of hepatitis B (HBV), hepatitis C (HCV), and human immunodeficiency viruses (HIV) among prisoners, and to identify related risk behaviors including injection drug use. Overall, 4,894 inmates from 20 prisons were enrolled. To have a comparison group, prison staff were also asked to take part. Altogether, 1,553 of the 4,894 inmates from seven prisons completed a questionnaire on risk behaviors. According to the survey, 1.5%, 4.9%, and 0.04% of the prisoners were tested positive for HBsAg, anti-HCV and anti-HIV, respectively. These prevalence data are among the lowest reported from prisons worldwide, although comparable to the Central European data. The prevalence of HBV, HCV, and HIV in the Hungarian prison staff was low (0.38%, 0.47%, and 0%, respectively). The rate of HCV infection was significantly higher among inmates who have ever injected drugs (22.5%) than among inmates who reported they had never injected drugs (1.1%). This first prevalence study of illegal drug injection-related viral infections among Hungarian prisoners points out that ever injecting drugs is the main reason for HCV infection among inmates. The opportunity to reach drug users infected with HCV for treatment underlines the importance of screening programs for blood-borne viruses in prisons.

Original languageEnglish
Pages (from-to)108-116
Number of pages9
JournalJournal of Urban Health
Volume89
Issue number1
DOIs
Publication statusPublished - Feb 2012

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Keywords

  • HBV
  • HCV
  • HIV
  • Prisoners
  • Risk factors
  • Screening
  • Staff

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

Tresó, B., Barcsay, E., Tarján, A., Horváth, G., Dencs, Á., Hettmann, A., Csépai, M. M., Győri, Z., Rusvai, E., & Takács, M. (2012). Prevalence and correlates of HCV, HVB, and HIV infection among prison inmates and staff, Hungary. Journal of Urban Health, 89(1), 108-116. https://doi.org/10.1007/s11524-011-9626-x