Titre :
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Prisoners are at risk for hepatitis C transmission. (2004)
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Auteurs :
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Tony BUTLER ;
KALDOR (John) : AUS. National Centre in Hiv Epidemiology and Clinical Research. Sydney. ;
Azar KARIMINIA ;
Michael LEVY ;
Centre for Health Research in Criminal Justice. Sydney. CAN ;
University of New South Wales. School of Public Health and Community Medicine. AUS
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Type de document :
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Article
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Dans :
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European journal of epidemiology (vol. 19, n° 12, 2004)
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Pagination :
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1119-1122
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Langues:
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Anglais
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Mots-clés :
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Hépatite virale C
;
Virose
;
Infection
;
Toxicomane
;
Homme
;
Prison
;
Toxicomanie
;
Australie
;
Océanie
;
Incidence
;
Epidémiologie
;
Voie intraveineuse
;
Drogue synthèse
;
Tatouage
;
Appareil digestif [pathologie]
;
Foie [pathologie]
;
Détenu
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Résumé :
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[BDSP. Notice produite par INIST-CNRS R0xfpjR8. Diffusion soumise à autorisation]. Objective : Determine the incidence of hepatitis C virus antibodies among a cohort of prisoners. Design : Follow-up study of a random sample of prisoners who participated in a cross-sectional survey in 1996. Setting : 29 correctional centres in New South Wales (Australia). Participants : 181 adult prisoners (163 men and 18 women). Results : The incidence of hepatitis C virus antibody among the 90 inmates who were seronegative at the first test in 1996 was 7.1 per 100 person-years (16 seroconverters). Among the 90 inmates, 37 had re-entered the prison system following release into the community and 53 had been continuously detained. The seroconversion rate was higher among the re-entrants compared with those who had been continuously incarcerated (10.8 vs. 4.5 per 100 person-years, p=0.07). However, when the data was stratified by injecting status, the seroconversion rate in the two groups was similar. Most of the seroconverters had histories of injecting drug users (14/16). The overall incidence among injectors was 19.3 per 100 person years (95% CI : 9.1-29.2). Conclusions : Hepatitis C transmission occurs inside the prison with injecting drug use the likely cause. Among non-injectors, tattooing was the most likely mode of transmission. Harm minimisation measures with proven effectiveness need to be considered for this environment.
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