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Increased Health and Social Vulnerability Among Hepatitis C Infected Individuals Co-infected with Hepatitis B

机译:丙型肝炎的健康和社会脆弱性增加了乙型肝炎的乙型肝炎患者乙型肝炎

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摘要

Hepatitis B (HBV) and hepatitis C (HCV) infections contribute significant morbidity in the United States, particularly among those with a history of incarceration, homelessness, and/or co-morbid mental illness. Data from the Philadelphia Department of Public Health's viral hepatitis registry were matched at the person-level to the city's shelter, jail, and mental health system datasets (vulnerability datasets), and descriptive statistics were calculated. Between January 2010 and December 2014, 29,807 cases of HCV and 133 cases of HBV/HCV were reported. Fifty-eight percent of HCV cases and 70% of HBV/HCV cases were found in at least one vulnerability dataset. Compared with HCV cases, HBV/HCV cases were more likely to have a mental health diagnosis and history of incarceration, and to have spent more days in jail, and were less likely to be receiving treatment for HCV. Data are needed to describe more adequately the trajectory of HBV/HCV co-infected individuals to improve health service planning and policy.
机译:乙型肝炎(HBV)和丙型肝炎(HCV)感染有助于美国的显着发病率,特别是具有监禁,无家可归和/或共同病态精神疾病史的人。来自费城公共卫生病毒性肝炎登记处的数据与城市的住所,监狱和心理健康系统数据集(漏洞数据集)匹配,并计算描述性统计数据。 2010年1月至2014年12月期间,报告了29,807例HCV和133例HBV / HCV病例。在至少一个漏洞数据集中发现58%的HCV病例和70%的HBV / HCV病例。与HCV病例相比,HBV / HCV病例更有可能具有牙齿健康诊断和监禁历史,并在监狱中花费更多天,并且不太可能接受HCV的治疗。需要数据来更充分描述HBV / HCV共同感染的个体的轨迹,以改善健康服务计划和政策。

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