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

Insights

Hepatitis B and C infections disproportionately affect vulnerable populations. Over half of hepatitis C and 70% of hepatitis B/C cases were linked to homelessness, incarceration, or mental illness.

Area of Science:

  • Public Health
  • Infectious Diseases
  • Epidemiology

Background:

  • Hepatitis B (HBV) and hepatitis C (HCV) infections cause significant illness in the U.S.
  • Populations with histories of incarceration, homelessness, and mental illness are particularly vulnerable.

Purpose of the Study:

  • To analyze the overlap between viral hepatitis cases and vulnerable populations in Philadelphia.
  • To compare characteristics of hepatitis B/C (HBV/HCV) co-infected individuals with HCV-only cases.

Main Methods:

  • Utilized data from the Philadelphia Department of Public Health's viral hepatitis registry.
  • Matched registry data with city datasets for shelters, jails, and mental health services.
  • Calculated descriptive statistics for reported cases between 2010 and 2014.

Main Results:

  • 29,807 HCV cases and 133 HBV/HCV cases were reported from January 2010 to December 2014.
  • 58% of HCV cases and 70% of HBV/HCV cases were linked to at least one vulnerability dataset.
  • HBV/HCV cases showed higher rates of mental health diagnosis, incarceration history, and longer jail stays compared to HCV-only cases.
  • HBV/HCV cases were less likely to be receiving HCV treatment.

Conclusions:

  • Viral hepatitis, especially HBV/HCV co-infection, is highly prevalent in vulnerable populations.
  • Improved data on HBV/HCV co-infected individuals are crucial for effective health service planning and policy development.

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