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Modeling Hepatitis B Virus Infection in Non-Hepatic 293T-NE-3NRs Cells
Published on: June 5, 2020
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.
Abstract:
Hepatitis B (HBV) and hepatitis C (HCV) infections contribute significant morbidity in the United States, particularly among those with a history of incarceration, homeless-ness, 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.
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