HCV Infection Prevalence Lower Than Expected among 18-40-Year-Old Injection Drug Users in San Diego, CA.
San Diego, California shares the world's busiest land border crossing with Tijuana, Mexico-a city where 95 % of injection drug users (IDUs) test hepatitis C virus (HCV) antibody-positive. Yet, little is known about the prevalence and risk behaviors for HCV among IDUs in San Diego. In 2009-2010, 18-4...
| Publicado en: | Journal of Urban Health Vol. 90; no. 3; pp. 516 - 529 |
|---|---|
| Autores principales: | , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Jun2013
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=87799046&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 87799046 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10993460 GMF jtl: Journal of Urban Health issn: 10993460 maglogo: N pubinfo: dt: Jun2013 vid: 90 iid: 3 pid: 237 pub: Springer Nature artinfo: ui: 87799046 10.1007/s11524-012-9728-0 ppf: 516 ppct: 13 formats: fmt: @attributes: type: P size: 165KB tig: atl: HCV Infection Prevalence Lower Than Expected among 18-40-Year-Old Injection Drug Users in San Diego, CA. aug: au: Garfein, Richard Rondinelli, Amanda Barnes, Richard Cuevas, Jazmine Metzner, Mitcheal Velasquez, Michele Rodriguez, David Reilly, Meredith Xing, Jian Teshale, Eyasu affil: Division of Global Public Health, School of Medicine, University of California, San Diego USA Division of Viral Hepatitis, NCHHSTP, Centers for Disease Control and Prevention, Atlanta USA su: Hepatitis C virus Intravenous drug abusers Disease prevalence Mathematical models Computer monitors sug: subj: Computer Terminal and Other Computer Peripheral Equipment Manufacturing Computer and peripheral equipment manufacturing Hepatitis C virus Intravenous drug abusers Disease prevalence Mathematical models Computer monitors keyword: Border region Human immunodeficiency virus Injection drug use Prevalence Risk behaviors Border region Human immunodeficiency virus Injection drug use Prevalence Risk behaviors ab: San Diego, California shares the world's busiest land border crossing with Tijuana, Mexico-a city where 95 % of injection drug users (IDUs) test hepatitis C virus (HCV) antibody-positive. Yet, little is known about the prevalence and risk behaviors for HCV among IDUs in San Diego. In 2009-2010, 18-40-year-old IDUs in San Diego County completed a risk assessment interview and serologic testing for HCV and HIV infection. Recruitment involved respondent-driven sampling, venue-based sampling at a syringe exchange program, and convenience sampling. Correlates of HCV infection were identified by multivariable logistic regression. Among 510 current IDUs, 26.9 % (95 % CI 23.0-30.7 %) and 4.2 % (95 % CI 2.4-5.9 %) had been infected with HCV and HIV, respectively. Overall, median age was 28 years; 74 % were male; 60 % white and 29 % Hispanic; and 96 % were born in the U.S. Median years of injecting was 6; 41 % injected daily; 60 % injected heroin most often; 49 % receptively shared syringes and 68 % shared other injection paraphernalia; and only 22 % reported always using new syringes in the past 3 months. Two thirds had ever traveled to Mexico and 19 % injected in Mexico. HCV infection was independently associated with sharing injection paraphernalia (adjusted odds ratio [AOR] = 1.69) and SEP use (AOR = 2.17) in the previous 3 months, lifetime history of drug overdose (AOR = 2.66), and increased years of injecting (AOR = 2.82, all P values <0.05). Controlling for recruitment method did not alter results. HCV infection prevalence among IDUs in San Diego was modest compared to other US cities and much lower than Tijuana. Given that known individual-level HCV risk factors were common in San Diego, the city's lower HCV prevalence might be due to differences in social and structural factors between the cities. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|