Ricardo Andrade Carmo1, Ana Paula Souto Melo2, Lorenza Nogueira Campos Dezanet3, Helian Nunes de Oliveira4, Francine Cournos5, Mark Drew Crosland Guimarães6. 1. Infectious Diseases Reference Center CTR-DIP Orestes Diniz, Municipal Health Division/Federal University of Minas Gerais, Belo Horizonte, Brazil; Research Group in Epidemiology and Health Service Evaluation, Belo Horizonte, Brazil. Electronic address: ricardocarmo.bhz@gmail.com. 2. Research Group in Epidemiology and Health Service Evaluation, Belo Horizonte, Brazil; School of Medicine, Federal University of São João Del-Rei, Divinópolis, Brazil. 3. Research Group in Epidemiology and Health Service Evaluation, Belo Horizonte, Brazil; Eduardo de Menezes Hospital, State Health Department of Minas Gerais, Belo Horizonte, Brazil. 4. Research Group in Epidemiology and Health Service Evaluation, Belo Horizonte, Brazil; Raul Soares Hospital, State Health Department of Minas Gerais, Belo Horizonte, Brazil. 5. Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA. 6. Research Group in Epidemiology and Health Service Evaluation, Belo Horizonte, Brazil; School of Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Abstract
OBJECTIVE: To assess correlates of hepatitis B among adults with mental illness under care in Brazil. METHOD: Cross-sectional national multicenter study of 2206 patients with mental illnesses randomly selected from 26 public mental health services. Sociodemographic and behavioral data were obtained from face-to-face interviews and psychiatric diagnoses from medical charts. Serology testing was conducted, and prevalence rate ratios were estimated by log-binomial regression. RESULTS: The weighted prevalence rates of current hepatitis B virus (HBV) infection (HBsAg+) and previous HBV exposure (anti-HBc+) were 2.0% [95% confidence interval (CI): 1.5%-2.7%] and 17.1% (95% CI: 16.0%-19.0%), respectively. Correlates of HBsAg+ included male gender, younger age (18-29 years), unstable place of residence, intellectual disability, main psychiatric diagnosis of dementia, presence of other medical comorbitidy, use of alcohol/drugs during sex, more than one sexual partner and use of cocaine. Correlates of anti-HBc+ included male gender, older age (≥30 years), black skin color, lower education, unstable place of residence, currently hospitalized, intellectual disability, history of any sexually transmitted disease or syphilis, poor HIV knowledge, history of imprisonment and sexual violence. CONCLUSIONS: Hepatitis B is an important comorbidity among psychiatric patients in Brazil. Screening for HBV, effective prevention and intervention strategies, including universal HBV immunization, should be routine practices in these mental health services.
OBJECTIVE: To assess correlates of hepatitis B among adults with mental illness under care in Brazil. METHOD: Cross-sectional national multicenter study of 2206 patients with mental illnesses randomly selected from 26 public mental health services. Sociodemographic and behavioral data were obtained from face-to-face interviews and psychiatric diagnoses from medical charts. Serology testing was conducted, and prevalence rate ratios were estimated by log-binomial regression. RESULTS: The weighted prevalence rates of current hepatitis B virus (HBV) infection (HBsAg+) and previous HBV exposure (anti-HBc+) were 2.0% [95% confidence interval (CI): 1.5%-2.7%] and 17.1% (95% CI: 16.0%-19.0%), respectively. Correlates of HBsAg+ included male gender, younger age (18-29 years), unstable place of residence, intellectual disability, main psychiatric diagnosis of dementia, presence of other medical comorbitidy, use of alcohol/drugs during sex, more than one sexual partner and use of cocaine. Correlates of anti-HBc+ included male gender, older age (≥30 years), black skin color, lower education, unstable place of residence, currently hospitalized, intellectual disability, history of any sexually transmitted disease or syphilis, poor HIV knowledge, history of imprisonment and sexual violence. CONCLUSIONS:Hepatitis B is an important comorbidity among psychiatricpatients in Brazil. Screening for HBV, effective prevention and intervention strategies, including universal HBV immunization, should be routine practices in these mental health services.
Authors: Elliot Marseille; Aaron M Harris; Hacsi Horvath; Andrea Parriott; Mohsen Malekinejad; Noele P Nelson; Michelle Van Handel; James G Kahn Journal: Sex Health Date: 2021-07 Impact factor: 2.706
Authors: Roos Ruijne; Cornelis Mulder; Milan Zarchev; Kylee Trevillion; Roel van Est; Eva Leeman; Willemien Willems; Mark van der Gaag; Carlo Garofalo; Stefan Bogaerts; Louise Howard; Astrid Kamperman Journal: J Interpers Violence Date: 2021-04-18