Objective: To estimate and compare the prevalence and predictors of hepatitis C virus (HCV) infection among inmates entering prisons of the California Department of Corrections in 1994 and 1999. Methods: Two cross-sectional surveys were conducted in 1994 and 1999. Discarded serum samples collected upon entry into the prison system were tested for antibodies to human immunodeficiency virus (HIV), HCV, hepatitis B core, and hepatitis B surface antigen (HBsAg). In 1994, of 4,513 inmates, 87 percent were men and 13 percent were women; in 1999, of 5,595 inmates, 87.1 percent were men and 12.9 percent were women. Results: Among men, rates for HCV infection decreased 13 percent (39.4 percent to 34.2 percent), HIV decreased 44 percent (2.5 percent to 1.4 percent), and hepatitis B surface antigen (HBsAg) increased 18 percent (2.2 percent to 2.6 percent) between 1994 and 1999. Among women, HCV decreased 53 percent (53.5 percent to 25.3 percent), HIV decreased 45 percent (3.1 percent to 1.7 percent), and HBsAg increased 725 percent (1.2 percent to 9.9 percent). Conclusion: These data indicate that HCV and HBsAg infections are common among men and women entering prison in California. Between 1994 and 1999, HCV and HIV prevalences have decreased among male and female inmates, with substantial reductions of HCV among women. However, women inmates are much more likely to be infected with HBsAg.
Learning Objectives: N/A
Keywords: Hepatitis C, Inmates
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
Disclosure not received
Relationship: Not Received.