Proportion and Characterization of Co-infections of HIV and Hepatitis C or Hepatitis B among People with HIV in Alabama, 2007-2016

被引:5
作者
Siza, Charlene [1 ]
Bixler, Danae
Davidson, Sherri
机构
[1] Ctr Dis Control & Prevent, 2500 Century Pkwy,MS V25-1, Atlanta, GA 30345 USA
关键词
hepatitis C and hepatitis B; human immunodeficiency virus (HIV); HIV and viral hepatitis co-infection; injection drug use; sexually transmitted infections; HUMAN-IMMUNODEFICIENCY-VIRUS; UNITED-STATES; INFECTION; EPIDEMIOLOGY; MEN; SEX; INDIVIDUALS; VACCINATION; PREVALENCE; PHYSICIANS;
D O I
10.14423/SMJ.0000000000001104
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objectives: People living with human immunodeficiency virus (HIV) have an increased risk of other infections, including viral hepatitis, which can complicate the treatment and progression of the disease. We sought to characterize Alabama cases of HIV co-infected with hepatitis C virus or hepatitis B virus. Methods: Using surveillance data, we defined co-infection as a person identified as having hepatitis C or hepatitis B and HIV during 2007-2016. We compared demographics, outcomes, and risk factors for co-infected versus monoinfected individuals with HIV. We mapped co-infected individuals' distribution. Results: Of 5824 people with HIV, 259 (4.4%) were co-infected with hepatitis C (antibody or RNA positive) and 145 (2.5%) with hepatitis B (surface antigen, e antigen, or DNA positive) during 2007-2016. Individuals with HIV and hepatitis C had a greater odds of injection drug use (adjusted odds ratio 9.7; 95% confidence interval 6.0-15.5). Individuals with HIV and hepatitis B had a greater odds of male-to-male sexual contact (adjusted odds ratio 1.7; 95% confidence interval 1.1-2.6). Co-infection was greater in urban public health districts. Conclusions: We identified risk behaviors among Alabama populations associated with increased odds for HIV and viral hepatitis co-infection. Outreach, prevention, testing, and treatment resources can be targeted to these populations.
引用
收藏
页码:298 / 304
页数:7
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