Exposure source prevalence is associated with gender in hepatitis C virus patients from Rio de Janeiro, Brazil
Mem. Inst. Oswaldo Cruz
; 112(9): 632-639, Sept. 2017. tab
Artículo
en Inglés
| LILACS
| ID: biblio-894873
Biblioteca responsable:
BR1.1
ABSTRACT
BACKGROUND Hepatitis C virus (HCV) infection is a worldwide public health problem. A characterisation of the differences in exposure sources among genders will enable improvements in surveillance actions. METHODS Exposure data were obtained for 1180 confirmed HCV cases Brazil's mandatory reporting to epidemiological surveillance, which was directed by a reference laboratory in Rio de Janeiro, Brazil. The Chi-square test (χ2) was used to assess the associations between exposure sources and gender. The prevalence ratio (PR) was calculated for exposures that showed an association. RESULTS The results showed 57.7% cases were female, and associations with snorting drugs, sexual activity, surgery, aesthetic procedures, blood transfusions, and educational level were observed (p < 0.001). Men showed 2.53 (1.33-3.57), 4.83 (3.54-6.59), and 2.18 (1.33-3.57) times more exposure to sniffing drugs, risky sex and higher levels of education, respectively, than women. Women demonstrated 4.46 (3.21-6.21), 1.94 (1.43-2.63), and 3.10 (2.09-4.61) times more exposure to surgery, aesthetic procedures, and blood transfusions, respectively, than men. CONCLUSION Our results showed differences in risk behaviours associated with gender among HCV carriers. These data are likely to significantly influence clinical practice regarding the adoption of specific approaches for counselling and control policies to prevent the emergence of new cases and break the chain of transmission of the virus.
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Contexto en salud:
ODS3 - Salud y Bienestar
Problema de salud:
Meta 3.3: Poner fin a las enfermedades desatendidas y detener enfermedades transmisibles
/
Meta 3.9: Reducir la cantidad de muertes producidas por químicos peligrosos y la contaminación del aire, agua y suelo
Base de datos:
LILACS
Asunto principal:
Distribución de Chi-Cuadrado
/
Hepatitis C
/
Exposición a Riesgos Ambientales
Tipo de estudio:
Estudio de prevalencia
/
Factores de riesgo
/
Estudio de tamizaje
Aspecto:
Determinantes sociales de la salud
Límite:
Adolescente
/
Adulto
/
Anciano
/
Anciano de 80 o más años
/
Niño
/
Femenino
/
Humanos
/
Masculino
País/Región como asunto:
America del Sur
/
Brasil
Idioma:
Inglés
Revista:
Mem. Inst. Oswaldo Cruz
Asunto de la revista:
Medicina Tropical
/
Parasitología
Año:
2017
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Universidade do Estado do Rio de Janeiro/BR