Non-injection drug use and hepatitis C among drug treatment clients in west central Mexico

作者：Campollo Octavio^*; Roman Sonia; Panduro Arturo; Hernandez Gabriel; Diaz Barriga Lino; Balanzario Mario C; Cunningham James K

来源：Drug and Alcohol Dependence, 2012, 123(1-3): 269-272.

DOI：10.1016/j.drugalcdep.2011.11.009

• Mexico
• Hepatitis C virus
• Hepatitis B virus
• Non-injection drug use
• Prison

Background: Research on hepatitis C virus (HCV) prevalence among non-injecting drug treatment clients in the United States, Europe and Asia indicate substantial differences by place. To date, little or no research on HCV and non-injection drug use (NIDU) has been conducted in Mexico.
Methods: We examined the prevalence of HCV, hepatitis B virus (HBV), and HIV among non-injecting drug users (NIDUs) in community-based drug treatment (N = 122) and NIDUs in a prison-based drug treatment program (N = 30), both located in west central Mexico.
Results: Among the community clients, prevalence was 4.1% (95% confidence interval [CI]: 1.8-9.2) for HCV, 5.7% for HBV (95% CI: 2.8-11.4), and 1.6% for HIV (95% CI: 0.4-5.8). Among the in-prison clients, prevalence was 40.0% (95% CI: 24.6-57.7) for HCV, 20.0% for HBV (95% CI: 9.5-37.3), and 6.7% for HIV (95% CI: 1.9-21.3). None of the clients were aware of being infected.
Conclusion: The HCV prevalence found for the NIDU community treatment clients ranks among the lower HCV estimates published for NIDUs in treatment to date. The prevalence found for the in-prison clients ranks among the higher, raising a concern of possible elevated HCV infection among NIDUs in the west central Mexico prison one compounded by the finding that none of this study's clients knew they were HCV positive.

• 出版日期2012-6-1