European Journal of Epidemiology

, Volume 16, Issue 11, pp 1043–1049

Prevalence and incidence of bloodborne viral infections among Danish prisoners

  • P.B. Christensen
  • H.B. Krarup
  • H.G.M. Niesters
  • H. Norder
  • J. Georgsen
Article

DOI: 10.1023/A:1010833917242

Cite this article as:
Christensen, P., Krarup, H., Niesters, H. et al. Eur J Epidemiol (2000) 16: 1043. doi:10.1023/A:1010833917242

Abstract

In order to determine the prevalence and incidence of bloodborne viral infections among prisoners, we conducted a prospective study in a Danish medium security prison for males. The prisoners were offered an interview and blood test for hepatitis and human immunodeficiency virus HIV at inclusion as well as at release from prison or end of study. Of 403 prisoners available 325 (79%) participated in the initial survey and for 142 (44%) a follow-up test was available. 43% (140/325) of the participants were injecting drug users (IDUs) of whom 64% were positive for hepatitis B (HBV) and 87% for hepatitis C (HCV) markers. No cases of HIV or human T lymphotropic virus (HTLV) were found. 32% of all prisoners could transmit HBV and/or HCV by blood contact. 70% of IDUs had shared injecting equipment, and 60% had injected inside prison. Only 2% of IDUs were vaccinated against HBV. Duration of injecting drug use, numbers of imprisonments, and injecting in prison were independently and positively associated with the presence of HBV antibodies among IDUs by logistic regression analysis. The HBV incidence was 16/100 PY (95% CI: 2–56/100 PY) and the HCV incidence 25/100 PY (1–140) among injecting drug users (IDUs). We conclude that IDUs in prison have an incidence of hepatitis B and C 100 times higher than reported in the general Danish population. They should be vaccinated against hepatitis B and new initiatives to stop sharing of injecting equipment in and outside prison is urgently needed.

Hepatitis BHepatitis CIncidenceInjecting drug usePrisonRisk behaviour

Copyright information

© Kluwer Academic Publishers 2000

Authors and Affiliations

  • P.B. Christensen
    • 1
  • H.B. Krarup
    • 2
  • H.G.M. Niesters
    • 3
  • H. Norder
    • 4
  • J. Georgsen
    • 1
  1. 1.Department of Clinical ImmunologyOdense University HospitalDenmark
  2. 2.Department of Clinical ChemistryAalborg HospitalDenmark
  3. 3.Department of VirologyUniversity Hospital Rotterdam Sophia/DijkzigtRotterdamThe Netherlands
  4. 4.Department of VirologySmittskyddsinstitutetStockholmSweden