Seroprevalence of and risk factors for hepatitis A infection among young homosexual and bisexual men

Seroprevalence of and risk factors for hepatitis A infection among young homosexual and bisexual men
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DOI:
10.1086/593675
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发表时间:
1997-05-01
影响因子:
6.4
通讯作者:
Janssen, RS
Janssen, RS
中科院分区:
医学2区
文献类型:
--
作者:
Katz, MH;Hsu, L;Janssen, RS

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为了解青年男同性恋和男双性恋者的甲型肝炎感染情况,在弗朗西斯科和伯克利的26个公共场所调查了411名17-22岁的男性,甲型肝炎血清阳性率为28.0%(95%可信区间[CI],23.7%~ 32.6%)。3.3%的易感男性近期感染明显(95% CI,1.6%-5.9%)。甲型肝炎感染的独立预测因子是拉丁裔(比值比[OR] = 5.3; 95% CI,3.1-8.9),终身男性性伴侣≥ 50名(OR = 1.8; 95%CI,1.1-3.0),高中以下(OR = 2.2; 95%CI,1.2-4.1),高中毕业(OR = 1.7; 95%CI,1.0-2.9),近期感染的独立预测因子小于高中毕业生(OR = 7.6; 95% CI,1.9-30.5)、插入肛交(OR = 5.6; 95% CI,1.0-32.8)、共用针头不清洗(OR = 32.1; 95% CI,3.0 ~ 346)。甲型肝炎是一种常见的感染,在年轻的同性恋男子,并与性和吸毒行为。
To evaluate hepatitis A infection among young homosexual and bisexual men, 411 men aged 17-22 years were surveyed at 26 public venues in San Francisco and Berkeley, Seroprevalence of hepatitis A infection was 28.0% (95% confidence interval [CI], 23.7%-32.6%). Recent infection was evident in 3.3% of susceptible men (95% CI, 1.6%-5.9%). Independent predictors of hepatitis A infection were Latino ethnicity (odds ratio [OR] = 5.3; 95% CI, 3.1-8.9), having greater than or equal to 50 lifetime male sex partners (OR = 1.8; 95% CI, 1.1-3.0), less than high school education (OR = 2.2; 95% CI, 1.2-4.1), and being a high school graduate (OR = 1.7; 95% CI, 1.0-2.9), Independent predictors of recent infection were less than high school graduate (OR = 7.6; 95% CI, 1.9-30.5), insertive anal intercourse (OR = 5.6; 95% CI, 1.0-32.8), and sharing needles without cleaning them (OR = 32.1; 95% CI, 3.0-346). Hepatitis A is a common infection in young homosexual men and is associated with sexual and drug-using behaviors.