The prevalence of isolated hepatitis B core antibody and its related risk factors among male injected drug users in Isfahan prisons

Background: The prevalence of isolated hepatitis B core antibody (anti-HBc) varies between 1% and 30% in different populations. Isolated anti-HBc-positive patients who suffer from occult hepatitis B virus (HBV) infection have the potential to transmit HBV infection. So isolated anti-HBc screening is...

Full description

Bibliographic Details
Main Authors: Kiana Shirani, Zary Nokhodian, Nazila Kassaian, Peyman Adibi, Alireza Emami Naeini, Behrooz Ataei
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Advanced Biomedical Research
Subjects:
Online Access:http://www.advbiores.net/article.asp?issn=2277-9175;year=2015;volume=4;issue=1;spage=17;epage=17;aulast=Shirani
_version_ 1811210364136718336
author Kiana Shirani
Zary Nokhodian
Nazila Kassaian
Peyman Adibi
Alireza Emami Naeini
Behrooz Ataei
author_facet Kiana Shirani
Zary Nokhodian
Nazila Kassaian
Peyman Adibi
Alireza Emami Naeini
Behrooz Ataei
author_sort Kiana Shirani
collection DOAJ
description Background: The prevalence of isolated hepatitis B core antibody (anti-HBc) varies between 1% and 30% in different populations. Isolated anti-HBc-positive patients who suffer from occult hepatitis B virus (HBV) infection have the potential to transmit HBV infection. So isolated anti-HBc screening is a valuable tool to prevent HBV transmission. Considering the importance of isolated anti-HBc screening and high prevalence of HBV among injected drug users (IDU) prisoners, we designed this study to evaluate the isolated anti-HBc positivity among inmates with the history of IDU in our area. Materials and Methods: We did this cross-sectional study from September 2009 to March 2010 among volunteer male IDU prisoners in Isfahan. Blood samples were taken from all of subjects and tested for HBV markers. Then a questionnaire containing socio-demographic, drug histories and high risk behaviors information was completed for all participants. Data analysis was done utilizing univariate analysis and multiple logistic regressions. A P < 0.05 was considered significant. Results: Totally 970 male IDU prisoners (mean age 32.6 ± 8.1) were included in our study. The prevalence of isolated HBc Ab was 4.5%. Isolated anti-HBc significantly was related to tooth filling (OR: 2.62, CI: 1.20-7.14) and imprisonment (OR: 3.95, CI: 1.39-11.18 ) . We couldn′t find any relationship between isolated anti-HBc positivity and addiction duration, incarceration frequency, recent incarceration duration or number of injection per month. Conclusion: For screening high risk groups in parallel with hepatitis B surface antigen (HBsAg), hepatitis B surface antibody (HBsAb) and other viral markers, maybe it is better to check HBcAb too, because isolated HBcAb-positive patients may have occult hepatitis B infection which could transfer the infection to others.
first_indexed 2024-04-12T04:54:22Z
format Article
id doaj.art-25b366478b2b4a2aa4edbd8110a5efc8
institution Directory Open Access Journal
issn 2277-9175
2277-9175
language English
last_indexed 2024-04-12T04:54:22Z
publishDate 2015-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Advanced Biomedical Research
spelling doaj.art-25b366478b2b4a2aa4edbd8110a5efc82022-12-22T03:47:11ZengWolters Kluwer Medknow PublicationsAdvanced Biomedical Research2277-91752277-91752015-01-0141171710.4103/2277-9175.148675The prevalence of isolated hepatitis B core antibody and its related risk factors among male injected drug users in Isfahan prisonsKiana ShiraniZary NokhodianNazila KassaianPeyman AdibiAlireza Emami NaeiniBehrooz AtaeiBackground: The prevalence of isolated hepatitis B core antibody (anti-HBc) varies between 1% and 30% in different populations. Isolated anti-HBc-positive patients who suffer from occult hepatitis B virus (HBV) infection have the potential to transmit HBV infection. So isolated anti-HBc screening is a valuable tool to prevent HBV transmission. Considering the importance of isolated anti-HBc screening and high prevalence of HBV among injected drug users (IDU) prisoners, we designed this study to evaluate the isolated anti-HBc positivity among inmates with the history of IDU in our area. Materials and Methods: We did this cross-sectional study from September 2009 to March 2010 among volunteer male IDU prisoners in Isfahan. Blood samples were taken from all of subjects and tested for HBV markers. Then a questionnaire containing socio-demographic, drug histories and high risk behaviors information was completed for all participants. Data analysis was done utilizing univariate analysis and multiple logistic regressions. A P < 0.05 was considered significant. Results: Totally 970 male IDU prisoners (mean age 32.6 ± 8.1) were included in our study. The prevalence of isolated HBc Ab was 4.5%. Isolated anti-HBc significantly was related to tooth filling (OR: 2.62, CI: 1.20-7.14) and imprisonment (OR: 3.95, CI: 1.39-11.18 ) . We couldn′t find any relationship between isolated anti-HBc positivity and addiction duration, incarceration frequency, recent incarceration duration or number of injection per month. Conclusion: For screening high risk groups in parallel with hepatitis B surface antigen (HBsAg), hepatitis B surface antibody (HBsAb) and other viral markers, maybe it is better to check HBcAb too, because isolated HBcAb-positive patients may have occult hepatitis B infection which could transfer the infection to others.http://www.advbiores.net/article.asp?issn=2277-9175;year=2015;volume=4;issue=1;spage=17;epage=17;aulast=ShiraniInjected drug usersisolated anti hepatitis B coreprison
spellingShingle Kiana Shirani
Zary Nokhodian
Nazila Kassaian
Peyman Adibi
Alireza Emami Naeini
Behrooz Ataei
The prevalence of isolated hepatitis B core antibody and its related risk factors among male injected drug users in Isfahan prisons
Advanced Biomedical Research
Injected drug users
isolated anti hepatitis B core
prison
title The prevalence of isolated hepatitis B core antibody and its related risk factors among male injected drug users in Isfahan prisons
title_full The prevalence of isolated hepatitis B core antibody and its related risk factors among male injected drug users in Isfahan prisons
title_fullStr The prevalence of isolated hepatitis B core antibody and its related risk factors among male injected drug users in Isfahan prisons
title_full_unstemmed The prevalence of isolated hepatitis B core antibody and its related risk factors among male injected drug users in Isfahan prisons
title_short The prevalence of isolated hepatitis B core antibody and its related risk factors among male injected drug users in Isfahan prisons
title_sort prevalence of isolated hepatitis b core antibody and its related risk factors among male injected drug users in isfahan prisons
topic Injected drug users
isolated anti hepatitis B core
prison
url http://www.advbiores.net/article.asp?issn=2277-9175;year=2015;volume=4;issue=1;spage=17;epage=17;aulast=Shirani
work_keys_str_mv AT kianashirani theprevalenceofisolatedhepatitisbcoreantibodyanditsrelatedriskfactorsamongmaleinjecteddrugusersinisfahanprisons
AT zarynokhodian theprevalenceofisolatedhepatitisbcoreantibodyanditsrelatedriskfactorsamongmaleinjecteddrugusersinisfahanprisons
AT nazilakassaian theprevalenceofisolatedhepatitisbcoreantibodyanditsrelatedriskfactorsamongmaleinjecteddrugusersinisfahanprisons
AT peymanadibi theprevalenceofisolatedhepatitisbcoreantibodyanditsrelatedriskfactorsamongmaleinjecteddrugusersinisfahanprisons
AT alirezaemaminaeini theprevalenceofisolatedhepatitisbcoreantibodyanditsrelatedriskfactorsamongmaleinjecteddrugusersinisfahanprisons
AT behroozataei theprevalenceofisolatedhepatitisbcoreantibodyanditsrelatedriskfactorsamongmaleinjecteddrugusersinisfahanprisons
AT kianashirani prevalenceofisolatedhepatitisbcoreantibodyanditsrelatedriskfactorsamongmaleinjecteddrugusersinisfahanprisons
AT zarynokhodian prevalenceofisolatedhepatitisbcoreantibodyanditsrelatedriskfactorsamongmaleinjecteddrugusersinisfahanprisons
AT nazilakassaian prevalenceofisolatedhepatitisbcoreantibodyanditsrelatedriskfactorsamongmaleinjecteddrugusersinisfahanprisons
AT peymanadibi prevalenceofisolatedhepatitisbcoreantibodyanditsrelatedriskfactorsamongmaleinjecteddrugusersinisfahanprisons
AT alirezaemaminaeini prevalenceofisolatedhepatitisbcoreantibodyanditsrelatedriskfactorsamongmaleinjecteddrugusersinisfahanprisons
AT behroozataei prevalenceofisolatedhepatitisbcoreantibodyanditsrelatedriskfactorsamongmaleinjecteddrugusersinisfahanprisons