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Factors Associated With Hepatitis B Exposure Among People Who Report Using Methamphetamine: National Health and Nutrition Examination Survey 2009-2016.
The Journal of Infectious Diseases ( IF 6.4 ) Pub Date : 2020-01-02 , DOI: 10.1093/infdis/jiz445
Stacy R Tressler 1 , Tatyana Kushner 2 , Ruchi Bhandari 1
Affiliation  

BACKGROUND With the nation's focus on the opioid crisis, methamphetamine has made a comeback, potentially increasing risk for hepatitis B. We examined factors associated with hepatitis B virus (HBV) exposure among people who reported ever using methamphetamine in a nationally representative survey. METHODS We used the National Health and Nutrition Examination Survey to examine factors associated with HBV exposure among participants who reported ever using methamphetamine using bivariate and multivariable logistic regression. RESULTS Overall, 847 participants met the study inclusion criteria. In multivariable logistic regression, female sex (adjusted odds ratio, 3.83; 95% confidence interval, 1.65-8.90), living below the poverty threshold (3.17; 1.39-7.21), injection drug use (4.89; 1.95-12.26), active hepatitis C virus infection (3.39; 1.10-12.26), and identifying as men who have sex with men (28.21; 5.19-153.38) were significantly associated with HBV exposure. CONCLUSIONS The odds of HBV exposure for female participants who reported using methamphetamine were 4 times than that for male participants. Poverty, injection drug use, and hepatitis C virus infection were also associated. As methamphetamine use increases, it is critical to identify those at risk of acquiring HBV infections in order to target testing and vaccination.

中文翻译:

报告使用甲基苯丙胺的人群中与乙肝暴露相关的因素:2009-2016年美国国家健康和营养调查。

背景技术随着国家对阿片类药物危机的关注,甲基苯丙胺卷土重来,可能增加了乙型肝炎的风险。我们在一项全国代表性的调查中检查了曾经使用过甲基苯丙胺的人群中与乙型肝炎病毒(HBV)暴露相关的因素。方法我们使用国家健康和营养检查问卷调查了曾经使用过甲基苯丙胺进行过双变量和多变量logistic回归分析的参与者中与HBV暴露相关的因素。结果总体而言,有847名参与者符合研究纳入标准。在多变量logistic回归中,女性(调整后的优势比为3.83; 95%的置信区间为1.65-8.90),生活在贫困线以下(3.17; 1.39-7.21),注射吸毒(4.89; 1.95-12.26),活动性肝炎C病毒感染(3.39; 1。10-12.26),并确定与男性发生性关系的男性(28.21; 5.19-153.38)与HBV暴露显着相关。结论报告使用甲基苯丙胺的女性参与者的HBV暴露几率是男性参与者的4倍。贫困,注射吸毒和丙型肝炎病毒感染也有关联。随着甲基苯丙胺使用量的增加,至关重要的是确定有感染乙肝病毒风险的人,以便针对检测和疫苗接种。
更新日期:2019-12-30
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