Evidence map›Paper›PMID 31706284›Full record

ArticleBMC infectious diseases2019

Prevalence of Viremic hepatitis C, hepatitis B, and HIV infection, and vaccination status among prisoners in Stockholm County.

Caroline Gahrton, Gabriel Westman, Karin Lindahl, Fredrik Öhrn, Olav Dalgard, Christer Lidman, Lars-Håkan Nilsson, Karouk Said, Ann-Sofi Duberg, Soo Aleman

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 26 citations in OpenAlex.

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  14. Immunization Coverage of Inmates in Spanish Prisons.International journal of environmental research and public health · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

Caroline GahrtonDepartment of Infectious Diseases, Karolinska University Hospital, Huddinge, 141 86, Stockholm, Sweden. caroline.gahrton@sll.se.ORCID http://orcid.org/0000-0003-2787-8481
Gabriel WestmanDepartment of Medical Sciences, Section of Infectious Diseases, Uppsala University, Uppsala, Sweden.
Karin LindahlDepartment of Infectious Diseases, Karolinska University Hospital, Huddinge, 141 86, Stockholm, Sweden.
Fredrik ÖhrnCenter for Innovation, Karolinska University Hospital, Stockholm, Sweden.
Olav DalgardDepartment of Infectious Diseases, Akershus University Hospital, Lørenskog, Norway.
Christer LidmanDepartment of Infectious Diseases, Karolinska University Hospital, Huddinge, 141 86, Stockholm, Sweden.
Lars-Håkan NilssonThe Swedish Prison and Probation Service, Norrköping, Sweden.
Karouk SaidDepartment of Medicine Huddinge, Karolinska Institutet, Stockholm, Sweden.
Ann-Sofi DubergDepartment of Infectious Diseases, School of Medical Sciences, Örebro University, Örebro, Sweden.
Soo AlemanDepartment of Infectious Diseases, Karolinska University Hospital, Huddinge, 141 86, Stockholm, Sweden.
Karolinska University Hospital · SEÖrebro University · SESwedish Prison and Probation Service · SEUniversity of Oslo · NOUppsala University · SE

Funding

Abbvie .BMS .Gilead .ICT Health Support .
6 · The paper itself

Abstract

backgroundIdentification and knowledge of settings with high prevalence of hepatitis C virus (HCV) infection is important when aiming for elimination of HCV. The primary aim of this study was to estimate the prevalence of viremic HCV infection among Swedish prisoners. Secondary aims were to estimate the prevalence of hepatitis B surface antigen (HBsAg), human immunodeficiency virus (HIV), and the proportion who have received hepatitis B virus (HBV) vaccination.

methodsA cross-sectional study of all incarcerated persons (n = 667) at all prisons (n = 9) in Stockholm County was conducted. All prisoners are routinely offered opt-in screening for HCV antibodies (anti-HCV), HCV RNA, HBsAg, anti-HBs, anti-HBc and HIV Ag/Ab at prison in Sweden. Data on the results of these tests and the number of received HBV vaccine doses were collected from the prison medical records. The parameters of HCV RNA, anti-HCV, and occurrence of testing for HCV were analysed in multiple logistic regression models in relation to age, sex and prison security class.

resultsThe median age was 35 (IQR 26-44) years, and 93.4% were men. Seventy-one percent (n = 471) had been tested for anti-HCV, 70% (n = 465) for HBsAg and 71% (n = 471) for HIV. The prevalence of anti-HCV, HCV RNA, HBsAg and HIV Ag/Ab was 17.0, 11.5, 1.9, and 0.2%, respectively among tested persons. The proportion of prisoners who had received full HBV vaccination was 40.6% (n = 271) among all study subjects.

conclusionsThe prevalence of viremic HCV infection among Swedish prisoners in Stockholm County was 11.5%, which is high in comparison to the general population. Therefore, when aiming for the WHO goal of HCV elimination, prisons could suit as a platform for identification and treatment of HCV infection. There is a need to increase testing for blood-borne viruses and to improve vaccination coverage against HBV in Swedish prisons.

Indexed as

AdultCross-Sectional StudiesFemaleHepatitis BHepatitis B Surface AntigensHepatitis CHepatitis C AntibodiesHIV InfectionsHumansLogistic ModelsMalePrevalencePrisonersRNA, ViralSwedenVaccinationHepatitis B Surface AntigensHepatitis C AntibodiesRNA, ViralHCV RNAHepatitis BHepatitis CHIVPrevalencePrisonScreeningVaccinationViremic HCV infection

Identifiers

PMID31706284
PMCPMC6842501
OpenAlexW2984385682

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.