Prevalence of and risk factors for hepatitis C in Aboriginal and non-Aboriginal adolescent offenders

David van der Poorten*, Dianna T. Kenny, Jacob George

*Corresponding author for this work

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Objectives: To define and compare the prevalence, risk factors and understanding of hepatitis C transmission among Aboriginal and non-Aboriginal young offenders. Design, participants and setting: Cross-sectional study of young offenders (aged 12-19 years; median age, 16.6 years) in custody or serving community orders with the New South Wales Department of Juvenile Justice who participated in a physical and mental health survey between March 2002 and December 2005, and who provided blood samples for analysis of biochemistry, bloodborne viruses and sexually transmitted infections. Main outcome measures: Risk factors and prevalence of hepatitis C antibody positivity. Results: Of the 1042 young offenders studied, 709 provided blood samples, 179 (25%) of whom identified as Aboriginal. Aboriginal adolescents had more markers of social disadvantage and higher rates of hepatitis B (9.6% v 5.2%; P = 0.04) than non-Aboriginal young offenders. Hepatitis C rates were high in both groups (7.3% v 5.3%; P = 0.33). Risk factors for hepatitis C were the same in both groups, the most important being injecting drug use (OR, 19; P < 0.001) and prior use of heroin (OR, 15; P < 0.001). Current custodial sentence doubled the risk of hepatitis C. Knowledge of hepatitis C transmission was very poor in both groups, with over 50% not knowing how it is transmitted and fewer than 10% able to identify sharing needles as a risk. Conclusions: Hepatitis C rates are extremely high in all young offenders, and interventions to halt its spread are urgently needed. Aboriginal adolescents, who are over-represented in this population, are particularly at risk.

Original languageEnglish
Pages (from-to)610-614
Number of pages5
JournalMedical Journal of Australia
Volume188
Issue number10
Publication statusPublished - 19 May 2008

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