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Hatami H, Namdaritabar H, Lotfaliany M, Akbarpour S, Zafari N. Occurrence of HBV and HCV and their probable risk factors in the newly registered HIV/AIDS patients in the Center for Control of Communicable Diseases in 2016 . irje. 2018; 1111
URL: http://irje.tums.ac.ir/article-1-5918-en.html
1- Department of Public Health, School of Public Health & Environmental and Occupational Hazards Control Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- HIV/AIDS unit, Center for prevention of communicable diseases, Ministry of Health, Tehran, Iran
3- Center for Health Equity, School of Population and Global Health, University of Melbourne, Melbourne, Australia
4- Department of public health, Tehran University of Medical Sciences, Tehran, Iran
5- Department of Public Health, School of Public Health & Environmental and Occupational Hazards Control Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran , neda.zafari@gmail.com
Abstract:   (192 Views)
Background and objectives: Co-infections, especially hepatitis B virus (HBV) and hepatitis C virus (HCV) play a major role in prognosis of the disease in patients with human immunodeficiency virus (HIV). We aimed to determine HBV/HCV co-infection in individuals diagnosed with human immunodeficiency virus (HIV); and to compare the characteristics of different subgroups of HIV/HBV, HIV/HCV, and HIV/HBV/HCV.
Methods: In this cross-sectional study, 908 of 2134 new HIV positive individuals registered in the Iranian Ministry of Health in 2016 were recruited. Participants were divided into four subgroups namely HBV-/HCV-, HBV+/HCV-, HBV-/HCV+, and HBV+/HCV+. Demographic data (age, gender, marriage status) and HIV transmission routes (IV drug abuse, unsafe sex, contaminated blood, mother to fetus transmission, being spouse of an HIV+ or high risk individual, hazardous job, unidentified, and others) were compared between subgroups.
Results: Among908 participants, 505 (60.6%) were HBV-/HCV-, 20 (2.2%) were HBV+/HCV-, 318 (35%) were HBV-/HCV+, and 20 (2.2%) were HBV+/HCV+. Mean age of participants was 36.9 years; 67% were male and 47% were married. The commonest high-risk behaviors were unsafe sex (43.5%) and IV drug abuse (34.4%). There was no statistically significant difference in the mean of age (p-value: 0.068) of subgroups. All HBV+/HCV+ ,92% of HBV-/HCV+, 50% of HBV+/HCV- and 52% of HBV-/HCV- were men and the difference between groups was statistically significant (p-value: <0.001). Seventy four percent of HBV-/HCV+ and 80% of HBV+/HCV+ reported IV drug abuse. Thirty percent of HBV-/HCV- and 40% of HBV+/HCV- were spouse of HIV positive or high risk individuals.
Conclusion: More than 30% of new HIV positive individuals registered in the Iranian Ministry of Health in 2016 were co-infected with either HBV or HCV. Frequency of men, marital status and high-risk behaviors were different in various subgroups.
 
     
Type of Study: Research | Subject: General
Received: 2018/04/23 | Accepted: 2018/04/23 | Published: 2018/04/23

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