Document 0133 DOCN M9440133 TI [Determinants of the prevalence of hepatitis B viral infection in parenteral drug abusers] DT 9404 AU Torrella Ramos A; Hernandez Aguado I; Santos Rubio C; Fernandez Garcia E; Garcia de la Hera M; Avino Rico MJ; Conselleria de Sanitat y Consum, Centros de Informacion y; Prevencion de SIDA (CIPS) de Castellon, Valencia, Alicante. SO Rev Clin Esp. 1993 Dec;193(9):475-9. Unique Identifier : AIDSLINE MED/94151519 AB In order to study the frequency of hepatitis B viral infection and its determinants, we studied 2337 intravenous drug users who visited three AIDS information and prevention centers between 1987 and 1991. The presence of three markers for HBV (AntiHBc, AntiHBs, and AgHBs) and of HIV-1 antibodies was analyzed. A structured questionnaire was used to gather data on sociodemographic information and risk factors for infection. The prevalence of HBV infection (at least one positive marker) was 78% (95% CI: 76%-80%). After adjustment via logistic regression, duration of drug addiction (OR-5.04), the number of sexual partners (OR = 1.70), and the presence of antibodies for HIV-1 (OR = 2.44) were associated with increased HBV infection were higher level of education (OR = 0.67) and residence in a smaller city (OR = 0.66). The marginalization of the practice of drug use makes prevention activities very difficult, and by the time they use health services, the majority of users have already been in contact with HBV. Other infectious agents which share parenteral transmission can reach a similar prevalence if preventive efforts are not intensified. DE Adult Chi-Square Distribution English Abstract Female Hepatitis B/*EPIDEMIOLOGY/IMMUNOLOGY Hepatitis B Antibodies/BLOOD Hepatitis B Antigens/BLOOD Human Logistic Models Male Odds Ratio Prevalence Seroepidemiologic Methods Socioeconomic Factors Spain/EPIDEMIOLOGY Substance Abuse, Intravenous/*COMPLICATIONS/EPIDEMIOLOGY Support, Non-U.S. Gov't Urban Population/STATISTICS & NUMER DATA JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).