Hepatitis infection among adolescents resident in Melbourne Juvenile Justice Centre : Risk factors and challenges.
To describe patterns of infection with, and risks for, hepatitis A, B and C viruses (HAV, HBV, and HCV) in male adolescents detained in the Melbourne Juvenile Justice Centre (MJJC).
A cross-sectional serosurvey for HAV, HBV, and HCV among 90 male adolescents aged 15-18 years who were resident in MJJC for more than 1 week in 1996.
Nine percent had been exposed to HAV, 8% were positive or equivocal for exposure to HBV, and 21% were antibody positive for HCV.
All those with hepatitis markers except one positive for HAV had been injection heroin users for more than 1 year.
Of those who were not HBcAb positive, only 28% were immune to HBV.
For most respondents, sexual and drug-using risks began in the early teens and were associated with leaving school prematurely.
Respondents were vulnerable to exposure to blood-borne viruses from an early age, posing a challenge for health education programs.
An opportunity exists for harm minimization and prevention of spread of blood-borne viruses within the first year of injection drug use in this population.
Mots-clés Pascal : Délinquance juvénile, Milieu carcéral, Facteur risque, Hépatite virale A, Virose, Infection, Hépatite virale B, Hépatite virale C, Prise risque, Toxicomanie, Voie intraveineuse, Relation sexuelle, Adolescent, Homme, Epidémiologie, Trouble comportement social, Appareil digestif pathologie, Foie pathologie
Mots-clés Pascal anglais : Juvenile delinquency, Carceral environment, Risk factor, Viral hepatitis A, Viral disease, Infection, Viral hepatitis B, Viral hepatitis C, Risk taking, Drug addiction, Intravenous administration, Sexual intercourse, Adolescent, Human, Epidemiology, Social behavior disorder, Digestive diseases, Hepatic disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0469921
Code Inist : 002B30A03B. Création : 22/03/2000.