Several studies suggest veterans have a higher prevalence of hepatitis C virus infection than nonveterans, possibly because of military exposures. The purpose of this study was to estimate the prevalence of anti-hepat...Several studies suggest veterans have a higher prevalence of hepatitis C virus infection than nonveterans, possibly because of military exposures. The purpose of this study was to estimate the prevalence of anti-hepatitis C antibody and evaluate factors associated with infection among users of Department of Veterans Affairs medical centers. Using a two-staged cluster sample, 1,288 of 3,863 randomly selected veterans completed a survey and underwent homebased phlebotomy for serological testing. Administrative and clinical data were used to correct the prevalence estimate for nonparticipation. The prevalence of anti-hepatitis C antibody among serology participants was 4.0%(95%CI, 2.6%-5.5%). The estimated prevalence in the population of Veterans Affairs medical center users was 5.4%(95%CI, 3.3%-7.5%) after correction for sociodemographic and clinical differences between participants and nonparticipants. Significant predictors of seropositivity included demographic factors, period of military service (e.g., Vietnam era), prior diagnoses, health care use, and lifestyle factors. At least one traditional risk factor (transfusion or intravenous drug use) was reported by 30.2%of all subjects. Among those testing positive for hepatitis C antibody, 78%either had a transfusion or had used injection drugs. Adjusting for injection drug use and nonparticipation, seropositivity was associated with tattoos and incarceration. Military-related exposures were not found to be associated with infection in the adjusted analysis. In conclusion, the prevalence of hepatitis C in these subjects exceeds the estimate from the general US population by more than 2-fold, likely reflecting more exposure to traditional risk factors among these veterans.展开更多
广告从业者的孩子一定特别喜欢'带孩子上班日(Take Your Child to Work Day)'。对孩子而言,没有什么能比随处可见的乒乓球桌、足球、巨大的白板、水彩笔、零食和电子设备更有吸引力了。作为广告代理公司的领导,能让'带孩子...广告从业者的孩子一定特别喜欢'带孩子上班日(Take Your Child to Work Day)'。对孩子而言,没有什么能比随处可见的乒乓球桌、足球、巨大的白板、水彩笔、零食和电子设备更有吸引力了。作为广告代理公司的领导,能让'带孩子上班日'轻松有趣,说明你的工作做得很好。但你知道广告代理公司的弱势在哪里吗?那就是招聘和留住那些已经为人父母的员工。展开更多
文摘Several studies suggest veterans have a higher prevalence of hepatitis C virus infection than nonveterans, possibly because of military exposures. The purpose of this study was to estimate the prevalence of anti-hepatitis C antibody and evaluate factors associated with infection among users of Department of Veterans Affairs medical centers. Using a two-staged cluster sample, 1,288 of 3,863 randomly selected veterans completed a survey and underwent homebased phlebotomy for serological testing. Administrative and clinical data were used to correct the prevalence estimate for nonparticipation. The prevalence of anti-hepatitis C antibody among serology participants was 4.0%(95%CI, 2.6%-5.5%). The estimated prevalence in the population of Veterans Affairs medical center users was 5.4%(95%CI, 3.3%-7.5%) after correction for sociodemographic and clinical differences between participants and nonparticipants. Significant predictors of seropositivity included demographic factors, period of military service (e.g., Vietnam era), prior diagnoses, health care use, and lifestyle factors. At least one traditional risk factor (transfusion or intravenous drug use) was reported by 30.2%of all subjects. Among those testing positive for hepatitis C antibody, 78%either had a transfusion or had used injection drugs. Adjusting for injection drug use and nonparticipation, seropositivity was associated with tattoos and incarceration. Military-related exposures were not found to be associated with infection in the adjusted analysis. In conclusion, the prevalence of hepatitis C in these subjects exceeds the estimate from the general US population by more than 2-fold, likely reflecting more exposure to traditional risk factors among these veterans.
文摘广告从业者的孩子一定特别喜欢'带孩子上班日(Take Your Child to Work Day)'。对孩子而言,没有什么能比随处可见的乒乓球桌、足球、巨大的白板、水彩笔、零食和电子设备更有吸引力了。作为广告代理公司的领导,能让'带孩子上班日'轻松有趣,说明你的工作做得很好。但你知道广告代理公司的弱势在哪里吗?那就是招聘和留住那些已经为人父母的员工。
