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Detection of anti-HCV antibodies and risk factors in a population with access to public healthcare in Mexico.

Authors :
Ríos-Castillo B
Duque-Molina C
Borrayo-Sánchez G
Medina-Chávez JH
Pineda-Ruiz E
Rosales-Piñón A
Niebla-Fuentes MR
Santana-Ramírez AM
Treviño-Pérez SC
Avilés-Hernández R
Reyna-Sevilla A
Source :
Revista de gastroenterologia de Mexico (English) [Rev Gastroenterol Mex (Engl Ed)] 2024 Jul-Sep; Vol. 89 (3), pp. 379-388. Date of Electronic Publication: 2024 Jul 17.
Publication Year :
2024

Abstract

Introduction and Aim: Timely detection and diagnosis of hepatitis C virus (HCV) involves identifying the population that is predisposed to treatment and prevention, thus limiting complications and preventing infection. The aim of this study was to analyze and describe risk factors associated with anti-HCV antibody detection in a population with access to public healthcare that participated in a national screening program.<br />Material and Methods: An analytic cross-sectional study was conducted that utilized data related to rapid tests carried out between September 2021 and October 2022 in 26 of the 32 states of Mexico. Anti-HCV reactive tests were selected, according to age and sex, for analyzing and comparing possible risk factors through descriptive and inferential statistics. The geographic distribution and density of the screening program at the state and municipal levels was analyzed.<br />Results: There were 75,185 anti-HCV antibody detections, 2,052 reactive tests, and mean participant age was 44.3 years (±15.1). Occupation: 32.3% were employees, 19% were housewives, and 18.2% were healthcare workers. Five out of every 10 cases had no indication of risk factors, but there was a 1.4 and 5-times greater likelihood of anti-HCV detection in men with a history of sharps injury or intravenous psychoactive substance use, compared with women. Regarding place of residence, 80% of the reactive tests were concentrated in the State of Mexico, Mexico City, and Guanajuato.<br />Conclusions: The evidence herein helps determine the population and risk factors that should be focused on in carrying out the HCV microelimination strategy of continuous screening, diagnosis, medical treatment access, and epidemiologic surveillance.<br /> (Copyright © 2024 Asociación Mexicana de Gastroenterología. Published by Masson Doyma México S.A. All rights reserved.)

Details

Language :
English
ISSN :
2255-534X
Volume :
89
Issue :
3
Database :
MEDLINE
Journal :
Revista de gastroenterologia de Mexico (English)
Publication Type :
Academic Journal
Accession number :
39025775
Full Text :
https://doi.org/10.1016/j.rgmxen.2024.01.005