Arch Iran Med. 2024;27(6): 298-304.
doi: 10.34172/aim.23553
  Abstract View: 128
  PDF Download: 82

Original Article

Seroepidemiological Investigation of Hepatitis B and C Prevalence and Associated Factors Among People in Custody at Zahedan Central Prison

Maliheh Metanat 1 ORCID logo, Seyedeh Zeinab Almasi 2,3* ORCID logo, Nahid Sepehri Rad 1, Seyed Mehdi Tabatabaee 1, Kosar Rezaei 4

1 Infectious Diseases and Tropical Medicine Research Center, Research Institute of Cellular and Molecular Sciences in Infectious Diseases, Zahedan University of Medical Sciences, Zahedan, Iran
2 Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
3 Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
4 Department of Epidemiology, Zahedan University of Medical Sciences, Zahedan, Iran
*Corresponding Author: Seyedeh Zeinab Almasi, Email: almasy2011@yahoo.com


Background: On a global scale, approximately 350 million are affected by hepatitis B, and 71 million by hepatitis C. People in custody face elevated risks for these infections. The prevalence and risk factors in Iranian prisons are insufficiently documented. The principal objective of this study was to ascertain the prevalence of hepatitis B and C, coupled with the identification of pertinent influencing factors, within the confines of Zahedan central prison, situated in the southeastern region of Iran.

Methods: In 2019, we conducted an analytical cross-sectional study involving 407 people in custody, using stratified random sampling. To definitively diagnose hepatitis C virus (HCV) infection (P<0.05), a checklist developed by the researchers, along with enzyme-linked immunosorbent assay (ELISA) and polymerase chain reaction (PCR) techniques, were employed.

Results: This study comprised 406 participants (96.3% male) with a median age of 32 years (27-38). Approximately 62% were married, and a substantial proportion of the participants had low education levels (47%), unemployment (64%), and belonged to the Baloch ethnicity (64%). The overall prevalence of hepatitis C and B infections was 2.7% and 10.6%, respectively. Tattooing (adjusted odds ratio [AOR]: 2.07, 95% CI: 1.9-4.5) and marriage (AOR: 1.78, 95% CI: 1.05-3.04) were identified as risk factors for hepatitis B. Moreover, hepatitis C showed a statistically significant association with a family history of hepatitis B and C (AOR: 3.31, 95% CI: 3.93-24.64) and intravenous (IV) drug use (AOR: 7.01, 95% CI: 1.52-32.78) according to the multivariable logistic regression analysis.

Conclusion: The prevalence of hepatitis B and C was higher among people in custody in Zahedan central prison. Consequently, targeted interventions are vital to address and reduce viral hepatitis burden in custodial settings.

Cite this article as: Metanat M, Almasi SZ, Sepehri Rad N, Tabatabaee SM, Rezaei K. Seroepidemiological investigation of hepatitis B and C prevalence and associated factors among people in custody at Zahedan central prison. Arch Iran Med. 2024;27(6):298-304. doi: 10.34172/aim.23553
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Submitted: 17 Jul 2021
Accepted: 11 Oct 2023
ePublished: 14 May 2024
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