Abstract
Introduction: Prisoners represent high-risk behaviors such as injecting drug use, sharing
syringes, tattooing, and unprotected sexual intercourse. The authors aimed to study the prevalence of
hepatitis B, hepatitis C, and hepatitis D in the prisoners.
Methods: We conducted a systematic search using the keywords in online databases of PubMed, Web
of Science, Scopus, and Science Direct. Two independent researchers examined the quality of the articles
and the probable risk of bias. The most relevant articles by title and abstract were retrieved. Finally,
the full text of selected articles was read, and the critical findings were extracted.
Results: Reviews of 23 studies showed that most prisoners are susceptible to hepatitis B and hepatitis
C. One study also indicated that prisoners could be infected with hepatitis A and hepatitis E. The most
common routes of hepatitis transmission in prisons were intravenous drug use, needle sharing, tattooing,
and unsafe sex with multiple sexual partners.
Conclusion: High-risk sexual behaviors, shared contaminated needles for IV drug injection, and tattooing
are the principal routes of hepatitis transmission among prison inmates. Hepatitis treatment is
feasible and could be useful for infected prisoners undergoing a well-designed treatment program.
Keywords:
Hepatitis B, hepatitis C, hepatitis D, prisoners, injecting drug, liver disease.
Graphical Abstract
[24]
Vieira D, Oliveira S, Santos A. Prevalence of viral hepatitis B, C and Delta, syphilis and HIV in the prison population in the closed penal system of the western Amazon. J Bacteriol Infect Dis 2018; 2(2): 6-11.
[58]
Almasio PL, Babudieri S, Barbarini G, Brunetto M, Conte D, Dentico P. Recommendations for the prevention, diagnosis, and treatment of chronic hepatitis B and C in special population groups (migrants, intravenous drug users and prison inmates). Digest Liver Dis 2011; 43(8): 589-95.
[61]
Alavian S, Fallahian F. Epidemiology of Hepatitis C in Iran and the World 2009; 10(4): 162-72.
[70]
Kheirandish P, Seyedalinaghi SA, Hosseini M, Jahani MR, Shirzad H, Foroughi M. Prevalence and correlates of HIV infection among male injection drug users in detention in Tehran, Iran. J Acquir Immune Defic Syndromes 2010; 53(2): 273-5.
[80]
Schoenbachler BT, Smith BD, Seña AC, Hilton A, Bachman S, Lunda M. Hepatitis C Virus Testing and Linkage to Care in North Carolina and South Carolina Jails, 2012-2014. Public health reports (Washington, DC: 1974) 2016; 2(2): 98-104.
[98]
Whiteman D, McCall B. Prevalence and determinants of hepatitis A virus exposure among prison entrants in Queensland, Australia: implications for public health control. 1998; 5(4): 277-83.
[100]
Weinbaum C, Lyerla R, Margolis HS. Prevention and control of infections with hepatitis viruses in correctional settings. Centers for Disease Control and Prevention MMWR Recommendations and reports: Morbidity and mortality weekly report Recommendations and reports 2003; 52(1): 1-36.