Prevalence of TB, hepatitis C, HIV high among homeless

Prevalence of TB, hepatitis C, HIV high among homeless
The global prevalence of tuberculosis, hepatitis C virus infection, and HIV is high among homeless people, although significant heterogeneity is seen in prevalence estimates, according to a study published online Aug. 20 in The Lancet Infectious Diseases.

(HealthDay) -- The global prevalence of tuberculosis, hepatitis C virus infection, and HIV is high among homeless people, although significant heterogeneity is seen in prevalence estimates, according to a study published online Aug. 20 in The Lancet Infectious Diseases.

In an effort to estimate the prevalence of tuberculosis, virus infection, and HIV among homeless people, Ulla Beijer, Ph.D., from the Karolinska Institutet in Stockholm, and colleagues conducted a systematic review and identified 43 surveys involving a population of 59,736 homeless individuals.

The researchers found that there was significant heterogeneity in prevalence estimates, with prevalences ranging from 0.2 to 7.7 percent for tuberculosis, 3.9 to 36.2 percent for infection, and 0.3 to 21.1 percent for HIV infection; prevalence ratios ranged from 34 to 452, 4 to 70, and 1 to 77, respectively. The prevalence of tuberculosis was higher for studies that used chest radiography for diagnosis, compared with other methods, and in countries with a higher general population prevalence. Newer studies had lower than older studies, and HIV infection prevalence was higher in the United States versus the rest of the world.

"The risks of epidemics of infectious diseases in homeless populations remain significantly higher than those in the general population in the same country," writes the author of an accompanying editorial. "These increased risks are a public health challenge for the population as a whole. Implementation of specific strategies to [reduce] these risks is crucial."

More information: Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

HIV patients at greater risk for bone fractures

Aug 28, 2008

HIV-infected patients have a higher prevalence of fractures than non HIV-infected patients, across both genders and critical fracture sites according to a new study accepted for publication in The Endocrine Society's Journal of ...

Recommended for you

Recorded Ebola deaths top 7,000

19 hours ago

The worst Ebola outbreak on record has now killed more than 7,000 people, with many of the latest deaths reported in Sierra Leone, the World Health Organization said as United Nations Secretary-General Ban ...

Liberia holds Senate vote amid Ebola fears (Update)

Dec 20, 2014

Health workers manned polling stations across Liberia on Saturday as voters cast their ballots in a twice-delayed Senate election that has been criticized for its potential to spread the deadly Ebola disease.

Evidence-based recs issued for systemic care in psoriasis

Dec 19, 2014

(HealthDay)—For appropriately selected patients with psoriasis, combining biologics with other systemic treatments, including phototherapy, oral medications, or other biologic, may result in greater efficacy ...

Bacteria in caramel apples kills at least four in US

Dec 19, 2014

A listeria outbreak believed to originate from commercially packaged caramel apples has killed at least four people in the United States and sickened 28 people since November, officials said Friday.

Steroid-based treatment may answer needs of pediatric EoE patients

Dec 19, 2014

A new formulation of oral budesonide suspension, a steroid-based treatment, is safe and effective in treating pediatric patients with eosinophilic esophagitis (EoE), according to a new study in Clinical Gastroenterology and Hepatology, the official clinical practice journal ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.