Prevalence of HIV, Hepatitis C and Hepatitis B Infection Among Detainees in a French Administrative Detention Centre

In France, migrants constitute a significant proportion of people diagnosed with HIV, hepatitis C (HCV) and B (HBV). This study estimated the prevalence of these three viruses among detainees at a French administrative detention centre (CRA), through systematic Rapid Diagnostic Test (RDT) screening....

Full description

Saved in:

Bibliographic Details
Published in:	Journal of Epidemiology and Global Health Vol. 14; no. 3; pp. 923 - 932
Main Authors:	Mancy, Sandrine, Fabbro-Peray, Pascale, Alonso, Sandrine, Berkaoui, Hadi, Lambremon, Laetitia, Vidal, Hélène, Hilaire, Christophe, Herrmann, Dorine, Dapoigny, Jennifer, Kinné, Melanie
Format:	Journal Article
Language:	English
Published:	Switzerland Springer Netherlands 01-09-2024 Springer
Subjects:	Administrative detention centre Adult Coinfection - epidemiology Cross-Sectional Studies Female France - epidemiology Hepatitis B - diagnosis Hepatitis B - epidemiology Hepatitis B virus Hepatitis C - diagnosis Hepatitis C - epidemiology Hepatitis C virus HIV Infections - diagnosis HIV Infections - epidemiology Human immunodeficiency virus Humans Male Middle Aged Migrants Pilot Projects Prevalence Prisoners - statistics & numerical data Prospective Studies Rapid diagnostic test Young Adult France Administrative detention centre Rapid diagnostic test Migrants Hepatitis B virus Human immunodeficiency virus Hepatitis C virus
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	In France, migrants constitute a significant proportion of people diagnosed with HIV, hepatitis C (HCV) and B (HBV). This study estimated the prevalence of these three viruses among detainees at a French administrative detention centre (CRA), through systematic Rapid Diagnostic Test (RDT) screening. This prospective, single-centre, cross-sectional, pilot study included detainees at the Nîmes CRA from February to December 2022. The primary endpoint was HIV, HCV and HBV prevalence determined by RDT. Secondary outcomes were: co-infections; study acceptability, reasons for non-inclusion, causes of non-contributory samples; and concordance between serological tests and RDT. Among the 350 people agreeing to participate of 726 eligible, five refused the RDT, leaving 345 analysable participants for a participation rate of 47.5% (345/726). Participants were predominantly male (90%) with an average age of 31 years. The most common country of origin was Algeria (34%). Twenty (6%) had taken drugs intravenously and 240 (70%) had had unprotected sex within a median of 4.92 [1.08; 15] months. Virus prevalence was: 0% HIV; 4.64 [2.42; 6.86] % HCV; and 2.32 [1.01; 4.52] % HBV. Eleven (73%) of the RDT HCV positive cases were confirmed serologically. RDT detected one false-positive HCV case, as an anti-HCV Ac serological test was negative. Of the eight patients with positive HBV RDT, one declined the serology testing, thus 100% (7/7) of the tested RDT positive cases were confirmed by serology. The study highlighted the need to screen detainees for HIV, HCV and HBV infection and suitability of RDTs.
ISSN:	2210-6006 2210-6014
DOI:	10.1007/s44197-024-00238-0