HIV and viral hepatitis coinfection analysis using surveillance data from 15 US states and two cities

Coinfection with human immunodeficiency virus (HIV) and viral hepatitis is associated with high morbidity and mortality in the absence of clinical management, making identification of these cases crucial. We examined characteristics of HIV and viral hepatitis coinfections by using surveillance data...

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Published in:	Epidemiology and infection Vol. 146; no. 7; pp. 920 - 930
Main Authors:	Bosh, K. A., Coyle, J. R., Hansen, V., Kim, E. M., Speers, S., Comer, M., Maddox, L. M., Khuwaja, S., Zhou, W., Jatta, A., Mayer, R., Brantley, A. D., Muriithi, N. W., Bhattacharjee, R., Flynn, C., Bouton, L., John, B., Keusch, J., Barber, C. A., Sweet, K., Ramaswamy, C., Westheimer, E. F., VanderBusch, L., Nishimura, A., Vu, A., Hoffman-Arriaga, L., Rowlinson, E., Carter, A. O., Yerkes, L. E., Li, W., Reuer, J. R., Stockman, L. J., Tang, T., Brooks, J. T., Teshale, E. H., Hall, H. I.
Format:	Journal Article
Language:	English
Published:	Cambridge, UK Cambridge University Press 01-05-2018
Subjects:	Adolescent Adult Aged Aged, 80 and over Child Child, Preschool Coinfection - epidemiology Coinfection - virology Comorbidity Disease control Disease prevention Epidemiology Female Hepatitis Hepatitis B Hepatitis C Hepatitis, Viral, Human - epidemiology Hepatitis, Viral, Human - virology HIV HIV Infections - epidemiology HIV Infections - virology Human immunodeficiency virus Humans Infant Infant, Newborn Infections Male Males Middle Aged Minority & ethnic groups Morbidity Mortality Original Paper Public Health United States - epidemiology Viral infections Viruses Young Adult United States United States > US HIV/AIDS Coinfection Hepatitis C Public Health Surveillance Hepatitis B
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Summary:	Coinfection with human immunodeficiency virus (HIV) and viral hepatitis is associated with high morbidity and mortality in the absence of clinical management, making identification of these cases crucial. We examined characteristics of HIV and viral hepatitis coinfections by using surveillance data from 15 US states and two cities. Each jurisdiction used an automated deterministic matching method to link surveillance data for persons with reported acute and chronic hepatitis B virus (HBV) or hepatitis C virus (HCV) infections, to persons reported with HIV infection. Of the 504 398 persons living with diagnosed HIV infection at the end of 2014, 2.0% were coinfected with HBV and 6.7% were coinfected with HCV. Of the 269 884 persons ever reported with HBV, 5.2% were reported with HIV. Of the 1 093 050 persons ever reported with HCV, 4.3% were reported with HIV. A greater proportion of persons coinfected with HIV and HBV were males and blacks/African Americans, compared with those with HIV monoinfection. Persons who inject drugs represented a greater proportion of those coinfected with HIV and HCV, compared with those with HIV monoinfection. Matching HIV and viral hepatitis surveillance data highlights epidemiological characteristics of persons coinfected and can be used to routinely monitor health status and guide state and national public health interventions.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Reprints will not be available from the author.
ISSN:	0950-2688 1469-4409
DOI:	10.1017/S0950268818000766