Changing Trends in Viral Hepatitis-Associated Hospitalizations in the American Indian/Alaska Native Population, 1995-2007
Objective. We described the changing epidemiology of viral hepatitis among the American Indian/Alaska Native (AI/AN) population that uses Indian Health Service (IHS) health care. Methods. We used hospital discharge data from the IHS National Patient Information Reporting System to determine rates of...
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| Veröffentlicht in: | Public health reports (1974) 2011-11, Vol.126 (6), p.816-825 |
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| creator | Byrd, Kathy K. Redd, John T. Holman, Robert C. Haberling, Dana L. Cheek, James E. |
| description | Objective. We described the changing epidemiology of viral hepatitis among the American Indian/Alaska Native (AI/AN) population that uses Indian Health Service (IHS) health care. Methods. We used hospital discharge data from the IHS National Patient Information Reporting System to determine rates of hepatitis A-, B-, and C-associated hospitalization among AI/ANs using IHS health care from 1995-2007 and summary periods 1995-1997 and 2005-2007. Results. Hepatitis A-associated hospitalization rates among AI/AN people decreased from 4.9 per 100,000 population during 1995-1997 to 0.8 per 100,000 population during 2005-2007 (risk ratio [RR] = 0.2, 95% confidence interval [Cl] 0.1, 0.2). While there was no significant change in the overall hepatitis B-associated hospitalization rate between time periods, the average annual rate in people aged 45-64 years increased by 109% (RR=2.1, 95% Cl 1.4, 3.2). Between the two time periods, the hepatitis C-associated hospitalization rate rose from 13.0 to 55.0 per 100,000 population (RR= 4.2, 95% Cl 3.8, 4.7), an increase of 323%. The hepatitis C-associated hospitalization rate was highest among people aged 45-64 years, males, and those in the Alaska region. Conclusions. Hepatitis A has decreased to near-eradication levels among the AI/AN population using IHS health care. Hepatitis C-associated hospitalizations increased significantly; however, there was no significant change in hepatitis B-associated hospitalizations. Emphasis should be placed on continued universal childhood and adolescent hepatitis B vaccination and improved vaccination of high-risk adults. Prevention and education efforts should focus on decreasing hepatitis C risk behaviors and identifying people with hepatitis C infection so they may be referred for treatment. |
| doi_str_mv | 10.1177/003335491112600607 |
| format | Article |
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We described the changing epidemiology of viral hepatitis among the American Indian/Alaska Native (AI/AN) population that uses Indian Health Service (IHS) health care. Methods. We used hospital discharge data from the IHS National Patient Information Reporting System to determine rates of hepatitis A-, B-, and C-associated hospitalization among AI/ANs using IHS health care from 1995-2007 and summary periods 1995-1997 and 2005-2007. Results. Hepatitis A-associated hospitalization rates among AI/AN people decreased from 4.9 per 100,000 population during 1995-1997 to 0.8 per 100,000 population during 2005-2007 (risk ratio [RR] = 0.2, 95% confidence interval [Cl] 0.1, 0.2). While there was no significant change in the overall hepatitis B-associated hospitalization rate between time periods, the average annual rate in people aged 45-64 years increased by 109% (RR=2.1, 95% Cl 1.4, 3.2). Between the two time periods, the hepatitis C-associated hospitalization rate rose from 13.0 to 55.0 per 100,000 population (RR= 4.2, 95% Cl 3.8, 4.7), an increase of 323%. The hepatitis C-associated hospitalization rate was highest among people aged 45-64 years, males, and those in the Alaska region. Conclusions. Hepatitis A has decreased to near-eradication levels among the AI/AN population using IHS health care. Hepatitis C-associated hospitalizations increased significantly; however, there was no significant change in hepatitis B-associated hospitalizations. Emphasis should be placed on continued universal childhood and adolescent hepatitis B vaccination and improved vaccination of high-risk adults. Prevention and education efforts should focus on decreasing hepatitis C risk behaviors and identifying people with hepatitis C infection so they may be referred for treatment.</description><identifier>ISSN: 0033-3549</identifier><identifier>EISSN: 1468-2877</identifier><identifier>DOI: 10.1177/003335491112600607</identifier><identifier>PMID: 22043097</identifier><identifier>CODEN: PHRPA6</identifier><language>eng</language><publisher>Los Angeles, CA: Association of Schools of Public Health</publisher><subject>Adolescent ; Adult ; Age Distribution ; Aged ; Alaska - epidemiology ; Biological and medical sciences ; Child ; Child, Preschool ; Ethnic groups ; Female ; Health care ; Hepatitis ; Hepatitis A ; Hepatitis B ; Hepatitis C ; Hepatitis, Viral, Human - classification ; Hepatitis, Viral, Human - epidemiology ; Hospitalization ; Hospitalization - trends ; Hospitalization rates ; Human viral diseases ; Humans ; Indians, North American - statistics & numerical data ; Infant ; Infectious diseases ; Inuits - statistics & numerical data ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Native Americans ; Native North Americans ; Prevalence ; Public health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; United States - epidemiology ; United States Indian Health Service - statistics & numerical data ; United States Indian Health Service - trends ; Vaccination ; Viral diseases ; Viral hepatitis ; Young Adult</subject><ispartof>Public health reports (1974), 2011-11, Vol.126 (6), p.816-825</ispartof><rights>Copyright ©2011 Association of Schools of Public Health</rights><rights>2011 US Surgeon General's Office</rights><rights>2015 INIST-CNRS</rights><rights>Copyright Oxford Publishing Limited(England) Nov/Dec 2011</rights><rights>2011 Association of Schools of Public Health 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c553t-f44bb43d52dbbf28cad402fb21430c09407f28cf1fef0d30d0f7b0aee7c2ff653</citedby><cites>FETCH-LOGICAL-c553t-f44bb43d52dbbf28cad402fb21430c09407f28cf1fef0d30d0f7b0aee7c2ff653</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/41639439$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/41639439$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,315,728,781,785,804,886,21824,27871,27929,27930,43626,43627,53796,53798,58022,58255</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24770598$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22043097$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Byrd, Kathy K.</creatorcontrib><creatorcontrib>Redd, John T.</creatorcontrib><creatorcontrib>Holman, Robert C.</creatorcontrib><creatorcontrib>Haberling, Dana L.</creatorcontrib><creatorcontrib>Cheek, James E.</creatorcontrib><title>Changing Trends in Viral Hepatitis-Associated Hospitalizations in the American Indian/Alaska Native Population, 1995-2007</title><title>Public health reports (1974)</title><addtitle>Public Health Rep</addtitle><description>Objective. We described the changing epidemiology of viral hepatitis among the American Indian/Alaska Native (AI/AN) population that uses Indian Health Service (IHS) health care. Methods. We used hospital discharge data from the IHS National Patient Information Reporting System to determine rates of hepatitis A-, B-, and C-associated hospitalization among AI/ANs using IHS health care from 1995-2007 and summary periods 1995-1997 and 2005-2007. Results. Hepatitis A-associated hospitalization rates among AI/AN people decreased from 4.9 per 100,000 population during 1995-1997 to 0.8 per 100,000 population during 2005-2007 (risk ratio [RR] = 0.2, 95% confidence interval [Cl] 0.1, 0.2). While there was no significant change in the overall hepatitis B-associated hospitalization rate between time periods, the average annual rate in people aged 45-64 years increased by 109% (RR=2.1, 95% Cl 1.4, 3.2). Between the two time periods, the hepatitis C-associated hospitalization rate rose from 13.0 to 55.0 per 100,000 population (RR= 4.2, 95% Cl 3.8, 4.7), an increase of 323%. The hepatitis C-associated hospitalization rate was highest among people aged 45-64 years, males, and those in the Alaska region. Conclusions. Hepatitis A has decreased to near-eradication levels among the AI/AN population using IHS health care. Hepatitis C-associated hospitalizations increased significantly; however, there was no significant change in hepatitis B-associated hospitalizations. Emphasis should be placed on continued universal childhood and adolescent hepatitis B vaccination and improved vaccination of high-risk adults. Prevention and education efforts should focus on decreasing hepatitis C risk behaviors and identifying people with hepatitis C infection so they may be referred for treatment.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Alaska - epidemiology</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Ethnic groups</subject><subject>Female</subject><subject>Health care</subject><subject>Hepatitis</subject><subject>Hepatitis A</subject><subject>Hepatitis B</subject><subject>Hepatitis C</subject><subject>Hepatitis, Viral, Human - classification</subject><subject>Hepatitis, Viral, Human - epidemiology</subject><subject>Hospitalization</subject><subject>Hospitalization - trends</subject><subject>Hospitalization rates</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Indians, North American - statistics & numerical data</subject><subject>Infant</subject><subject>Infectious diseases</subject><subject>Inuits - statistics & numerical data</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Native Americans</subject><subject>Native North Americans</subject><subject>Prevalence</subject><subject>Public health</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>United States - epidemiology</subject><subject>United States Indian Health Service - statistics & numerical data</subject><subject>United States Indian Health Service - trends</subject><subject>Vaccination</subject><subject>Viral diseases</subject><subject>Viral hepatitis</subject><subject>Young Adult</subject><issn>0033-3549</issn><issn>1468-2877</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><recordid>eNp9kk2P0zAQhi0EYkvhDyCBLCQEB0LHH4mTC1JVAV1pBRwWrpHj2K1Lagc7WWn59Tjb0uVDWl8seZ53PO_MIPSUwFtChFgAMMZyXhFCaAFQgLiHZoQXZUZLIe6j2QRkE3GGHsW4g3QoYQ_RGaXAGVRihq5XW-k21m3wZdCujdg6_M0G2eG17uVgBxuzZYxeWTnoFq997O0gO_szxby7wYetxsu9DlZJh89da6VbLDsZv0v8KVFXGn_x_djdCN5gUlV5RgHEY_TAyC7qJ8d7jr5-eH-5WmcXnz-er5YXmcpzNmSG86bhrM1p2zSGlkq2HKhpKEkOFFQcxPRqiNEGWgYtGNGA1FooakyRszl6d8jbj81et0q7Idmr-2D3MlzXXtr674iz23rjr2pGypwRkRK8OiYI_seo41DvbVS666TTfox1BaTgrCIska_vJAnNRZmLaWxz9OIfdOfH4FIj6orQshDJXYLoAVLBxxi0OVVNoJ5WoP5_BZLo-Z9-T5LfM0_AyyMgo5KdCdIpG285LgTkVZm4xYGLcqNvy7vz62cHxS4OPpwyclKwKnWI_QLBac-3</recordid><startdate>20111101</startdate><enddate>20111101</enddate><creator>Byrd, Kathy K.</creator><creator>Redd, John T.</creator><creator>Holman, Robert C.</creator><creator>Haberling, Dana L.</creator><creator>Cheek, James E.</creator><general>Association of Schools of Public Health</general><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TQ</scope><scope>ASE</scope><scope>DHY</scope><scope>DON</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7T2</scope><scope>7U2</scope><scope>C1K</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20111101</creationdate><title>Changing Trends in Viral Hepatitis-Associated Hospitalizations in the American Indian/Alaska Native Population, 1995-2007</title><author>Byrd, Kathy K. ; Redd, John T. ; Holman, Robert C. ; Haberling, Dana L. ; Cheek, James E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c553t-f44bb43d52dbbf28cad402fb21430c09407f28cf1fef0d30d0f7b0aee7c2ff653</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Alaska - epidemiology</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Ethnic groups</topic><topic>Female</topic><topic>Health care</topic><topic>Hepatitis</topic><topic>Hepatitis A</topic><topic>Hepatitis B</topic><topic>Hepatitis C</topic><topic>Hepatitis, Viral, Human - classification</topic><topic>Hepatitis, Viral, Human - epidemiology</topic><topic>Hospitalization</topic><topic>Hospitalization - trends</topic><topic>Hospitalization rates</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Indians, North American - statistics & numerical data</topic><topic>Infant</topic><topic>Infectious diseases</topic><topic>Inuits - statistics & numerical data</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Native Americans</topic><topic>Native North Americans</topic><topic>Prevalence</topic><topic>Public health</topic><topic>Public health. 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We described the changing epidemiology of viral hepatitis among the American Indian/Alaska Native (AI/AN) population that uses Indian Health Service (IHS) health care. Methods. We used hospital discharge data from the IHS National Patient Information Reporting System to determine rates of hepatitis A-, B-, and C-associated hospitalization among AI/ANs using IHS health care from 1995-2007 and summary periods 1995-1997 and 2005-2007. Results. Hepatitis A-associated hospitalization rates among AI/AN people decreased from 4.9 per 100,000 population during 1995-1997 to 0.8 per 100,000 population during 2005-2007 (risk ratio [RR] = 0.2, 95% confidence interval [Cl] 0.1, 0.2). While there was no significant change in the overall hepatitis B-associated hospitalization rate between time periods, the average annual rate in people aged 45-64 years increased by 109% (RR=2.1, 95% Cl 1.4, 3.2). Between the two time periods, the hepatitis C-associated hospitalization rate rose from 13.0 to 55.0 per 100,000 population (RR= 4.2, 95% Cl 3.8, 4.7), an increase of 323%. The hepatitis C-associated hospitalization rate was highest among people aged 45-64 years, males, and those in the Alaska region. Conclusions. Hepatitis A has decreased to near-eradication levels among the AI/AN population using IHS health care. Hepatitis C-associated hospitalizations increased significantly; however, there was no significant change in hepatitis B-associated hospitalizations. Emphasis should be placed on continued universal childhood and adolescent hepatitis B vaccination and improved vaccination of high-risk adults. Prevention and education efforts should focus on decreasing hepatitis C risk behaviors and identifying people with hepatitis C infection so they may be referred for treatment.</abstract><cop>Los Angeles, CA</cop><pub>Association of Schools of Public Health</pub><pmid>22043097</pmid><doi>10.1177/003335491112600607</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Age Distribution Aged Alaska - epidemiology Biological and medical sciences Child Child, Preschool Ethnic groups Female Health care Hepatitis Hepatitis A Hepatitis B Hepatitis C Hepatitis, Viral, Human - classification Hepatitis, Viral, Human - epidemiology Hospitalization Hospitalization - trends Hospitalization rates Human viral diseases Humans Indians, North American - statistics & numerical data Infant Infectious diseases Inuits - statistics & numerical data Male Medical sciences Middle Aged Miscellaneous Native Americans Native North Americans Prevalence Public health Public health. Hygiene Public health. Hygiene-occupational medicine United States - epidemiology United States Indian Health Service - statistics & numerical data United States Indian Health Service - trends Vaccination Viral diseases Viral hepatitis Young Adult |
| title | Changing Trends in Viral Hepatitis-Associated Hospitalizations in the American Indian/Alaska Native Population, 1995-2007 |
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