TY - JOUR
T1 - Factors Associated With Hepatitis B Exposure Among People Who Report Using Methamphetamine
T2 - National Health and Nutrition Examination Survey 2009-2016
AU - Tressler, Stacy R.
AU - Kushner, Tatyana
AU - Bhandari, Ruchi
N1 - Publisher Copyright:
© The Author(s) 2019.
PY - 2020/1/15
Y1 - 2020/1/15
N2 - Background: With the nation's focus on the opioid crisis, methamphetamine has made a comeback, potentially increasing risk for hepatitis B. We examined factors associated with hepatitis B virus (HBV) exposure among people who reported ever using methamphetamine in a nationally representative survey. Methods: We used the National Health and Nutrition Examination Survey to examine factors associated with HBV exposure among participants who reported ever using methamphetamine using bivariate and multivariable logistic regression. Results: Overall, 847 participants met the study inclusion criteria. In multivariable logistic regression, female sex (adjusted odds ratio, 3.83; 95% confidence interval, 1.65-8.90), living below the poverty threshold (3.17; 1.39-7.21), injection drug use (4.89; 1.95-12.26), active hepatitis C virus infection (3.39; 1.10-12.26), and identifying as men who have sex with men (28.21; 5.19-153.38) were significantly associated with HBV exposure. Conclusions: The odds of HBV exposure for female participants who reported using methamphetamine were 4 times than that for male participants. Poverty, injection drug use, and hepatitis C virus infection were also associated. As methamphetamine use increases, it is critical to identify those at risk of acquiring HBV infections in order to target testing and vaccination.
AB - Background: With the nation's focus on the opioid crisis, methamphetamine has made a comeback, potentially increasing risk for hepatitis B. We examined factors associated with hepatitis B virus (HBV) exposure among people who reported ever using methamphetamine in a nationally representative survey. Methods: We used the National Health and Nutrition Examination Survey to examine factors associated with HBV exposure among participants who reported ever using methamphetamine using bivariate and multivariable logistic regression. Results: Overall, 847 participants met the study inclusion criteria. In multivariable logistic regression, female sex (adjusted odds ratio, 3.83; 95% confidence interval, 1.65-8.90), living below the poverty threshold (3.17; 1.39-7.21), injection drug use (4.89; 1.95-12.26), active hepatitis C virus infection (3.39; 1.10-12.26), and identifying as men who have sex with men (28.21; 5.19-153.38) were significantly associated with HBV exposure. Conclusions: The odds of HBV exposure for female participants who reported using methamphetamine were 4 times than that for male participants. Poverty, injection drug use, and hepatitis C virus infection were also associated. As methamphetamine use increases, it is critical to identify those at risk of acquiring HBV infections in order to target testing and vaccination.
KW - Methamphetamine
KW - NHANES
KW - hepatitis B
UR - http://www.scopus.com/inward/record.url?scp=85077350023&partnerID=8YFLogxK
U2 - 10.1093/infdis/jiz445
DO - 10.1093/infdis/jiz445
M3 - Article
C2 - 31504660
AN - SCOPUS:85077350023
SN - 0022-1899
VL - 221
SP - 243
EP - 250
JO - Journal of Infectious Diseases
JF - Journal of Infectious Diseases
IS - 2
ER -