Prevalence and risk factors of HIV, hepatitis B and hepatitis C in a forensic population of rapists and child molesters

Epidemiol Infect. 2003 Jun;130(3):497-500.

Abstract

The aim of the present study was to assess the prevalence as well as the possible risk factors of HIV, hepatitis B and hepatitis C, in 194 male prisoners who had been convicted for rape (n = 105) or child molestation (n = 89). HBsAg, HBeAg, anti-HBc, anti-HBs, anti-HCV and anti-HIV-1/2 were tested for. The participants also completed a standard sociodemographic questionnaire, indicating possible risk factors, the Barratt Impulsiveness Scale, and the life-time history of aggression. Anti-HIV antibodies were not found in any of the prisoners. HBsAg was found in 25 (13%), anti-HBc in 94 (49%), anti-HBs in 40 (21%) and anti-HCV in 13 (6.5%) subjects. Logistic regression analysis showed that anti-HCV positivity was associated with intravenous drug use (OR 20.7, 95% CI 1.1-4.9, P<0.001), while HBsAg positivity was associated separately with being foreign (OR 4.0, 95% CI 0.2-2.5, P<0.1), as well as with impulsiveness score (OR 1.06, 95% CI 0.01-0.11, P<0.02). The prevalence of HBV and HCV infection in this sex offender sample was highly increased in relation to the general population. Since it has been proved that sex offenders are a high-risk group for reoffending, monitoring their health is a necessary step towards prevention of sexually transmitted diseases being spread.

MeSH terms

  • Adult
  • Albania / ethnology
  • Child
  • Child Abuse, Sexual*
  • Greece / epidemiology
  • HIV Infections / epidemiology*
  • HIV Infections / prevention & control
  • Hepatitis B / epidemiology*
  • Hepatitis B / prevention & control
  • Hepatitis C / epidemiology*
  • Hepatitis C / prevention & control
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Prevalence
  • Prisoners / statistics & numerical data*
  • Rape*
  • Risk Factors
  • Seroepidemiologic Studies