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Viral Hepatitis Services in Pennsylvania Jails: Assets, Barriers, and Opportunities

Chen, Nathaniel (2024) Viral Hepatitis Services in Pennsylvania Jails: Assets, Barriers, and Opportunities. Master Essay, University of Pittsburgh.

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Abstract

Viral hepatitis is an infectious disease leading to liver inflammation and damage. While advancements have been made in controlling the spread of viral hepatitis worldwide, it remains a prevalent public health issue. Many populations face disparities regarding viral hepatitis, especially incarcerated populations. Due to these individuals’ unique vulnerabilities, carceral system settings may be a vital source of viral hepatitis care for these individuals. As such, the Pennsylvania Department of Health conducted a survey investigating the status of viral hepatitis services for incarcerated individuals in county jails. The survey assessed viral hepatitis A, B, and C testing, treatment, and vaccination practices among all county jails throughout Pennsylvania (N=53). The majority of jails provided hepatitis C (90%) but not hepatitis B (21%) on-site testing services. Most jails provided hepatitis C (79%) and B (81%) on-site treatment services in some capacity. Finally, the majority jails provided on-site hepatitis B vaccination (81%) but not hepatitis A vaccination (17%). These findings show possible opportunities for service expansion in jails while possibly informing policy interventions improving the health of incarcerated populations. This is of major public health significance due to incarcerated populations’ high risk for infection as well as their cycle of incarceration and release back into the community.


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Details

Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Chen, NathanielNSC001@pitt.eduNSC001
Contributors:
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairHaggerty, Catherine L.haggertyc@edc.pitt.eduhaggertycUNSPECIFIED
Committee MemberOrkis, Lauren T.laorkis@pa.govUNSPECIFIEDUNSPECIFIED
Committee MemberDauria, Emily F.efd16@pitt.eduefd16UNSPECIFIED
Date: 3 January 2024
Date Type: Completion
Submission Date: 14 December 2023
Access Restriction: 2 year -- Restrict access to University of Pittsburgh for a period of 2 years.
Number of Pages: 45
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Epidemiology
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Uncontrolled Keywords: incarceration, jails, policy, viral hepatitis, carceral settings, carceral healthcare, vaccination, hepatitis screening
Date Deposited: 03 Jan 2024 16:18
Last Modified: 03 Jan 2024 16:18
URI: http://d-scholarship.pitt.edu/id/eprint/45685

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