Ayhan ALGÜL, Alpay ATEŞ, Vedat TURHAN, ÜMİT BAŞAR SEMİZ, Murat GÜLSÜN, Cengiz BAŞOĞLU, Servet EBRİNÇ, Ömer GEÇİCİ, Onur DURMAZ, Mesut ÇETİN

SİVİL YAŞAMINDA TÜRKİYE DIŞINDA VE TÜRKİYE'DE YAŞAYAN TÜRK ASKERLER İ ARASINDA HEPATİT C VİRÜS ENFEKSİYONU İÇİN RİSK FAKTÖRLERİNİN KARŞILAŞTIRILMASI

Hepatit C Virüsü (HCV), kronik karaciğer hastalığının en büyük nedenidir ve intravenöz uyuşturucu madde kullanıcılarında yaygındır. Bu çalışmada sivil yaşamında yurt dışında yaşayan ve yurt içinde yaşayan HCV enfeksiyonu saptanan askerlerde HCV yönünden risk faktörlerinin karşılaştırılması amaçlanmıştır. Bir yıllık sürede GATA Haydarpaşa Eğitim hastanesine başvuran ve HCV enfeksiyonu tespit edilen hastalar çalışmaya alındı. Olguların demografik özellikleri ve HCV enfeksiyonu ile ilişkili risk faktörleri yarı yapılandırılmış klinik görüşme formu kullanılarak sorgulandı. Hastalar, en az on yıldır bir Avrupa ülkesinde yaşayanlar (grup 1, n=48) ve halen Türkiye'de yaşayanlar (grup 2, n=37) olmak üzere iki gruptan oluşmaktaydı. Olguların %56,5'i Avrupa ülkelerine göç etmiş ve halen orada yaşayanlardı. Göç etmiş olanlarda cezaevi öyküsü, riskli cinsel aktivite, dövme ve yaşam boyu intravenöz ve diğer madde kötüye kullanımının daha yaygın olduğu (p

COMPARISON OF RISK FACTORS FOR HEPATITIS C VIRUS INFECTION AMONG TURKISH PRIVATES LIVING IN TURKEY AND ABROAD BEFORE RECRUITMENT

Hepatitis C Virüs (HCV) is the major cause of chronic liver diseases and it is common in intravenous drug abusers. The aim of this study is to compare HCV risk factors between the HCV infected privates living abroad and in the motherland before recruitment. The patients, that were admitted Haydarpaşa Education Hospital and diagnosed HCV infection in one year period of time, were included in the study. Semi-structured clinical interview was used to assess the demgraphic properties and assosciated risk factors. The patients were grouped as "GROUP 1: The patients living in Europe at least ten years (n=48), GROUP 2: The patients still living in Turkey (n=37). %56,5 of cases were migrated to Europe and have been still living there. Among emigrants, history of confinement, hazardous sexual activity, tattoos, substance abuse especially intravenous route were more common (p<0.001) and there was statistically significant relationship between those risk factors and being emigrant. Meanwhile history of blood transfusion were more frequent in the group living in Turkey(p<0,01). In this study it can be concluded that in terms of HCV infection, risk taking behavior can be observed more frequently in patients living abroad than the patients living in Turkey (Pam Med J 2008;2(2):62-67)

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