HEPATITIS-C VIRUS-INFECTION IN A SEXUALLY ACTIVE INNER-CITY POPULATION - THE POTENTIAL FOR HETEROSEXUAL TRANSMISSION

HEPATITIS-C VIRUS-INFECTION IN A SEXUALLY ACTIVE INNER-CITY POPULATION - THE POTENTIAL FOR HETEROSEXUAL TRANSMISSION
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DOI:
10.1007/bf01739007
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发表时间:
1994-03-01
期刊:
影响因子:
7.5
通讯作者:
FISCHL, MA
FISCHL, MA
中科院分区:
医学3区
文献类型:
--
作者:
DAIKOS, GL;LAI, S;FISCHL, MA

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丙型肝炎病毒(HCV)感染的患病率和相关的危险因素,在内城性活跃的异性恋人群参与了一项前瞻性研究,以评估人类免疫缺陷病毒1型(HIV-1)的异性传播进行了检查。既往有注射药物使用史或接受血液制品的个体从研究中排除。在571名参与者中,25名(4.4%)为HCV血清阳性,39名(7%)为HIV血清阳性,125名(22%)为B型肝炎病毒(HBV)血清阳性。多因素分析显示,在过去5年内有10个以上异性伴侣的人,(OR = 3.7; 95%CI = 1.3,10.2; P = 0.01),每周性行为超过1次(OR = 3.3; 95% CI = 1.1,10.1; P = 0.04),有抗B核心抗原(HBc)抗体(OR = 2.9; 95% CI = 1.1,7.4; P = 0.03)、HIV-1抗体(OR = 5.8; 95% CI = 1.9; 17.6; P = 0.002)与HCV感染独立相关。这些研究结果表明,HCV的异性传播可能发生在市中心性活跃的异性恋人群中。
The prevalence of hepatitis C virus (HCV) infection and associated risk factors in an inner city sexually active heterosexual population participating in a prospective study for the evaluation of heterosexual transmission of human immunodeficiency virus type-1 (HIV-1) were examined. Individuals,vith prior history of injection drug use or receipt of blood products were excluded from the study. Of 571 participants, 25 (4.4%) were seropositive for HCV, 39 (7%) for HIV, and 125 (22%) for hepatitis B virus (HBV). Multivariate analysis revealed that those with more than ten heterosexual partners in the past 5 years (OR = 3.7; 95% CI = 1.3, 10.2; P = 0.01), engaging in sexual practices more than once per week (OR = 3.3; 95% CI = 1.1, 10.1; P = 0.04), with antibody to hepatitis B core (HBc) antigen(OR = 2.9; 95% CI = 1.1, 7.4; P = 0.03), and antibody to HIV-1 (OR = 5.8; 95% CI = 1.9; 17.6; P = 0.002) were independently associated with HCV infection. These findings suggest that heterosexual transmission of HCV may occur in an inner city sexually active heterosexual population.