COMPARISON OF RISK-FACTORS FOR HEPATITIS-C AND HEPATITIS-B VIRUS-INFECTION IN HOMOSEXUAL MEN

被引:116
作者
OSMOND, DH
CHARLEBOIS, E
SHEPPARD, HW
PAGE, K
WINKELSTEIN, W
MOSS, AR
REINGOLD, A
机构
[1] UNIV CALIF SAN FRANCISCO, DEPT EPIDEMIOL & BIOSTAT, SAN FRANCISCO, CA 94143 USA
[2] CALIF DEPT HLTH SERV, VIRAL & RICKETTSIAL DIS LAB, SACRAMENTO, CA USA
[3] UNIV CALIF BERKELEY, SCH PUBL HLTH, BERKELEY, CA 94720 USA
关键词
D O I
10.1093/infdis/167.1.66
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Serum samples from 735 homosexual or bisexual men were tested for antibodies to hepatitis C virus (HCV) and serologic markers of hepatitis B virus (HBV), and risk factors for each infection were compared. Thirty-four (4.6%) were confirmed HCV-positive compared with 81% positive for one or more H BV serologic marker(s). History of intravenous drug use (IVDU) and blood transfusion were significantly associated with HCV positivity (odds ratio [OR] = 14.3 and 4.4, respectively), but neither was significantly associated with HBV positivity. Sexual behavior was significantly associated with infection with both viruses. When IVDU and blood transfusion were controlled for, HCV infection was marginally associated with >50 sex partners/year (OR 2.1), >25 oral receptive partners (OR = 2.4), and >25 anal receptive partners (OR = 1.9). HBV infection was more strongly associated with the same variables. HCV infection is uncommon in homosexual men and IVDU is the primary route of transmission, but sexual transmission also occurs, albeit infrequently.
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页码:66 / 71
页数:6
相关论文
共 38 条
[1]   RISK-FACTORS FOR ACUTE NON-A, NON-B HEPATITIS IN THE UNITED-STATES AND ASSOCIATION WITH HEPATITIS-C VIRUS-INFECTION [J].
ALTER, MJ ;
HADLER, SC ;
JUDSON, FN ;
MARES, A ;
ALEXANDER, WJ ;
HU, PY ;
MILLER, JK ;
MOYER, LA ;
FIELDS, HA ;
BRADLEY, DW ;
MARGOLIS, HS .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1990, 264 (17) :2231-2235
[2]   IMPORTANCE OF HETEROSEXUAL ACTIVITY IN THE TRANSMISSION OF HEPATITIS-B AND NON-A, NON-B HEPATITIS [J].
ALTER, MJ ;
COLEMAN, PJ ;
ALEXANDER, WJ ;
KRAMER, E ;
MILLER, JK ;
MANDEL, E ;
HADLER, SC ;
MARGOLIS, HS .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1989, 262 (09) :1201-1205
[3]  
BENAMOUZIG R, 1990, ANN INTERN MED, V113, P638, DOI 10.7326/0003-4819-113-8-638_1
[4]   AIDS SEROLOGY TESTING IN LOW-RISK AND HIGH-RISK GROUPS [J].
CARLSON, JR ;
BRYANT, ML ;
HINRICHS, SH ;
YAMAMOTO, JK ;
LEVY, NB ;
YEE, J ;
HIGGINS, J ;
LEVINE, AM ;
HOLLAND, P ;
GARDNER, MB ;
PEDERSEN, NC .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1985, 253 (23) :3405-3408
[5]   LOSS OF ANTIBODIES AGAINST HEPATITIS-C VIRUS IN HIV-SEROPOSITIVE INTRAVENOUS-DRUG-USERS [J].
CHAMOT, E ;
HIRSCHEL, B ;
WINTSCH, J ;
ROBERT, CF ;
GABRIEL, V ;
DEGLON, JJ ;
YERLY, S ;
PERRIN, L .
AIDS, 1990, 4 (12) :1275-1277
[6]   ISOLATION OF A CDNA CLONE DERIVED FROM A BLOOD-BORNE NON-A, NON-B VIRAL-HEPATITIS GENOME [J].
CHOO, QL ;
KUO, G ;
WEINER, AJ ;
OVERBY, LR ;
BRADLEY, DW ;
HOUGHTON, M .
SCIENCE, 1989, 244 (4902) :359-362
[7]   SEXUAL TRANSMISSION OF HEPATITIS-A IN HOMOSEXUAL MEN - INCIDENCE AND MECHANISM [J].
COREY, L ;
HOLMES, KK .
NEW ENGLAND JOURNAL OF MEDICINE, 1980, 302 (08) :435-438
[8]  
DARROW W, 1975, CLIN OBSTET GYNECOL, V68, P255
[9]   ANTIBODY TO HEPATITIS-C VIRUS AMONG CARDIAC-SURGERY PATIENTS, HOMOSEXUAL MEN, AND INTRAVENOUS-DRUG-USERS IN BALTIMORE, MARYLAND [J].
DONAHUE, JG ;
NELSON, KE ;
MUNOZ, A ;
VLAHOV, D ;
RENNIE, LL ;
TAYLOR, EL ;
SAAH, AJ ;
COHN, S ;
ODAKA, NJ ;
FARZADEGAN, H .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 1991, 134 (10) :1206-1211
[10]   EVALUATION OF ANTIBODIES TO HEPATITIS-C VIRUS IN A STUDY OF TRANSFUSION-ASSOCIATED HEPATITIS [J].
ESTEBAN, JI ;
GONZALEZ, A ;
HERNANDEZ, JM ;
VILADOMIU, L ;
SANCHEZ, C ;
LOPEZTALAVERA, JC ;
LUCEA, D ;
MARTINVEGA, C ;
VIDAL, X ;
ESTEBAN, R ;
GUARDIA, J .
NEW ENGLAND JOURNAL OF MEDICINE, 1990, 323 (16) :1107-1112