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Increase in HCV incidence among men who have sex with men in Amsterdam most likely caused by sexual transmission.
Open accessAbstract
We retrospectively screened 1836 men who have sex with men (MSM) participating in the Amsterdam Cohort Studies (1984-2003) for hepatitis C virus (HCV) antibodies. HCV incidence was 0.18/100 person-years (PY) in human immunodeficiency virus (HIV)-positive MSM (8/4408 PY [95% confidence interval {CI}, 0.08-0.36]) but was 0/100 PY in MSM without HIV (0/7807 PY [95% CI, 0.00-0.05]). After 2000, HCV incidence among HIV-positive men increased 10-fold to 0.87/100 PY (5/572 PY [95% CI, 0.28-2.03]). Additional hospital cases (n=34) showed that MSM in Amsterdam who acquired HCV infection after 2000 reported high rates of ulcerative sexually transmitted infections (59%) and rough sexual techniques (56%), denied injection drug use, and were infected mainly with the difficult-to-treat HCV genotypes 1 (56%) and 4 (36%). Phylogenetic analysis showed 3 monophyletic clusters of MSM-specific HCV strains. The emergence of an MSM-specific transmission network suggests that HIV-positive MSM with high-risk sexual behaviors are at risk for sexually acquired HCV. Targeted prevention and routine HCV screening among HIV-positive MSM is needed to deter the spread of HCV.
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“Increasing incidence of acute HCV infection among MSM with HIV infection has been reported in multiple U.S. (96,236,239,1339) and European cities (237,1340–1342).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [1340]
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Metadata
- Authors
- van de Laar, T. J. W., van der Bij, A. K., Prins, M., Bruisten, S. M., Brinkman, K., Ruys, T. A., van der Meer, J. T. M., Vries, H. J. C. D., Mulder, J., Agtmael, M. V., Jurriaans, S., Wolthers, K. C., & Coutinho, R. A.
- Affiliations
- Amsterdam UMC Location University of Amsterdam (NL)
- OLVG (NL)
- Slotervaartziekenhuis (NL)
- National Institute for Public Health and the Environment (NL)
- Venue
- The Journal of Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 2007-07-15
- Volume
- 196
- Issue
- 2
- Pages
- 230-238
- ISSN
- 0022-1899 (ISSN-L)
- 1537-6613
- OpenAlex
- W2149429699
- Cited by
- 284
- References
- 44
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 4 · 2022: 6 · 2021: 6 · 2020: 12 · 2019: 16 · 2018: 14 · 2017: 14 · 2016: 23 · 2015: 19 · 2014: 29 · 2013: 28 · 2012: 26
- FWCI
- 12.78
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Journal of Infectious Diseases (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion, other-oa)
- UvA-DARE (University of Amsterdam) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (submittedVersion, other-oa)
- Rivm (National Institute for Public Health and the Environment) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Funders
- Stichting Sanquin Bloedvoorziening
- Topics
- Health Sciences › Medicine › Hepatology › Hepatitis C virus research
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- hepatitis C virus, men who have sex with men, HIV-positive men, sexual transmission, HCV incidence, sexually transmitted infections, HCV genotypes, HCV screening, Amsterdam Cohort Studies
- MeSH terms
- Adult, Hepatitis C, Humans, Male, Middle Aged, Netherlands, Phylogeny, Retrospective Studies, Sexually Transmitted Diseases, Viral, Cohort Studies, HIV Infections, Incidence, Seroepidemiologic Studies, Hepacivirus, Homosexuality, Male, Hepatitis C Antibodies
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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