Prevalence of hepatitis C virus infection in alcoholic patients: cohort study and systematic review
Abstract
AIMS: Prevalence of chronic hepatitis C virus (HCV) infection among alcoholics is thought to be higher than in the general population, although prevalence rates reported are quite variable. Our study is aimed to analyze HCV prevalence in a cohort of alcoholics and to perform a systematic review on this topic. PATIENTS AND METHODS: A total of 396 alcoholic patients consecutively referred to our Alcoholism Unit were included. HCV infection status and other clinical variables were recorded for each patient. Variables associated with HCV infection were analyzed by means of logistic regression. Additionally, we performed a systematic review focused on previous studies on this topic. RESULTS: Among our alcoholic patients, 14 of them (3.53%) had chronic HCV infection. Variables independently associated with HCV infection were female gender, injection drug use (IDU) and the presence of alcoholic liver disease (ALD). Twenty-four studies analyzing HCV prevalence in alcoholic patients were included in our systematic review, showing prevalence rates of HCV infection ranging from 2.1 to 51% and an average weighted prevalence of 16.32%. CONCLUSION: In our series, the prevalence rate of chronic HCV infection among alcoholic patients is lower than previously reported, which is probably explained by the relatively low number of patients with ALD or IDU in our sample. Prevalence rates previously published are quite different and the presence of ALD and/or IDU can act as confounding factors for HCV prevalence among alcoholics.
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There is evidence of decreased access to appropriate oral health care in a range of psychiatric diagnoses including depression, anxiety, substance use disorder and severe mental illness.
“In the area of oral health, there is also evidence of decreased access to appropriate care in a range of psychiatric diagnoses including depression, anxiety, substance use disorder and severe mental illness.113,114”
From The Lancet Psychiatry Commission: a blueprint for protecting physical health in people with mental illness (2019) · cites this paper as [114]
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- Authors
- Novo-Veleiro, I., Calle, C. D. L., Domínguez-Quibén, S., Pastor, I., Marcos, M., & Laso, F.-J.
- Affiliations
- Universidad de Salamanca (ES)
- Corresponding author
- Marcos, Miguel
- Venue
- Alcohol and Alcoholism
- Publisher
- Oxford University Press (OUP)
- Published
- 2013-05-19
- Volume
- 48
- Issue
- 5
- Pages
- 564-569
- ISSN
- 0735-0414 (ISSN-L)
- 1464-3502
- OpenAlex
- W1996721381
- Cited by
- 31
- References
- 36
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 1 · 2023: 2 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 8 · 2017: 1 · 2016: 5 · 2015: 4 · 2014: 1 · 2013: 1
- FWCI
- 0.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Alcohol and Alcoholism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- European Commission
- Ministerio de Ciencia e Innovación
- Junta de Castilla y León (GRS 531/A/10)
- Instituto de Salud Carlos III (PI10/01692)
- Topics
- Health Sciences › Medicine › Hepatology › Hepatitis C virus research
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Health Sciences › Medicine › Surgery › Helicobacter pylori-related gastroenterology studies
- Keywords
- hepatitis C virus, chronic hepatitis C, alcoholism, prevalence, alcoholic liver disease, intravenous drug use, female sex, confounding factors, risk factors
- MeSH terms
- Adult, Alcoholism, Female, Humans, Male, Middle Aged, Cohort Studies, Prevalence, Hepatitis C, Chronic, Alcoholics
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