Low incidence and prevalence of hepatitis C virus infection among sexually active non-intravenous drug-using adults, San Francisco, 1997–2000.
Abstract
BACKGROUND: The rate of sexual transmission of hepatitis C virus (HCV) is debated. GOAL: The goal was to measure the risk of sexual transmission of hepatitis C virus (HCV) in a sexually active population. STUDY DESIGN: Sexual behaviors and HCV antibody status were measured in persons seeking repeat HIV testing in San Francisco from October 1997 through March 2000. RESULTS: Among 981 repeat testers, the prevalence of HCV antibody was 2.5%. Among men who have sex with men who denied intravenous drug use (n=746), factors associated with HCV antibody positivity include age greater than 50 years (odds ratio [OR], 8.5; 95% confidence interval [CI], 2.6-27.7), HIV infection (OR, 5.7; 95% CI, 1.6-20.6), and being nonwhite (OR, 3.3; 95% CI, 1.1-10.0). HCV antibody positivity was not associated with sexual risk behaviors. In 576.6 person-years of observation, no new HCV seroconversions occurred (incidence=0 per 100 person-year; 95% CI, 0-.6), whereas 6 new herpes simplex virus-2 infections (2.8 per 100 person-years) and 10 new HIV infections (1.8 per 100 person-years) occurred. CONCLUSION: The absence of new HCV infections in this sample supports the hypothesis that the risk of sexual transmission of HCV is low.
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Risk of HCV infection increases commensurate with increasing numbers of sex partners among heterosexual persons and MSM with HIV infection, especially if their partners are also coinfected with HIV.
“Certain studies have revealed that risk increases commensurate with increasing numbers of sex partners among heterosexual persons (1337,1338,1351–1353) and MSM with HIV infection (1349,1354–1357), especially if their partners are also coinfected with HIV (237,1340,1354–1356,1358).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [1351]
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Sexually Transmitted Infections Treatment Guidelines, 2021
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- Authors
- Hammer, G. P., Kellogg, T. A., McFarland, W. C., Wong, E., Louie, B., Williams, I., Dilley, J., Page-Shafer, K., & Klausner, J. D.
- Affiliations
- Centers for Disease Control and Prevention (US)
- San Francisco Department of Public Health (US)
- University of California, San Francisco (US)
- Corresponding author
- Hammer, Gwendolyn P.
- Kellogg, Timothy A.
- McFarland, Willi C.
- Wong, Ernest
- Louie, Brian
- Klausner, Jeffrey D.
- ORCID
- Venue
- Sexually Transmitted Diseases
- Published
- 2003-12
- Volume
- 30
- Issue
- 12
- Pages
- 919-924
- ISSN
- 0148-5717 (ISSN-L)
- OpenAlex
- W2146477593
- Cited by
- 64
- References
- 39
- Citations by year
- 2023: 1 · 2022: 2 · 2021: 3 · 2020: 3 · 2019: 2 · 2018: 6 · 2017: 1 · 2016: 4 · 2014: 2 · 2013: 1 · 2012: 3
- FWCI
- 3.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sexually Transmitted Diseases (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Health Sciences › Medicine › Hepatology › Hepatitis C virus research
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Surgery › Helicobacter pylori-related gastroenterology studies
- Keywords
- hepatitis C virus, sexual transmission, HCV seroprevalence, HCV incidence, men who have sex with men, HIV coinfection, anti-HCV antibodies, sexually transmitted infections, herpes simplex virus type 2, San Francisco
- MeSH terms
- Adolescent, Adult, Female, Hepatitis Antibodies, Hepatitis C, Humans, Male, Middle Aged, Retrospective Studies, Risk Factors, San Francisco, Sexual Behavior, Sexually Transmitted Diseases, Substance Abuse, Intravenous, Incidence, Prevalence, Hepacivirus, Anonymous Testing
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