Cited by 38Hepatitis C virus researchHIV, Drug Use, Sexual RiskHIV/AIDS Research and Interventions

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Sexually transmitted hepatitis C infection: the evolving epidemic in HIV-positive and HIV-negative MSM.

Lockart, Ian, Matthews, Gail V., Danta, Mark·2019·Current Opinion in Infectious Diseases

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Abstract

PURPOSE OF REVIEW: The scale-up of direct-acting antiviral (DAA) therapy and introduction of preexposure prophylaxis (PrEP) has changed the epidemiology of sexually acquired hepatitis C virus (HCV) amongst HIV-positive and HIV-negative MSM. RECENT FINDINGS: Sexually acquired HCV continues to occur predominantly amongst HIV-positive MSM. Despite an increased uptake of DAA therapy the incidence of acute HCV has not declined consistently amongst HIV-positive MSM, likely a result of high infection and reinfection rates. Increasing cases of sexually acquired HCV have been reported amongst HIV-negative MSM accessing PrEP. Despite a lower prevalence of HCV at baseline, HIV-negative MSM accessing PrEP have an equally high overall incidence of HCV compared with HIV-positive MSM during follow-up. Behavioural factors (high-risk sexual behaviours and sexualized drug use) appear to be driving this HCV epidemic amongst MSM and effective behavioural interventions and early identification of reinfections are essential to control the HCV epidemic amongst MSM. SUMMARY: An improved understanding of the epidemiology of sexually acquired HCV will allow implementation of more effective public health interventions to control the transmission of HCV amongst HIV-positive and HIV-negative MSM.

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Authors: Lockart, I., Matthews, G. V., & Danta, M.
Affiliations: St Vincent's Hospital Sydney (AU)
UNSW Sydney (AU)
Corresponding author: Danta, Mark
ORCID: Lockart, Ian
Matthews, Gail V.
Danta, Mark
Venue: Current Opinion in Infectious Diseases
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2019-02
Volume: 32
Issue: 1
Pages: 31-37
ISSN: 0951-7375 (ISSN-L)
1473-6527
DOI: 10.1097/qco.0000000000000515
OpenAlex: W2904186291
Cited by: 37
References: 45
Citations by year: 2026: 1 · 2025: 1 · 2024: 4 · 2023: 6 · 2022: 4 · 2021: 4 · 2020: 12 · 2019: 5
FWCI: 0.71
Type: journal article
Language: en
Open access: closed
Locations: Current Opinion in Infectious Diseases (publishedVersion)
PubMed (publishedVersion)
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, sexually transmitted infections, men who have sex with men, HIV-positive MSM, HIV-negative MSM, pre-exposure prophylaxis, direct-acting antivirals, HCV reinfection, HCV incidence, sexual risk behavior, chemsex, HCV epidemiology, behavioral interventions
MeSH terms: Antiviral Agents, Hepatitis C, Humans, Male, Sexually Transmitted Diseases, Viral, HIV Infections, Homosexuality, Male, Epidemics

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Sexually transmitted hepatitis C infection: the evolving epidemic in HIV-positive and HIV-negative MSM.

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