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Hepatitis C virus infection among women giving birth—Tennessee and United States, 2009–2014.
Open accessAbstract
Hepatitis C virus (HCV) affects an estimated 3.5 million persons in the United States (1), making it the most common bloodborne infection in the country. Recent surveillance data showed increased rates of HCV infection among adolescents and adults who are predominantly white, live in nonurban areas, and have a history of injection drug use.* U.S. birth certificate data were used to analyze trends and geographic variations in rates of HCV infection among women giving birth during 2009-2014. Birth certificates from Tennessee were used to examine individual characteristics and outcomes associated with HCV infection, using a multivariable model to calculate adjusted odds of HCV-related diagnosis in pregnancy among women with live births. During 2009-2014, HCV infection present at the time of delivery among pregnant women from states reporting HCV on the birth certificate increased 89%, from 1.8 to 3.4 per 1,000 live births. The highest infection rate in 2014 (22.6 per 1,000 live births) was in West Virginia; the rate in Tennessee was 10.1. In adjusted analyses of Tennessee births, the odds of HCV infection were approximately threefold higher among women residing in rural counties than among those in large urban counties, 4.5-fold higher among women who smoked cigarettes during pregnancy, and nearly 17-fold higher among women with concurrent hepatitis B virus (HBV) infection. HCV infection among pregnant women is an increasing and potentially modifiable threat to maternal and child health. Clinicians and public health officials should consider individual and population-level opportunities for prevention and risk mitigation.
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“The rate of hepatitis C virus (HCV) infection has increased among pregnant women in recent years (150–153).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [151]
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Pan, C. Q., Zhu, B.-S., Xu, J.-P., Li, J., Sun, L., Tian, H., Zhang, X.-H., Li, S., & Dai, E. (2022) · World Journal of Gastroenterology · doi:10.3748/wjg.v28.i34.5023 · Cited by 3
Hepatitis C in pregnant American Indian and Alaska Native women; 2003-2015
Nolen, L. D., O’Malley, J. C., Seeman, S. S., Bruden, D. J. T., Apostolou, A., McMahon, B. J., & Bruce, M. G. (2019) · International Journal of Circumpolar Health · doi:10.1080/22423982.2019.1608139 · Cited by 3
Hepatitis C virus screening in pregnancy
Koniares, K. G., Fadlallah, H., Kolettis, D., & Vindenes, T. (2020) · American Journal of Obstetrics & Gynecology MFM · doi:10.1016/j.ajogmf.2020.100123 · Cited by 3
Perfect, C., & Jhaveri, R. R. (2019) · Journal of the Pediatric Infectious Diseases Society · doi:10.1093/jpids/piz069 · Cited by 3
Okonko, I. O., & Nwagwu, H. E. (2023) · Preprints.org · doi:10.20944/preprints202303.0094.v1 · Cited by 3
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Pollock, T. S., Robert, C. A., Seybold, D. J., Hur, M., Broton, A., & Calhoun, B. C. (2024) · Journal of Viral Hepatitis · doi:10.1111/jvh.13911 · Cited by 2
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McGaffey, A., Castelli, G., Friedlander, M. P., Proddutur, S., Simpkins, C., Middleton, D. B., Spencer, K. O., Taormina, J. M., Gerlach, A., & Nowalk, M. P. (2024) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/j.jcjq.2024.06.002 · Cited by 2
Xiao, Y., Shen, M., Ma, S., Wen, S. W., & Tan, H. (2019) · PLoS ONE · doi:10.1371/journal.pone.0211683 · Cited by 2
Retrospective Surveillance of Perinatal Hepatitis C Virus Exposure – Tennessee, 2013-2017
Wingate, H., Sizemore, L., Black, J., Heth, Z., & Wester, C. (2019) · Online Journal of Public Health Informatics · doi:10.5210/ojphi.v11i1.9889 · Cited by 2
Self-citationGander, S., Morris, A., & Materniak, S. (2021) · Cureus · doi:10.7759/cureus.17377 · Cited by 2
Khan, M. A., Thompson, W., Osinubi, A., Meyer, W. A., Kaufman, H. W., Armstrong, P. A., Foster, M. A., Nelson, N. P., & Wester, C. (2023) · JMIR Public Health and Surveillance · doi:10.2196/40783 · Cited by 2
Self-citationHepatitis-C during Pregnancy: Antenatal period challenges, management and the way forward
Kamani, L., & Razzak, A. A. (2023) · Pakistan Journal of Medical Sciences · doi:10.12669/pjms.40.1.7578 · Cited by 2
WITHDRAWN: The next frontier: universal hepatitis C virus screening in pregnant women
Saab, S., Kullar, R., Amini, C., & Gounder, P. P. (2020) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2020.01.058 · Cited by 2
RetractedMaternal hepatitis C virus infection and three adverse maternal outcomes in the United States
Hood, R. B., Miller, W. C., Shoben, A. B., Harris, R. E., & Norris, A. H. (2023) · PLoS ONE · doi:10.1371/journal.pone.0291994 · Cited by 1
Wingate, H., Sizemore, L., Black, J., Heth, Z., Talley, P. P., Patrick, S. W., & Wester, C. (2021) · Public Health Reports · doi:10.1177/00333549211035854 · Cited by 1
Self-citationSchwartz, A. N., & Meschke, L. L. (2024) · Archives of Women s Mental Health · doi:10.1007/s00737-024-01460-2 · Cited by 1
Umer, A., Lefeber, C., Lilly, C. L., Garrow, J., Breyel, J., Lefeber, T., & John, C. C. (2024) · Journal of Addictive Diseases · doi:10.1080/10550887.2024.2372484 · Cited by 1
Metadata
- Authors
- Patrick, S. W., Bauer, A. M., Warren, M. D., Jones, T. F., & Wester, C.
- Affiliations
- Vanderbilt University (US)
- Corresponding author
- Patrick, Stephen W.
- Venue
- MMWR Morbidity and Mortality Weekly Report
- Published
- 2017-05-12
- Volume
- 66
- Issue
- 18
- Pages
- 470-473
- ISSN
- 0149-2195 (ISSN-L)
- 1545-861X
- PMC
- PMC5657980
- OpenAlex
- W2614087325
- Cited by
- 113
- References
- 11
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 8 · 2023: 11 · 2022: 6 · 2021: 13 · 2020: 25 · 2019: 22 · 2018: 26
- FWCI
- 12.32
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- MMWR Morbidity and Mortality Weekly Report (publishedVersion)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Vanderbilt University
- Harvard University
- Office of National Drug Control Policy
- Centers for Disease Control and Prevention
- National Institute on Drug Abuse (K23DA038720)
- Topics
- Health Sciences › Medicine › Hepatology › Hepatitis C virus research
- Health Sciences › Medicine › Epidemiology › Cytomegalovirus and herpesvirus research
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Keywords
- hepatitis C virus, pregnant women, urban-rural differences, cigarette smoking during pregnancy, hepatitis B coinfection, maternal and child health, Tennessee, United States
- MeSH terms
- Female, Hepatitis C, Humans, Pregnancy, Pregnancy Complications, Infectious, Risk Factors, Tennessee, United States, Prevalence
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