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Heterosexual transmission of hepatitis C, hepatitis B, and HIV-1 in a sample of inner city women

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    This is a report which tells us that there is a higher incidence of HCV in highly sexullly active inner women in New York ( it doesnt say if they were sex
    Message 1 of 1 , Jul 30, 2000
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      This is a report which tells us that there is a higher incidence of HCV
      in highly sexullly active "inner women" in New York ( it doesnt say if
      they were sex workers or just had multiple partners).Most of them were
      also co-infected with HBV /HIV.
      Perhaps these are the reports that lead to articles in media that HCV is
      a sexually transmitted disease. This is however only a microscopic and
      misconstrued view.
      These women have HCV along with HBV/HIV , however it does not
      necessarily imply that the route of transmission was sex. Further it
      doesnt show that they may act as a source for further HCV spread by
      sexual route.
      However it does suggest that the prevalence of HCV is higher in these
      women.


      Dr Sharat C Misra MD, DM
      Consultant Gastroenterologist & Hepatologist




      Sex Transm Dis
      2000 Jul;27(6):338-42
      Heterosexual transmission of hepatitis C, hepatitis B, and HIV-1 in a
      sample of inner city women.
      Feldman JG, Minkoff H, Landesman S, Dehovitz J
      Department of Preventive Medicine, State University of New York Health
      Science, Center at Brooklyn, 11203, USA

      BACKGROUND: To clarify the role of heterosexual transmission of
      hepatitis C
      virus (HCV) and to identify associated risk factors. GOAL: To compare
      risk
      factors with infection among women with HCV, HIV-1, and hepatitis B
      virus
      (HBV).
      STUDY DESIGN: A cross-sectional study of the prevalence of HCV, HIV-1,
      and HBV in a sample of 599 sexually active, nontransfused, inner-city
      women
      with no evidence of intravenous drug use.
      RESULTS: The prevalence of HCV was 1.6%, compared with 2.0% for HIV-1
      and 18.8% for HBV; 75% of women infected with HCV were also infected
      with HIV-1 or HBV (P < 0.001). Women engaging in
      very high-risk sexual behavior were 14.2 times more likely to have
      HCV than
      other women (95% CI, 1.8-642.5).
      CONCLUSIONS: The epidemic of HCV may be
      facilitated by high-risk sexual behavior. The relatively high
      prevalence of
      HCV suggests the need for more widespread screening among inner-city
      females









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