Risk factors for hepatitis C infection among sexually transmitted disease-infected, inner city obstetric patients

Youyin Choy, Lisa Gittens-Williams, Joseph Apuzzio, Joan Skurnick, Carl Zollicoffer, Peter G. McGovern

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Objective: To test the hypothesis that our inner city obstetric patients who have been infected with sexually transmitted diseases (STDs) will have a higher prevalence of hepatitis C virus infection than the general population and to identify specific risk factors and high-risk groups. Methods: All patients in our prenatal clinic (July 1997-April 1999) who tested positive for one or more STDs were asked to return for hepatitis C antibody testing. Medical charts of all patients who returned for hepatitis C testing were reviewed. Results: A total of 106 patients with STDs were tested for hepatitis C. Positive screening tests for anti-hepatitis C antibody were found in 6.6% (7/106) of the patients (95% CI = 2.7-13. 1%). This frequency is significantly higher than the hepatitis C prevalence (1.8%) in the general United States population (p = 0.006). Multiple logistic regression analysis confirmed only older age (p = 0.016) and positive HIV status (p = 0.023) to be significant predictors of hepatitis C infection. Conclusions: Inner city STD-infected obstetric patients are at high risk for hepatitis C infection compared with the general population. Increasing age and HIV-positive status are risk factors which are significantly associated with hepatitis C infection.

Original languageEnglish (US)
Pages (from-to)191-198
Number of pages8
JournalInfectious Disease in Obstetrics and Gynecology
Volume11
Issue number4
DOIs
StatePublished - 2003

All Science Journal Classification (ASJC) codes

  • Dermatology
  • Obstetrics and Gynecology
  • Infectious Diseases

Keywords

  • Hepatitis C
  • Pregnancy
  • Sexually transmitted disease

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