Risk factors associated with hepatitis C virus infection in Taiwanese government employees

被引:7
作者
Chang, HC
Yu, MW
Lu, CF
Chiu, YH
Chen, CJ
机构
[1] Natl Taiwan Univ, Grad Inst Epidemiol, Coll Publ Hlth, Taipei 100, Taiwan
[2] Dept Hlth, Execut Yuan, Ctr Dis Control, Taipei, Taiwan
关键词
D O I
10.1017/S0950268801005362
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This study evaluated the roles of multiple factors in hepatitis C virus (HCV) infection, with emphasis on the modification of various individual characteristics on the risk associated with percutaneous exposure to blood. Serum samples taken from 4869 men in Taiwan within a cohort study were tested for HCV antibody. the overall positive rate of anti-HCV was 1.6 %. In a logistic regression, factors positively associated with anti-HCV positivity were previous blood transfusion (odds ratio [OR] = 7.28, 95% confidence interval [CI] = 4.26-12.45), a history of surgery (OR = 2.06; 95 % CI = 1.23-3.46), and lower educational levels (OR = 1.94; 95% CI = 1.14-3.32). The anti-HCV positive rate was significantly lower in hepatitis B surface antigen (HBsAg) carriers than in non-carriers (OR = 0.60; 95% CI = 0.37-0.95). Ageing, lower educational levels, O blood group, and Taiwanese ethnicity enhanced the likelihood of HCV infection through blood transfusion/surgery, whereas HBsAg status, cigarette smoking, and habitual alcohol drinking reduced it.
引用
收藏
页码:291 / 299
页数:9
相关论文
共 38 条
[1]   Genes of the major histocompatibility complex class II influence the outcome of hepatitis C virus infection [J].
Alric, L ;
Fort, M ;
Izopet, J ;
Vinel, JP ;
Charlet, JP ;
Selves, J ;
Puel, J ;
Pascal, JP ;
Duffaut, M ;
Abbal, M .
GASTROENTEROLOGY, 1997, 113 (05) :1675-1681
[2]   DETECTION OF ANTIBODY TO HEPATITIS-C VIRUS IN PROSPECTIVELY FOLLOWED TRANSFUSION RECIPIENTS WITH ACUTE AND CHRONIC NON-A-HEPATITIS, NON-B-HEPATITIS [J].
ALTER, HJ ;
PURCELL, RH ;
SHIH, JW ;
MELPOLDER, JC ;
HOUGHTON, M ;
CHOO, QL ;
KUO, G .
NEW ENGLAND JOURNAL OF MEDICINE, 1989, 321 (22) :1494-1500
[3]   ATTACHMENT OF HELICOBACTER-PYLORI TO HUMAN GASTRIC EPITHELIUM MEDIATED BY BLOOD-GROUP ANTIGENS [J].
BOREN, T ;
FALK, P ;
ROTH, KA ;
LARSON, G ;
NORMARK, S .
SCIENCE, 1993, 262 (5141) :1892-1895
[4]   HEPATITIS-C VIRUS-INFECTION IN AN AREA HYPERENDEMIC FOR HEPATITIS-B AND CHRONIC LIVER-DISEASE - THE TAIWAN EXPERIENCE [J].
CHEN, DS ;
KUO, GC ;
SUNG, JL ;
LAI, MY ;
SHEU, JC ;
CHEN, PJ ;
YANG, PM ;
HSU, HM ;
CHANG, MH ;
CHEN, CJ ;
HAHN, LC ;
CHOO, QL ;
WANG, TH ;
HOUGHTON, M .
JOURNAL OF INFECTIOUS DISEASES, 1990, 162 (04) :817-822
[5]   Routes of infection, viremia, and liver disease in blood donors found to have hepatitis C virus infection [J].
ConryCantilena, C ;
VanRaden, M ;
Gibble, J ;
Melpolder, J ;
Shakil, AO ;
Viladomiu, L ;
Cheung, L ;
DiBisceglie, A ;
Hoofnagle, J ;
Shih, JW ;
Kaslow, R ;
Ness, P ;
Alter, HJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1996, 334 (26) :1691-1696
[6]   LOW INCIDENCE OF NON-A, NON-B POSTTRANSFUSION HEPATITIS IN LONDON CONFIRMED BY HEPATITIS-C VIRUS SEROLOGY [J].
CONTRERAS, M ;
BARBARA, JAJ ;
ANDERSON, CC ;
RANASINGHE, E ;
MOORE, C ;
BRENNAN, MT ;
HOWELL, DR ;
ALOYSIUS, S ;
YARDUMIAN, A .
LANCET, 1991, 337 (8744) :753-757
[7]   Mortality from liver cancer and liver disease in haemophilic men and boys in UK given blood products contaminated with hepatitis C [J].
Darby, SC ;
Ewart, DW ;
Giangrande, PLF ;
Spooner, RJD ;
Rizza, CR ;
Dusheiko, GM ;
Lee, CA ;
Ludlam, CA ;
Preston, FE .
LANCET, 1997, 350 (9089) :1425-1431
[8]   HIGH-RATE OF INFECTIVITY AND LIVER-DISEASE IN BLOOD-DONORS WITH ANTIBODIES TO HEPATITIS-C VIRUS [J].
ESTEBAN, JI ;
LOPEZTALAVERA, JC ;
GENESCA, J ;
MADOZ, P ;
VILADOMIU, L ;
MUNIZ, E ;
MARTINVEGA, C ;
ROSELL, M ;
ALLENDE, H ;
VIDAL, X ;
GONZALEZ, A ;
HERNANDEZ, JM ;
ESTEBAN, R ;
GUARDIA, J .
ANNALS OF INTERNAL MEDICINE, 1991, 115 (06) :443-449
[9]  
ESTEBAN JI, 1989, LANCET, V2, P294
[10]   A LONG-TERM STUDY OF HEPATITIS-C VIRUS-REPLICATION IN NON-A, NON-B HEPATITIS [J].
FARCI, P ;
ALTER, HJ ;
WONG, D ;
MILLER, RH ;
SHIH, JW ;
JETT, B ;
PURCELL, RH .
NEW ENGLAND JOURNAL OF MEDICINE, 1991, 325 (02) :98-104