Risk factors associated with Hepatitis C among female substance users enrolled in community-based HIV prevention studies
2011

Risk Factors for Hepatitis C in Female Substance Users

Sample size: 782 publication 10 minutes Evidence: moderate

Author Information

Author(s): Nurutdinova Diana, Abdallah Arbi, Bradford Susan, O'Leary Catina C, Cottler Linda B

Primary Institution: Washington University School of Medicine

Hypothesis

What are the risk factors associated with Hepatitis C among female substance users?

Conclusion

The study found a high prevalence of Hepatitis C antibodies among predominantly African American female substance users, with significant associations to older age, injection drug use, and having tattoos.

Supporting Evidence

  • 21% of participants tested positive for HCV antibodies.
  • Older age and history of injection drug use were strongly associated with HCV positivity.
  • Having a tattoo and a lifetime history of crack cocaine use were also significant risk factors.
  • Many women were unaware of their HCV status prior to the study.

Takeaway

This study shows that many women who use drugs and have tattoos might have Hepatitis C, and a lot of them don't even know it.

Methodology

Participants were interviewed about substance use and sexual risk behaviors, and tested for HCV antibodies.

Potential Biases

Potential underreporting of injection drug use and reliance on self-reported measures may introduce bias.

Limitations

The study is cross-sectional, limiting the ability to establish causation, and relied on self-reported drug use.

Participant Demographics

Predominantly African American women, aged 18 and older, involved in substance use.

Statistical Information

P-Value

p < 0.001 for older age and history of injection drug use; p = 0.004 for lifetime crack cocaine use; p = 0.01 for having a tattoo.

Confidence Interval

95% CI reported for various odds ratios.

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1756-0500-4-126

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