Prospective study of risk factors for hepatitis C virus acquisition by Caucasian, Hispanic, and Asian American patients

Commonly known risk factors for infection with hepatitis C virus (HCV) include blood transfusion, injection drug use, intranasal cocaine use, and body tattoos. We hypothesized that Asian Americans infected with HCV may not identify with these established risk factors present in Caucasians and Hispan...

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Veröffentlicht in:Journal of viral hepatitis 2012-02, Vol.19 (2), p.e105-e111
Hauptverfasser: Ho, E. Y., Ha, N. B., Ahmed, A., Ayoub, W., Daugherty, T., Garcia, G., Cooper, A., Keeffe, E. B., Nguyen, M. H.
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container_end_page e111
container_issue 2
container_start_page e105
container_title Journal of viral hepatitis
container_volume 19
creator Ho, E. Y.
Ha, N. B.
Ahmed, A.
Ayoub, W.
Daugherty, T.
Garcia, G.
Cooper, A.
Keeffe, E. B.
Nguyen, M. H.
description Commonly known risk factors for infection with hepatitis C virus (HCV) include blood transfusion, injection drug use, intranasal cocaine use, and body tattoos. We hypothesized that Asian Americans infected with HCV may not identify with these established risk factors present in Caucasians and Hispanics, and our aim was to conduct a survey of risk factors in HCV‐infected patients in these ethnic groups. In this prospective study, 494 patients infected with HCV completed a detailed risk assessment questionnaire at a liver centre in Northern California from 2001 to 2008. Among subjects participating in this study, 55% identified themselves as Caucasian, 20% as Hispanic, and 25% as Asian. Asian Americans were older, less likely to smoke or consume alcohol, and have a family history of cancer compared with Caucasians and Hispanics. The laboratory profiles were similar, and genotype 1 was the most common infection in all groups (74–75%). The great majority of Caucasians (94%) and Hispanics (86%) identified with commonly known risk factors, which was in contrast to 67% of Asians (P 
doi_str_mv 10.1111/j.1365-2893.2011.01513.x
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Asian Americans were older, less likely to smoke or consume alcohol, and have a family history of cancer compared with Caucasians and Hispanics. The laboratory profiles were similar, and genotype 1 was the most common infection in all groups (74–75%). The great majority of Caucasians (94%) and Hispanics (86%) identified with commonly known risk factors, which was in contrast to 67% of Asians (P &lt; 0.0001). The most common risk factors in Asians were blood transfusions (50%) and acupuncture (50%). Furthermore, 74% of Caucasians and 66% of Hispanics identified more than one major risk factor, while only 20% of Asians reported having more than one risk factor (P &lt; 0.0001). Survey for established risk factors for acquisition of HCV may be more appropriate for risk assessment of Caucasians and Hispanics, but not for Asian Americans. 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Y.</creatorcontrib><creatorcontrib>Ha, N. B.</creatorcontrib><creatorcontrib>Ahmed, A.</creatorcontrib><creatorcontrib>Ayoub, W.</creatorcontrib><creatorcontrib>Daugherty, T.</creatorcontrib><creatorcontrib>Garcia, G.</creatorcontrib><creatorcontrib>Cooper, A.</creatorcontrib><creatorcontrib>Keeffe, E. B.</creatorcontrib><creatorcontrib>Nguyen, M. H.</creatorcontrib><title>Prospective study of risk factors for hepatitis C virus acquisition by Caucasian, Hispanic, and Asian American patients</title><title>Journal of viral hepatitis</title><addtitle>J Viral Hepat</addtitle><description>Commonly known risk factors for infection with hepatitis C virus (HCV) include blood transfusion, injection drug use, intranasal cocaine use, and body tattoos. We hypothesized that Asian Americans infected with HCV may not identify with these established risk factors present in Caucasians and Hispanics, and our aim was to conduct a survey of risk factors in HCV‐infected patients in these ethnic groups. In this prospective study, 494 patients infected with HCV completed a detailed risk assessment questionnaire at a liver centre in Northern California from 2001 to 2008. Among subjects participating in this study, 55% identified themselves as Caucasian, 20% as Hispanic, and 25% as Asian. Asian Americans were older, less likely to smoke or consume alcohol, and have a family history of cancer compared with Caucasians and Hispanics. The laboratory profiles were similar, and genotype 1 was the most common infection in all groups (74–75%). The great majority of Caucasians (94%) and Hispanics (86%) identified with commonly known risk factors, which was in contrast to 67% of Asians (P &lt; 0.0001). The most common risk factors in Asians were blood transfusions (50%) and acupuncture (50%). Furthermore, 74% of Caucasians and 66% of Hispanics identified more than one major risk factor, while only 20% of Asians reported having more than one risk factor (P &lt; 0.0001). Survey for established risk factors for acquisition of HCV may be more appropriate for risk assessment of Caucasians and Hispanics, but not for Asian Americans. 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Y.</creatorcontrib><creatorcontrib>Ha, N. B.</creatorcontrib><creatorcontrib>Ahmed, A.</creatorcontrib><creatorcontrib>Ayoub, W.</creatorcontrib><creatorcontrib>Daugherty, T.</creatorcontrib><creatorcontrib>Garcia, G.</creatorcontrib><creatorcontrib>Cooper, A.</creatorcontrib><creatorcontrib>Keeffe, E. B.</creatorcontrib><creatorcontrib>Nguyen, M. H.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>Journal of viral hepatitis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ho, E. Y.</au><au>Ha, N. B.</au><au>Ahmed, A.</au><au>Ayoub, W.</au><au>Daugherty, T.</au><au>Garcia, G.</au><au>Cooper, A.</au><au>Keeffe, E. B.</au><au>Nguyen, M. H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prospective study of risk factors for hepatitis C virus acquisition by Caucasian, Hispanic, and Asian American patients</atitle><jtitle>Journal of viral hepatitis</jtitle><addtitle>J Viral Hepat</addtitle><date>2012-02</date><risdate>2012</risdate><volume>19</volume><issue>2</issue><spage>e105</spage><epage>e111</epage><pages>e105-e111</pages><issn>1352-0504</issn><eissn>1365-2893</eissn><abstract>Commonly known risk factors for infection with hepatitis C virus (HCV) include blood transfusion, injection drug use, intranasal cocaine use, and body tattoos. We hypothesized that Asian Americans infected with HCV may not identify with these established risk factors present in Caucasians and Hispanics, and our aim was to conduct a survey of risk factors in HCV‐infected patients in these ethnic groups. In this prospective study, 494 patients infected with HCV completed a detailed risk assessment questionnaire at a liver centre in Northern California from 2001 to 2008. Among subjects participating in this study, 55% identified themselves as Caucasian, 20% as Hispanic, and 25% as Asian. Asian Americans were older, less likely to smoke or consume alcohol, and have a family history of cancer compared with Caucasians and Hispanics. The laboratory profiles were similar, and genotype 1 was the most common infection in all groups (74–75%). The great majority of Caucasians (94%) and Hispanics (86%) identified with commonly known risk factors, which was in contrast to 67% of Asians (P &lt; 0.0001). The most common risk factors in Asians were blood transfusions (50%) and acupuncture (50%). Furthermore, 74% of Caucasians and 66% of Hispanics identified more than one major risk factor, while only 20% of Asians reported having more than one risk factor (P &lt; 0.0001). Survey for established risk factors for acquisition of HCV may be more appropriate for risk assessment of Caucasians and Hispanics, but not for Asian Americans. These findings may guide the development of HCV screening in our increasingly diverse population.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>22239506</pmid><doi>10.1111/j.1365-2893.2011.01513.x</doi><tpages>7</tpages></addata></record>
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subjects Acupuncture
Adult
Aged
Aged, 80 and over
alcohols
Asian Americans
Blood transfusion
California - epidemiology
Cancer
Cocaine
Cross-Sectional Studies
Drug abuse
Ethnic groups
European Continental Ancestry Group
Female
Genotypes
Hepatitis C - epidemiology
Hepatitis C virus
Hispanic Americans
Humans
Infection
Inventories
Liver
liver disease
Male
Middle Aged
Prospective Studies
Risk Assessment
Risk Factors
Smoke
Surveys and Questionnaires
Tattoos
title Prospective study of risk factors for hepatitis C virus acquisition by Caucasian, Hispanic, and Asian American patients
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