Incident Hepatitis C Virus Infection in Men Who Have Sex With Men: A Prospective Cohort Analysis, 1984–2011
Background. Prospective characterization of hepatitis C virus (HCV) transmission in both human immunodeficiency virus (HIV)—infected and —uninfected men who have sex with men (MSM) over the entire HIV epidemic has not been comprehensively conducted. Methods. To determine the trends in and risk facto...
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| Veröffentlicht in: | Clinical infectious diseases 2013-07, Vol.57 (1), p.77-84 |
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| creator | Witt, Mallory D. Seaberg, Eric C. Darilay, Annie Young, Stephen Badri, Sheila Rinaldo, Charles R. Jacobson, Lisa P. Detels, Roger Thio, Chloe L. |
| description | Background. Prospective characterization of hepatitis C virus (HCV) transmission in both human immunodeficiency virus (HIV)—infected and —uninfected men who have sex with men (MSM) over the entire HIV epidemic has not been comprehensively conducted. Methods. To determine the trends in and risk factors associated with incident HCV in MSM since 1984, 5310 HCV antibody (anti-HCV)—negative MSM in the Multicenter AIDS Cohort Study were prospectively followed during 1984–2011 for anti-HCV seroconversion. Results. During 55 343 person-years (PYs) of follow-up, there were 115 incident HCV infections (incidence rate, 2.08/1000 PYs) scattered throughout the study period. In a multivariable analysis with time-varying covariates, older age (incidence rate ratio [IRR], 1.40/10 years, P < .001), enrollment in the later (2001–2003) recruitment period (IRR, 3.80, P = .001), HIV infection (IRR, 5.98, P < .001), drinking >13 alcoholic drinks per week (IRR, 1.68, (P < .001), hepatitis B surface antigen positivity (IRR, 1.68, P < .001), syphilis (IRR, 2.95, P < .001), and unprotected receptive anal intercourse with >1 male partner (IRR, 3.37, P < .001) were independently associated with incident HCV. Among HIV-infected subjects, every 100 cell/mm 3 increase in CD4 count was associated with a 7% (P = .002) decrease in the HCV incidence rate up to a CD4 count of 500 cells/mm 3 , whereas there was no association with highly active antiretroviral therapy. Conclusions. The spread of HCV among both HIV-infected and -uninfected MSM in the United States has been ongoing since the beginning of the HIV epidemic. In HIV-infected men with |
| doi_str_mv | 10.1093/cid/cit197 |
| format | Article |
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Prospective characterization of hepatitis C virus (HCV) transmission in both human immunodeficiency virus (HIV)—infected and —uninfected men who have sex with men (MSM) over the entire HIV epidemic has not been comprehensively conducted. Methods. To determine the trends in and risk factors associated with incident HCV in MSM since 1984, 5310 HCV antibody (anti-HCV)—negative MSM in the Multicenter AIDS Cohort Study were prospectively followed during 1984–2011 for anti-HCV seroconversion. Results. During 55 343 person-years (PYs) of follow-up, there were 115 incident HCV infections (incidence rate, 2.08/1000 PYs) scattered throughout the study period. In a multivariable analysis with time-varying covariates, older age (incidence rate ratio [IRR], 1.40/10 years, P < .001), enrollment in the later (2001–2003) recruitment period (IRR, 3.80, P = .001), HIV infection (IRR, 5.98, P < .001), drinking >13 alcoholic drinks per week (IRR, 1.68, (P < .001), hepatitis B surface antigen positivity (IRR, 1.68, P < .001), syphilis (IRR, 2.95, P < .001), and unprotected receptive anal intercourse with >1 male partner (IRR, 3.37, P < .001) were independently associated with incident HCV. Among HIV-infected subjects, every 100 cell/mm 3 increase in CD4 count was associated with a 7% (P = .002) decrease in the HCV incidence rate up to a CD4 count of 500 cells/mm 3 , whereas there was no association with highly active antiretroviral therapy. Conclusions. The spread of HCV among both HIV-infected and -uninfected MSM in the United States has been ongoing since the beginning of the HIV epidemic. In HIV-infected men with <500 CD4 + T cells, the HCV incidence rate was inversely proportional to CD4 T-cell count.]]></description><identifier>ISSN: 1058-4838</identifier><identifier>EISSN: 1537-6591</identifier><identifier>DOI: 10.1093/cid/cit197</identifier><identifier>PMID: 23532480</identifier><identifier>CODEN: CIDIEL</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Adult ; AIDS ; and Commentaries ; ARTICLES AND COMMENTARIES ; Biological and medical sciences ; Cohort Studies ; Disease risks ; Disease transmission ; Follow-Up Studies ; Hepacivirus ; Hepatitis ; Hepatitis C ; Hepatitis C - epidemiology ; HIV ; Homosexuality, Male ; Human immunodeficiency virus ; Human sexual behavior ; Human viral diseases ; Humans ; Incidence ; Infections ; Infectious diseases ; Injections ; Male ; Medical sciences ; Men ; Mens health ; Predisposing factors ; Prospective Studies ; Risk Factors ; Sexual behavior ; United States - epidemiology ; Viral diseases ; Viral hepatitis ; Viral infections</subject><ispartof>Clinical infectious diseases, 2013-07, Vol.57 (1), p.77-84</ispartof><rights>Copyright © 2013 Oxford University Press on behalf of the Infectious Diseases Society of America</rights><rights>2014 INIST-CNRS</rights><rights>Copyright Oxford University Press, UK Jul 1, 2013</rights><rights>The Author 2013. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: . 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c458t-2024b7a4aec2b9ffed0c5acd376d5accfa57d5bed698067eb7906cc30365ff5f3</citedby><cites>FETCH-LOGICAL-c458t-2024b7a4aec2b9ffed0c5acd376d5accfa57d5bed698067eb7906cc30365ff5f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/23482873$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/23482873$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,776,780,799,881,27903,27904,57995,58228</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27499427$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23532480$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Witt, Mallory D.</creatorcontrib><creatorcontrib>Seaberg, Eric C.</creatorcontrib><creatorcontrib>Darilay, Annie</creatorcontrib><creatorcontrib>Young, Stephen</creatorcontrib><creatorcontrib>Badri, Sheila</creatorcontrib><creatorcontrib>Rinaldo, Charles R.</creatorcontrib><creatorcontrib>Jacobson, Lisa P.</creatorcontrib><creatorcontrib>Detels, Roger</creatorcontrib><creatorcontrib>Thio, Chloe L.</creatorcontrib><title>Incident Hepatitis C Virus Infection in Men Who Have Sex With Men: A Prospective Cohort Analysis, 1984–2011</title><title>Clinical infectious diseases</title><addtitle>Clin Infect Dis</addtitle><description><![CDATA[Background. Prospective characterization of hepatitis C virus (HCV) transmission in both human immunodeficiency virus (HIV)—infected and —uninfected men who have sex with men (MSM) over the entire HIV epidemic has not been comprehensively conducted. Methods. To determine the trends in and risk factors associated with incident HCV in MSM since 1984, 5310 HCV antibody (anti-HCV)—negative MSM in the Multicenter AIDS Cohort Study were prospectively followed during 1984–2011 for anti-HCV seroconversion. Results. During 55 343 person-years (PYs) of follow-up, there were 115 incident HCV infections (incidence rate, 2.08/1000 PYs) scattered throughout the study period. In a multivariable analysis with time-varying covariates, older age (incidence rate ratio [IRR], 1.40/10 years, P < .001), enrollment in the later (2001–2003) recruitment period (IRR, 3.80, P = .001), HIV infection (IRR, 5.98, P < .001), drinking >13 alcoholic drinks per week (IRR, 1.68, (P < .001), hepatitis B surface antigen positivity (IRR, 1.68, P < .001), syphilis (IRR, 2.95, P < .001), and unprotected receptive anal intercourse with >1 male partner (IRR, 3.37, P < .001) were independently associated with incident HCV. Among HIV-infected subjects, every 100 cell/mm 3 increase in CD4 count was associated with a 7% (P = .002) decrease in the HCV incidence rate up to a CD4 count of 500 cells/mm 3 , whereas there was no association with highly active antiretroviral therapy. Conclusions. The spread of HCV among both HIV-infected and -uninfected MSM in the United States has been ongoing since the beginning of the HIV epidemic. In HIV-infected men with <500 CD4 + T cells, the HCV incidence rate was inversely proportional to CD4 T-cell count.]]></description><subject>Adult</subject><subject>AIDS</subject><subject>and Commentaries</subject><subject>ARTICLES AND COMMENTARIES</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Disease risks</subject><subject>Disease transmission</subject><subject>Follow-Up Studies</subject><subject>Hepacivirus</subject><subject>Hepatitis</subject><subject>Hepatitis C</subject><subject>Hepatitis C - epidemiology</subject><subject>HIV</subject><subject>Homosexuality, Male</subject><subject>Human immunodeficiency virus</subject><subject>Human sexual behavior</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Injections</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Men</subject><subject>Mens health</subject><subject>Predisposing factors</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>Sexual behavior</subject><subject>United States - epidemiology</subject><subject>Viral diseases</subject><subject>Viral hepatitis</subject><subject>Viral infections</subject><issn>1058-4838</issn><issn>1537-6591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkduKUzEUhoMozli98V4JDMIgbs1xJ_FCKEVtYUTBw1yGNDuxKbs7NckenLt5B9_QJzG1dRy9CCtkffnX4QfgIUbPMVL0hQ1dPQUrcQscY05F03KFb9c74rJhksojcC_nNUIYS8TvgiNCOSVMomOwWQz1uxsKnLutKaGEDGfwS0hjhovBO1tCHGAY4Ds3wPNVhHNz4eBH9x2eh7Lavb6EU_ghxbzdsTU3i6uYCpwOpr_MIT-DWEn28-oHqdXvgzve9Nk9OMQJ-Pzm9afZvDl7_3Yxm541lnFZGoIIWwrDjLNkqbx3HbLc2I6KtqvResNFx5eua5VErXBLoVBrLUW05d5zTyfg1V53Oy43rrN1vmR6vU1hY9KljibofzNDWOmv8ULTtlWcqCpwehBI8dvoctGbkK3rezO4OGaNacsEkhiTip78h67jmOr0vyleOVW3PQFP95Stq8rJ-etmMNI7F3W1Qe9drPDjm-1fo39sq8CTA2CyNb1PprqY_3KCKcXITujRnlvnEtMNHSaJFJT-Aoq_r8o</recordid><startdate>20130701</startdate><enddate>20130701</enddate><creator>Witt, Mallory D.</creator><creator>Seaberg, Eric C.</creator><creator>Darilay, Annie</creator><creator>Young, Stephen</creator><creator>Badri, Sheila</creator><creator>Rinaldo, Charles R.</creator><creator>Jacobson, Lisa P.</creator><creator>Detels, Roger</creator><creator>Thio, Chloe L.</creator><general>Oxford University Press</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7T2</scope><scope>7T7</scope><scope>7U7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20130701</creationdate><title>Incident Hepatitis C Virus Infection in Men Who Have Sex With Men: A Prospective Cohort Analysis, 1984–2011</title><author>Witt, Mallory D. ; 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Prospective characterization of hepatitis C virus (HCV) transmission in both human immunodeficiency virus (HIV)—infected and —uninfected men who have sex with men (MSM) over the entire HIV epidemic has not been comprehensively conducted. Methods. To determine the trends in and risk factors associated with incident HCV in MSM since 1984, 5310 HCV antibody (anti-HCV)—negative MSM in the Multicenter AIDS Cohort Study were prospectively followed during 1984–2011 for anti-HCV seroconversion. Results. During 55 343 person-years (PYs) of follow-up, there were 115 incident HCV infections (incidence rate, 2.08/1000 PYs) scattered throughout the study period. In a multivariable analysis with time-varying covariates, older age (incidence rate ratio [IRR], 1.40/10 years, P < .001), enrollment in the later (2001–2003) recruitment period (IRR, 3.80, P = .001), HIV infection (IRR, 5.98, P < .001), drinking >13 alcoholic drinks per week (IRR, 1.68, (P < .001), hepatitis B surface antigen positivity (IRR, 1.68, P < .001), syphilis (IRR, 2.95, P < .001), and unprotected receptive anal intercourse with >1 male partner (IRR, 3.37, P < .001) were independently associated with incident HCV. Among HIV-infected subjects, every 100 cell/mm 3 increase in CD4 count was associated with a 7% (P = .002) decrease in the HCV incidence rate up to a CD4 count of 500 cells/mm 3 , whereas there was no association with highly active antiretroviral therapy. Conclusions. The spread of HCV among both HIV-infected and -uninfected MSM in the United States has been ongoing since the beginning of the HIV epidemic. In HIV-infected men with <500 CD4 + T cells, the HCV incidence rate was inversely proportional to CD4 T-cell count.]]></abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>23532480</pmid><doi>10.1093/cid/cit197</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult AIDS and Commentaries ARTICLES AND COMMENTARIES Biological and medical sciences Cohort Studies Disease risks Disease transmission Follow-Up Studies Hepacivirus Hepatitis Hepatitis C Hepatitis C - epidemiology HIV Homosexuality, Male Human immunodeficiency virus Human sexual behavior Human viral diseases Humans Incidence Infections Infectious diseases Injections Male Medical sciences Men Mens health Predisposing factors Prospective Studies Risk Factors Sexual behavior United States - epidemiology Viral diseases Viral hepatitis Viral infections |
| title | Incident Hepatitis C Virus Infection in Men Who Have Sex With Men: A Prospective Cohort Analysis, 1984–2011 |
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