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Is sexual contact a major mode of hepatitis C virus transmission?
Author(s) -
Tohme Rania A.,
Holmberg Scott D.
Publication year - 2010
Publication title -
hepatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 5.488
H-Index - 361
eISSN - 1527-3350
pISSN - 0270-9139
DOI - 10.1002/hep.23808
Subject(s) - sexual transmission , transmission (telecommunications) , medicine , hepatitis c , odds ratio , hepatitis c virus , population , demography , sexually transmitted disease , immunology , virology , environmental health , human immunodeficiency virus (hiv) , virus , syphilis , microbicide , electrical engineering , engineering , sociology
Medical opinion varies considerably regarding the transmission of hepatitis C virus (HCV) through sexual contact. Based on the study design, representativeness of the study population, and the methods used for case ascertainment, we analyzed 80 qualifying reports regarding the evidence for or against sexual transmission. Regarding heterosexual transmission, the weight of evidence is that there is no increased risk of sexual transmission of HCV among heterosexual couples in regular relationships. This risk increases among persons with multiple sexual partners (adjusted odds ratio [aOR] 2.2‐2.9), but this association may be confounded by increased likelihood of injection drug use with increased number of partners. There appears to be a real increased risk for women coinfected with human immunodeficiency virus (HIV) or other sexually transmitted infections (aOR 3.3‐3.9) and especially for HIV‐infected gay men who are having sex with one another compared with HIV‐uninfected men (aOR 4.1‐5.7). HIV‐infected gay men increase their risk of such transmission in association with practices that lead to mucosal trauma (multiple sexual partners, fisting, use of sex toys) and the presence of genital ulcerative disease. Conclusion: This review should inform, and not distract from, recommendations to reduce the risk of HCV transmission. Health care providers need to pay special attention to sexual transmission of HCV among HIV‐infected individuals. HEPATOLOGY 2010