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Risky sexual behavior, bleeding caused by intimate partner violence, and hepatitis C virus infection in patients of a sexually transmitted disease clinic

Author

Listed:
  • Russell, M.
  • Chen, M.J.
  • Nochajski, T.H.
  • Testa, M.
  • Zimmerman, S.J.
  • Hughes, P.S.

Abstract

OBJECTIVES: We sought to investigate independent contributions of risky sexual behaviors and bleeding caused by intimate partner violence to prediction of HCV infection. METHODS: We conducted a case-control study of risk factors among patients of a sexually transmitted disease clinic with and without HCV antibodies, group-matched by age. RESULTS: Multivariate analyses indicated that Black race (odds ratio [OR] = 2.4; 95% confidence interval [CI] = 1.3, 4.4), injection drug use (OR = 20.3; 95% CI = 10.8, 37.8), sharing straws to snort drugs (OR = 1.8; 95% CI = 1.01, 3.0), sharing razors (OR = 7.8; 95% CI = 2.0, 31.0), and exposure to bleeding caused by intimate partner violence (OR = 5.5; 95% CI = 1.4, 22.8) contributed significantly to the prediction of HCV infection; risky sexual behavior and exposure to blood or sores during sexual intercourse did not. CONCLUSIONS: HCV risk among patients of a sexually transmitted disease clinic can be explained by direct blood exposure, primarily through injection drug use. Exposure to bleeding caused by intimate partner violence may be a previously unrecognized mechanism for HCV transmission associated with risky sexual behavior.

Suggested Citation

  • Russell, M. & Chen, M.J. & Nochajski, T.H. & Testa, M. & Zimmerman, S.J. & Hughes, P.S., 2009. "Risky sexual behavior, bleeding caused by intimate partner violence, and hepatitis C virus infection in patients of a sexually transmitted disease clinic," American Journal of Public Health, American Public Health Association, vol. 99(S1), pages 173-179.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2007.126383_1
    DOI: 10.2105/AJPH.2007.126383
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    Cited by:

    1. Hossain M S Sazzad & Luke McCredie & Carla Treloar & Andrew R Lloyd & Lise Lafferty, 2020. "Violence and hepatitis C transmission in prison—A modified social ecological model," PLOS ONE, Public Library of Science, vol. 15(12), pages 1-18, December.

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