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Hepatitis Risk in Diabetes Compared to Non-Diabetes and Relevant Factors: A Cross-Sectional Study with National Health and Nutrition Examination Survey (NHANES), 2013–2018

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  • Ja-Young Han

    (Department of Clinical Medicinal Sciences, Konyang University, Nonsan 32992, Republic of Korea
    College of Pharmacy, Graduate School of Pharmaceutical Sciences, Ewha Womans University, Seoul 03760, Republic of Korea
    These authors contributed equally to this work.)

  • Jae-Hee Kwon

    (Department of Clinical Medicinal Sciences, Konyang University, Nonsan 32992, Republic of Korea
    College of Pharmacy, Graduate School of Pharmaceutical Sciences, Ewha Womans University, Seoul 03760, Republic of Korea
    These authors contributed equally to this work.)

  • Sun-Hwa Kim

    (Department of Clinical Medicinal Sciences, Konyang University, Nonsan 32992, Republic of Korea)

  • Heeyoung Lee

    (Department of Clinical Medicinal Sciences, Konyang University, Nonsan 32992, Republic of Korea)

Abstract

This study aimed to identify the development of hepatitis B or C infection in diabetes patients compared to those without and to elucidate factors associated with the prevalence of hepatitis B or C infection in diabetes. We conducted a cross-sectional study using data from the National Health and Nutrition Examination Survey (NHANES) 2013–2018. As evaluation factors, we included variables such as age, race, illicit drug use, and poverty. The diabetic group had a significantly higher prevalence of hepatitis B or C infection than the non-diabetic group (odds ratio (OR) = 1.73; 95% confidence interval (CI), 1.36–2.21, p < 0.01). In multivariate Cox regression, non-poverty and non-illicit drug use were lower risk factors contributing to hepatitis development in diabetes (hazard ratio (HR) = 0.50; 95% CI, 0.32–0.79, p < 0.01, and HR = 0.05; 95% CI, 0.03–0.08, p < 0.01, respectively). Logistic regression also showed that these factors were significant contributors to hepatitis development in the diabetic group ( p < 0.01). In patients with diabetes, the development of hepatitis was higher than that in those without, and hepatitis development was influenced by poverty and illicit drug use. This may provide supporting evidence of response strategies for diabetes to care for hepatitis development in advance.

Suggested Citation

  • Ja-Young Han & Jae-Hee Kwon & Sun-Hwa Kim & Heeyoung Lee, 2023. "Hepatitis Risk in Diabetes Compared to Non-Diabetes and Relevant Factors: A Cross-Sectional Study with National Health and Nutrition Examination Survey (NHANES), 2013–2018," IJERPH, MDPI, vol. 20(6), pages 1-12, March.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:6:p:4962-:d:1094509
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    References listed on IDEAS

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    1. Greene, S.K. & Levin-Rector, A. & Hadler, J.L. & Fine, A.D., 2015. "Disparities in reportable communicable disease incidence by census tract-level poverty, New York City, 2006-2013," American Journal of Public Health, American Public Health Association, vol. 105(9), pages 27-34.
    2. Pervez Zammurad Janjua & Usman Ahmad Kamal, 2011. "The Role of Education and Income in Poverty Alleviation: A Cross-Country Analysis," Lahore Journal of Economics, Department of Economics, The Lahore School of Economics, vol. 16(1), pages 143-172, Jan-Jun.
    3. David L. Thomas & Chloe L. Thio & Maureen P. Martin & Ying Qi & Dongliang Ge & Colm O’hUigin & Judith Kidd & Kenneth Kidd & Salim I. Khakoo & Graeme Alexander & James J. Goedert & Gregory D. Kirk & Sh, 2009. "Genetic variation in IL28B and spontaneous clearance of hepatitis C virus," Nature, Nature, vol. 461(7265), pages 798-801, October.
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