Cargando…

Hepatitis C in pregnant American Indian and Alaska Native women; 2003-2015

Recent reports have found a rise in Hepatitis C virus (HCV) infection in reproductive age women in the USA. Surveillance data suggests one group that is at increased risk of HCV infection is the American Indian and Alaska Native population (AI/AN). Using the National Center for Health Statistics (NC...

Descripción completa

Detalles Bibliográficos
Autores principales: Nolen, Leisha D., O’Malley, John C., Seeman, Sara S., Bruden, Dana J. T., Apostolou, Andria, McMahon, Brian J., Bruce, Michael G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6493225/
https://www.ncbi.nlm.nih.gov/pubmed/31025610
http://dx.doi.org/10.1080/22423982.2019.1608139
_version_ 1783415177213902848
author Nolen, Leisha D.
O’Malley, John C.
Seeman, Sara S.
Bruden, Dana J. T.
Apostolou, Andria
McMahon, Brian J.
Bruce, Michael G.
author_facet Nolen, Leisha D.
O’Malley, John C.
Seeman, Sara S.
Bruden, Dana J. T.
Apostolou, Andria
McMahon, Brian J.
Bruce, Michael G.
author_sort Nolen, Leisha D.
collection PubMed
description Recent reports have found a rise in Hepatitis C virus (HCV) infection in reproductive age women in the USA. Surveillance data suggests one group that is at increased risk of HCV infection is the American Indian and Alaska Native population (AI/AN). Using the National Center for Health Statistics (NCHS) birth certificate and the Indian Health Services, Tribal, and Urban Indian (IHS) databases, we evaluated reported cases of HCV infection in pregnant women between 2003 and 2015. In the NCHS database, 38 regions consistently reported HCV infection. The percentage of mothers who were known to have HCV infection increased between 2011 and 2015 in both the AI/AN population (0.57% to 1.19%, p < 0.001) and the non-AI/AN population (0.21% to 0.36%, p < 0.001). The IHS database confirmed these results. Individuals with hepatitis B infection or intravenous drug use (IDU) had significantly higher odds of HCV infection (OR 16.4 and 17.6, respectively). In total, 62% of HCV-positive women did not have IDU recorded. This study demonstrates a significant increase in the proportion of pregnant women infected with HCV between 2003 and 2015. This increase was greater in AI/AN women than non-AI/AN women. This highlights the need for HCV screening and prevention in pregnant AI/AN women.
format Online
Article
Text
id pubmed-6493225
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Taylor & Francis
record_format MEDLINE/PubMed
spelling pubmed-64932252019-05-08 Hepatitis C in pregnant American Indian and Alaska Native women; 2003-2015 Nolen, Leisha D. O’Malley, John C. Seeman, Sara S. Bruden, Dana J. T. Apostolou, Andria McMahon, Brian J. Bruce, Michael G. Int J Circumpolar Health Research Article Recent reports have found a rise in Hepatitis C virus (HCV) infection in reproductive age women in the USA. Surveillance data suggests one group that is at increased risk of HCV infection is the American Indian and Alaska Native population (AI/AN). Using the National Center for Health Statistics (NCHS) birth certificate and the Indian Health Services, Tribal, and Urban Indian (IHS) databases, we evaluated reported cases of HCV infection in pregnant women between 2003 and 2015. In the NCHS database, 38 regions consistently reported HCV infection. The percentage of mothers who were known to have HCV infection increased between 2011 and 2015 in both the AI/AN population (0.57% to 1.19%, p < 0.001) and the non-AI/AN population (0.21% to 0.36%, p < 0.001). The IHS database confirmed these results. Individuals with hepatitis B infection or intravenous drug use (IDU) had significantly higher odds of HCV infection (OR 16.4 and 17.6, respectively). In total, 62% of HCV-positive women did not have IDU recorded. This study demonstrates a significant increase in the proportion of pregnant women infected with HCV between 2003 and 2015. This increase was greater in AI/AN women than non-AI/AN women. This highlights the need for HCV screening and prevention in pregnant AI/AN women. Taylor & Francis 2019-04-26 /pmc/articles/PMC6493225/ /pubmed/31025610 http://dx.doi.org/10.1080/22423982.2019.1608139 Text en © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Nolen, Leisha D.
O’Malley, John C.
Seeman, Sara S.
Bruden, Dana J. T.
Apostolou, Andria
McMahon, Brian J.
Bruce, Michael G.
Hepatitis C in pregnant American Indian and Alaska Native women; 2003-2015
title Hepatitis C in pregnant American Indian and Alaska Native women; 2003-2015
title_full Hepatitis C in pregnant American Indian and Alaska Native women; 2003-2015
title_fullStr Hepatitis C in pregnant American Indian and Alaska Native women; 2003-2015
title_full_unstemmed Hepatitis C in pregnant American Indian and Alaska Native women; 2003-2015
title_short Hepatitis C in pregnant American Indian and Alaska Native women; 2003-2015
title_sort hepatitis c in pregnant american indian and alaska native women; 2003-2015
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6493225/
https://www.ncbi.nlm.nih.gov/pubmed/31025610
http://dx.doi.org/10.1080/22423982.2019.1608139
work_keys_str_mv AT nolenleishad hepatitiscinpregnantamericanindianandalaskanativewomen20032015
AT omalleyjohnc hepatitiscinpregnantamericanindianandalaskanativewomen20032015
AT seemansaras hepatitiscinpregnantamericanindianandalaskanativewomen20032015
AT brudendanajt hepatitiscinpregnantamericanindianandalaskanativewomen20032015
AT apostolouandria hepatitiscinpregnantamericanindianandalaskanativewomen20032015
AT mcmahonbrianj hepatitiscinpregnantamericanindianandalaskanativewomen20032015
AT brucemichaelg hepatitiscinpregnantamericanindianandalaskanativewomen20032015