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Published on: July 16, 2012
Prevalence of HCV risk factors in Hispanic-American sub populations
Stacey B Trooskin1, Maricruz Vega, Steven K Herrine
1Division of Gastroenterology and Hepatology, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Insights
Hepatitis C virus (HCV) risk factors are more prevalent in US-born Hispanics and immigrants after residing in the US. Prevention efforts should target recent Hispanic immigrants to mitigate HCV transmission.
Area of Science:
- Public Health
- Hepatology
- Epidemiology
Background:
- Hepatitis C virus (HCV) poses a significant public health challenge.
- Understanding risk factor prevalence in diverse subpopulations is crucial for targeted prevention.
Purpose of the Study:
- To determine the prevalence of HCV risk factors among Hispanic-American subpopulations in Philadelphia.
- To identify disparities in risk factor prevalence based on country of origin and duration of US residency.
Main Methods:
- A cross-sectional study involving 503 Hispanic/Latino patients from four Philadelphia primary care practices.
- Data collection via self-administered questionnaires on demographics and HCV risk factors.
Main Results:
- 45% of individuals born in Puerto Rico or mainland US reported HCV risk factors, compared to 25% or less for those from 19 other countries.
- For individuals born outside the US, each additional year of residency increased HCV risk factor odds by 7%.
- US-born Hispanics exhibited higher HCV risk factor prevalence than foreign-born Hispanics.
Conclusions:
- HCV risk factors are notably higher among US-born Hispanics and Hispanic immigrants with longer US residency.
- Findings support prioritizing HCV prevention strategies for recent Hispanic immigrants.
Abstract:
To assess the prevalence of HCV risk factors among Hispanic-American subpopulations in Philadelphia. Patients from four primary care practices in Philadelphia were enrolled. Demographics and HCV risk factors were ascertained using a self-administered questionnaire. Five hundred and three patients who identified themselves as Hispanic or Latino were included in the study. Approximately half were born in Puerto Rico or mainland US and the remaining participants were born in 19 other countries. One quarter or less of individuals born in these countries reported having a HCV risk factor. In comparison, 45% of individuals born in Puerto Rico and mainland US reported having a HCV risk factor. With each year individuals born outside the US live in the US, odds of having a risk factor increased by approximately 7% (P = 0.014). US born Hispanics are more likely to have a HCV risk factor than Hispanics born outside the US. Furthermore, the prevalence of risk factors increase among Hispanic immigrants after living in the US. These findings have a direct public health impact by providing rationale to focus HCV prevention efforts on recent immigrants.
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