Hepatitis C virus-related hepatocellular carcinoma mortality: a focus on the US-Mexico border region

Merry Mathew1, Michelle Nguyen1, Ketan Jolly1

  • 1School of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA.

Proceedings (Baylor University. Medical Center)
|November 13, 2025
PubMed

Insights

Hepatocellular carcinoma (HCC) mortality linked to hepatitis C virus (HCV) is higher in the US-Mexico border region. This disparity is most pronounced among Black and American Indian/Alaska Native populations.

Area of Science:

  • Public Health
  • Hepatology
  • Epidemiology

Background:

  • Hepatocellular carcinoma (HCC) mortality rates are notably high in the US-Mexico border region.
  • Significant disparities exist in hepatitis C virus (HCV)-related HCC mortality between border and nonborder areas.

Purpose of the Study:

  • To investigate and compare HCV-related HCC mortality rates between the US-Mexico border region and nonborder regions.
  • To identify ethnic and geographic disparities in HCV-related HCC mortality.

Main Methods:

  • Utilized the CDC WONDER Multiple Cause of Death database (2000-2020).
  • Analyzed deaths coded for chronic HCV (ICD-10 B18.2) and HCC (ICD-10 C22.0).
  • Calculated and compared age-standardized mortality rates (ASMRs) between border and nonborder regions, with significance determined by nonoverlapping 95% confidence intervals.

Main Results:

  • The border region exhibited a 1.6-fold higher ASMR for HCV-related HCC compared to nonborder regions (0.8 vs. 0.5 per 100,000).
  • All ethnic groups in the border region showed higher ASMRs than their nonborder counterparts.
  • Within the border region, Black individuals faced the highest risk (RR=2.0), followed by American Indian (RR=1.9) and White (RR=2.0) populations compared to their nonborder counterparts. Hispanic individuals also showed increased risk (RR=1.3).

Conclusions:

  • HCV-related HCC mortality is significantly elevated in the US-Mexico border region.
  • Ethnic disparities in mortality are pronounced, with Black and American Indian/Alaska Native populations experiencing disproportionately higher rates within the border region.
Abstract

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