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HCV in HIV+ Gay Men
Assessing prevalence with and without IV drug use
The modest but rising hepatitis C virus prevalence among HIV-positive (HIV+) men who have sex with men (MSM) suggests a need to control HCV among that population, according to a study of 42 reports examining global HCV antibody prevalence and estimating active HCV prevalence among HIV+ MSM. Researchers found:
- Pooled prevalence produced an overall anti-HCV prevalence among HIV+ MSM of 8.1%.
- Active HCV prevalence estimate was 5.3% to 7.3%.
- Anti-HCV prevalence among injection drug users was 40.0% and 6.7% among nonusers.
- Among HIV+ MSM, HCV prevalence increased significantly over time among overall and injection drug nonusers, and decreased significantly among injection drug users.
- A moderate prevalence was seen of HCV among all HIV+ MSM and among HIV+ MSM injection drug non-users.
- Pooled prevalence of HCV among HIV+ MSM was higher than the prevalence seen in a 1945 to 1965 birth cohort.
Citation: Jordan AE, Perlman DC, Neurer J, Smith DJ, Des Jarles DC, Hagan H. Prevalence of hepatitis C virus infection among HIV+ men who have sex with men: a systematic review and meta-analysis. [Published online ahead of print January 28, 2016]. Int J STD AIDS. doi:10.1177/0956462416630910.
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