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American Journal of Epidemiology Vol. 136, No. 9: 1132-1137
Copyright © 1992 by The Johns Hopkins University School of Hygiene and Public Health


research-article

Sexual Transmission of Hepatitis C Virus among Female Prostitutes and Patients with Sexually Transmitted Diseases in Fukuoka, Kyushu, Japan

Koya Nakashima1,, Seizaburo Kashiwagi1, Jun Hayashi1, Akinori Noguchi1, Miki Hirata1, Wataru Kajiyama2, Kunihiro Urabe3, Kikuo Minami4 and Yoshiaki Maeda5

1The Department of General Medicine, Kyushu University Hospital 71, Higashi-ku, Fukuoka 812, Japan
2Sanshinkaihara Hospital 1–8 Daihaku, Hakata-ku, Fukuoka 812, Japan.
3Urabe Clinic, 6–20 Nishinakasu Chuo-ku, Fukuoka 810, Japan
4Minami Cllruc, 1–24–7 Takasago Chuo-ku, Fukuoka 810, Japan
5Fukuoka Red Cross Blood Center 231–11 Kamikoga, Tsukushino, Fukuoka 818, Japan

Reprint requests to Dr. Koya Nakashima, Department of General Medtcine, Kyushu University Hospital 71, Hi-gashi-ku, Fukuoka 812, Japan.

The authors investigated the prevalence of antibody to hepatitis C virus (anti-HCV) in 404 female prostitutes, 428 clinic patients with a history of at least one episode of sexually transmitted disease, and 8,944 blood donors who served as the controls. All subjects were Japanese, and all studies were carried out in Fukuoka, Kyushu, Japan, in 1989. The prevalence of anti-HCV was significantly higher in the prostitutes (6.2%) in the female patients with sexually transmitted diseases (6.1%), and in the male patients with sexually transmitted diseases (2.9%) than in the controls (1.5%). Prevalence of anti-HCV increased with age in prostitutes and in the controls. The prevalence of anti-HCV in those who had been involved in prostitution for 1 year or more (8.1%) was higher than in those who had been involved in prostitution for less than 1 year (1.4%), but the difference was not statistically significant. One of the 152 anti-HCV negative prostitutes seroconverted between 1 and 2 years later. Among the subjects with sexually transmitted diseases, patients with a history of at least one episode of syphilis had a significantly higher prevalence of anti-HCV (4.4%) than the controls. Patients with acute urethritis and cervicitis also showed a high prevalence of anti-HCV (3.6% and 6.7%, respectively). These data support the possibility of sexual transmission of hepatitis C virus. Am J Epidemiol 1992; 136: 1132–7

hepatitis C virus; prostitution; risk factors; sex behavior; sexually transmitted diseases


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