Division of Gastroenterology and Hepatology, Thomas Jefferson University, Philadelphia, PA 19107, USA.
J Immigr Minor Health. 2010 Dec;12(6):915-20. doi: 10.1007/s10903-009-9285-0.
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.
评估费城西班牙裔美国人亚群中丙型肝炎病毒(HCV)危险因素的流行情况。在费城的四家基层医疗机构招募了患者。使用自我管理问卷确定人口统计学和 HCV 危险因素。本研究纳入了 503 名自认为是西班牙裔或拉丁裔的患者。其中约一半出生于波多黎各或美国本土,其余参与者出生于 19 个其他国家。出生于这些国家的个人中,不到四分之一的人报告有 HCV 危险因素。相比之下,45%出生于波多黎各和美国本土的人报告有 HCV 危险因素。与出生在美国以外的个人在美国居住的每一年相比,有风险因素的几率增加了约 7%(P = 0.014)。与出生在美国以外的西班牙裔相比,出生在美国的西班牙裔更有可能有 HCV 危险因素。此外,西班牙裔移民在美国生活后,其危险因素的患病率增加。这些发现通过为将 HCV 预防工作重点放在最近移民身上提供了合理依据,对公共卫生产生了直接影响。