Graduate Institute of Medical Science National Defense Medical Center, Taipei, Taiwan; School of Public Health, National Defense Medical Center, Taipei, Taiwan; Sleep Research Center, Taipei Medical University Hospital, Taipei, Taiwan.
Sleep Research Center, Taipei Medical University Hospital, Taipei, Taiwan; School of Health Care Administration, Taipei Medical University, Taipei, Taiwan.
Psychiatry Res. 2017 Dec;258:217-220. doi: 10.1016/j.psychres.2017.08.036. Epub 2017 Aug 18.
Prior studies attempted to explore the association between schizophrenia and hepatitis C virus (HCV). However, their conclusions were inconsistent. This study aimed to examine the association of schizophrenia with HCV using a population-based dataset in Taiwan. There were 6097 patients with schizophrenia and 6097 sex- and age-matched comparison patients without schizophrenia included in this study. We defined the dependent variable of interest as whether or not a patient had received a diagnosis of HCV. We found that of the sampled patients, 2.1% of patients with schizophrenia and 1.4% of comparison patients had concurrent HCV. We further found that schizophrenia was not significantly associated with concurrent HCV after adjusting for sex, age, urbanization level, geographic region, monthly income, and drug abuse. However, of the sampled male patients, the adjusted odds of concurrent hepatitis C for patients with schizophrenia were 1.72-times higher than the odds of concurrent HCV among comparison patients. We failed to observe this association among female sampled patients. We concluded that schizophrenia was not significantly associated with concurrent HCV. However, of the sampled male patients, the risk of concurrent HCV among patients with schizophrenia was higher than comparison patients.
先前的研究试图探讨精神分裂症与丙型肝炎病毒(HCV)之间的关联。然而,他们的结论并不一致。本研究旨在使用台湾的基于人群的数据集来检验精神分裂症与 HCV 之间的关联。本研究共纳入了 6097 例精神分裂症患者和 6097 名性别和年龄匹配的无精神分裂症对照患者。我们将感兴趣的因变量定义为患者是否被诊断为 HCV。我们发现,在所抽取的患者中,2.1%的精神分裂症患者和 1.4%的对照患者同时患有 HCV。我们进一步发现,在调整了性别、年龄、城市化水平、地理区域、月收入和药物滥用等因素后,精神分裂症与同时患有 HCV 之间并无显著相关性。然而,在所抽取的男性患者中,精神分裂症患者同时患有丙型肝炎的调整后比值比为 1.72,高于对照患者同时患有 HCV 的比值比。我们在抽取的女性患者中没有观察到这种关联。我们的结论是,精神分裂症与同时患有 HCV 之间并无显著相关性。然而,在所抽取的男性患者中,精神分裂症患者同时患有 HCV 的风险高于对照患者。