PMID- 30423991 OWN - NLM STAT- MEDLINE DCOM- 20190225 LR - 20190225 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 15 IP - 11 DP - 2018 Nov 9 TI - Hepatitis C Virus Infection at Primary Healthcare Level in Abha City, Southwestern Saudi Arabia: Is Type 2 Diabetes Mellitus an Associated Factor? LID - 10.3390/ijerph15112513 [doi] LID - 2513 AB - BACKGROUND: There is an increasing concern about the relation between hepatitis C virus infection (HCV) and type 2 diabetes mellitus (T2DM). The present study aims to determine the prevalence of HCV infection among T2DM patients and non-diabetic patients attending primary healthcare centers (PHCCs) in Abha city, southwestern Saudi Arabia, and to explore the possible association between T2DM and HCV infection. METHODS: A cross-sectional study targeting a random sample of T2DM and non-diabetic patients attending PHCCs in Abha City was conducted. Patients were interviewed using a structured questionnaire and screened for HCV infection using fourth-generation ELISA kits. All positive cases were confirmed by qualitative RT-PCR immune assay. RESULTS: The study revealed an overall seroprevalence of HCV infection of 5% (95% CI: 2.9(-)7.9%). Among T2DM and non-diabetics, a seroprevalence of 8.0% and 2.0% was found, respectively. Using multivariable regression analysis, the only significant associated factor for HCV infection was T2DM (aOR = 4.185, 95% CI: 1.074(-)16.305). CONCLUSIONS: There is strong positive association between T2DM and HCV infection. Yet, the direction of relationship is difficult to establish. Patients with T2DM have higher prevalence of HCV infection than non-diabetic group. It is highly recommended for primary health care providers to screen for HCV infection among T2DM patients and to increase the level of HCV awareness among them. FAU - Al Humayed, Suliman M AU - Al Humayed SM AD - Department of Internal Medicine, College of Medicine, King Khalid University, P.O. Box 641, Abha 61421, Saudi Arabia. s_humayed@yahoo.com. FAU - Mahfouz, Ahmed A AU - Mahfouz AA AUID- ORCID: 0000-0002-4974-6431 AD - Department of Family and Community Medicine, College of Medicine, King Khalid University, P.O. Box 641, Abha 61421, Saudi Arabia. mahfouz2005@gmail.com. AD - Department of Epidemiology, High Institute of Public Health, Alexandria University, Alexandria 21511, Egypt. mahfouz2005@gmail.com. FAU - Awadalla, Nabil J AU - Awadalla NJ AUID- ORCID: 0000-0002-5687-6621 AD - Department of Family and Community Medicine, College of Medicine, King Khalid University, P.O. Box 641, Abha 61421, Saudi Arabia. njgirgis@yahoo.co.uk. AD - Department of Community Medicine, College of Medicine Mansoura University, Mansoura 35516, Egypt. njgirgis@yahoo.co.uk. FAU - Alsabaani, Abdullah A AU - Alsabaani AA AD - Department of Family and Community Medicine, College of Medicine, King Khalid University, P.O. Box 641, Abha 61421, Saudi Arabia. dr.alsabaani@hotmail.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20181109 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*epidemiology/etiology MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Hepatitis C/*epidemiology/virology MH - Humans MH - Male MH - Middle Aged MH - Prevalence MH - Primary Health Care/statistics & numerical data MH - Risk Factors MH - Saudi Arabia/epidemiology MH - Seroepidemiologic Studies PMC - PMC6267576 OTO - NOTNLM OT - Saudi Arabia OT - hepatitis C virus infection OT - primary healthcare centers OT - type 2 diabetes mellitus COIS- The authors declare no conflicts of interest. EDAT- 2018/11/15 06:00 MHDA- 2019/02/26 06:00 PMCR- 2018/11/01 CRDT- 2018/11/15 06:00 PHST- 2018/10/28 00:00 [received] PHST- 2018/11/05 00:00 [revised] PHST- 2018/11/08 00:00 [accepted] PHST- 2018/11/15 06:00 [entrez] PHST- 2018/11/15 06:00 [pubmed] PHST- 2019/02/26 06:00 [medline] PHST- 2018/11/01 00:00 [pmc-release] AID - ijerph15112513 [pii] AID - ijerph-15-02513 [pii] AID - 10.3390/ijerph15112513 [doi] PST - epublish SO - Int J Environ Res Public Health. 2018 Nov 9;15(11):2513. doi: 10.3390/ijerph15112513.