Evidence map›Paper›PMID 23175457›Full record

ArticleHepatology (Baltimore, Md.)2013

Sexual transmission of hepatitis C virus among monogamous heterosexual couples: the HCV partners study.

Norah A Terrault, Jennifer L Dodge, Edward L Murphy, John E Tavis, Alexi Kiss, T R Levin, Robert G Gish, Michael P Busch, Arthur L Reingold, Miriam J Alter

Open access · bronzeAbstract read
In one paragraph

Article in Hepatology (Baltimore, Md.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 6 pooled it
10.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

98 citing papers in PubMed, 6 syntheses or guidelines pooled it, 254 citations in OpenAlex.

  1. Pooled it
  2. Sexually Transmitted Infections Treatment Guidelines, 2021.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2021
    Guideline
  3. Pooled it
  4. Guideline
  5. Pooled it
  6. Sexually transmitted diseases treatment guidelines, 2015.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2015
    Guideline
  7. Trial
  8. Article
  9. Trends in Hepatitis C Virus Infection Prevalence Among People With HIV in Spain Over 2 Decades (2002-2023).Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Widespread hepatitis C virus transmission network among people who inject drugs in Kenya.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2024
    Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. Article

38 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 1 country.

Norah A TerraultDepartment of Medicine, University of California San Francisco, San Francisco, CA 94143, USA. norah.terrault@ucsf.edu
Jennifer L Dodge
Edward L Murphy
John E Tavis
Alexi Kiss
T R Levin
Robert G Gish
Michael P Busch
Arthur L Reingold
Miriam J Alter
Saint Louis University · USUniversity of California, San Francisco · USBerkeley Public Health Division · USBlood Systems Research Institute · USCalifornia Pacific Medical Center · USCenters for Disease Control and Prevention · USKaiser Permanente · USUniversity of San Francisco · US

Funding

UCSF Liver Core CenterP30DK026743 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Holger Willenbring · 1986 to 2026
$30.7M
Response of HCV to Therapy in African AmericansU01DK060345 · NIDDK · SAINT LOUIS UNIVERSITY · PI TAVIS, JOHN E · 2001 to 2005
$1.4M
Role of HCV Sequence Variation in PathologyR01DK074515 · NIDDK · SAINT LOUIS UNIVERSITY · PI TAVIS, JOHN E · 2007 to 2010
$1.3M
Resistance to Antiviral Therapy in Chronic Hepatitis CU01DK060346 · NIDDK · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI TERRAULT, NORAH A · 2001 to 2005
$1.2M
NIDDK NIH HHS P30 DK026743NIDDK NIH HHS R01 DK074515NIDDK NIH HHS U01 DK060345NIDDK NIH HHS U01 DK060346
6 · The paper itself

Abstract

unlabelledThe efficiency of hepatitis C virus (HCV) transmission by sexual activity remains controversial. We conducted a cross-sectional study of HCV-positive subjects and their partners to estimate the risk for HCV infection among monogamous heterosexual couples. A total of 500 anti-HCV-positive, human immunodeficiency virus-negative index subjects and their long-term heterosexual partners were studied. Couples were interviewed separately for lifetime risk factors for HCV infection, within-couple sexual practices, and sharing of personal grooming items. Blood samples were tested for anti-HCV, HCV RNA, and HCV genotype and serotype. Sequencing and phylogenetic analysis determined the relatedness of virus isolates among genotype-concordant couples. The majority of HCV-positive index subjects were non-Hispanic white, with a median age of 49 years (range, 26-79 years) and median of 15 years (range, 2-52 years) of sexual activity with their partners. Overall, HCV prevalence among partners was 4% (n=20), and nine couples had concordant genotype/serotype. Viral isolates in three couples (0.6%) were highly related, consistent with transmission of virus within the couple. Based on 8,377 person-years of follow-up, the maximum incidence rate of HCV transmission by sex was 0.07% per year (95% confidence interval, 0.01-0.13) or approximately one per 190,000 sexual contacts. No specific sexual practices were related to HCV positivity among couples.

conclusionThe results of this study provide quantifiable risk information for counseling long-term monogamous heterosexual couples in which one partner has chronic HCV infection. In addition to the extremely low estimated risk for HCV infection in sexual partners, the lack of association with specific sexual practices provides unambiguous and reassuring counseling messages.

Indexed as

AdultAgedAged, 80 and overCaliforniaDNA, ViralFemaleGenotypeHepacivirusHepatitis C, ChronicHeterosexualityHumansIncidenceMaleMiddle AgedPhylogenyPrevalenceDNA, Viral

Identifiers

PMID23175457
PMCPMC4384338
OpenAlexW2159223590

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.