Epidemiology of hepatitis C virus infection among men who have sex with men
Key take-home messages
- HCV prevalence and incidence are low among HIV-negative men who have sex with men without a history of injection drug use and insufficient evidence exists to warrant routine screening in this population.
- Since 2000, incidence and prevalence of HCV have increased dramatically among HIV-positive men who have sex with men.
- HIV-positive men who have sex with men are more than four times more likely to acquire HCV than HIV-negative men who have sex with men.
- Factors associated with potential sexual transmission of HCV among men who have sex with men include: co-infection with HIV; unprotected anal intercourse and inconsistent condom use; use of recreational drugs; sexually transmitted infection(s); serosorting; multiple, anonymous, or casual sex partners and group sex; and sexual practices that result in bleeding or tissue damage.
- HCV reinfection rates are high among HIV-positive men who have sex with men.
- HIV-positive men who have sex with men would benefit from routine screening for HCV in and more extensive risk behaviour counselling and targeted HCV prevention services.
The Ontario HIV Treatment Network: Rapid Response Service
- Epidemiology and Determinants of Health
- Men who have sex with men
- General HIV+ population
- General HIV- population
- Hepatitis B, C