People with multiple tattoos and/or piercings are not at increased risk for HBV or HCV in The Netherlands.

BACKGROUND: Although published results are inconsistent, it has been suggested that tattooing and piercing are risk factors for HBV and HCV infections. To examine whether tattooing and piercing do indeed increase the risk of infection, we conducted a study among people with multiple tattoos and/or p...

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Main Authors: Anouk T Urbanus, Anneke van den Hoek, Albert Boonstra, Robin van Houdt, Lotte J de Bruijn, Titia Heijman, Roel A Coutinho, Maria Prins
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2011-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3173466?pdf=render
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author Anouk T Urbanus
Anneke van den Hoek
Albert Boonstra
Robin van Houdt
Lotte J de Bruijn
Titia Heijman
Roel A Coutinho
Maria Prins
author_facet Anouk T Urbanus
Anneke van den Hoek
Albert Boonstra
Robin van Houdt
Lotte J de Bruijn
Titia Heijman
Roel A Coutinho
Maria Prins
author_sort Anouk T Urbanus
collection DOAJ
description BACKGROUND: Although published results are inconsistent, it has been suggested that tattooing and piercing are risk factors for HBV and HCV infections. To examine whether tattooing and piercing do indeed increase the risk of infection, we conducted a study among people with multiple tattoos and/or piercings in The Netherlands who acquired their tattoos and piercings in The Netherlands and/or abroad. METHODS: Tattoo artists, piercers, and people with multiple tattoos and/or piercings were recruited at tattoo conventions, shops (N = 182), and a biannual survey at our STI-outpatient clinic (N = 252) in Amsterdam. Participants were interviewed and tested for anti-HBc and anti-HCV. Determinants of HBV and HCV infections were analysed using logistic regression analysis. RESULTS: The median number of tattoos and piercings was 5 (IQR 2-10) and 2 (IQR 2-4), respectively. Almost 40% acquired their tattoo of piercing abroad. In total, 18/434 (4.2%, 95%CI: 2.64%-6.46%) participants were anti-HBc positive and 1 was anti-HCV positive (0.2%, 95%CI: 0.01%-1.29%). Being anti-HBc positive was independently associated with older age (OR 1.68, 95%CI: 1.03-2.75 per 10 years older) and being born in an HBV-endemic country (OR 7.39, 95%CI: 2.77-19.7). Tattoo- and/or piercing-related variables, like having a tattoo or piercing in an HBV endemic country, surface percentage tattooed, number of tattoos and piercings etc., were not associated with either HBV or HCV. CONCLUSIONS: We found no evidence for an increased HBV/HCV seroprevalence among persons with multiple tattoos and/or piercings, which might be due to the introduction of hygiene guidelines for tattoo and piercing shops in combination with the low observed prevalence of HBV/HCV in the general population. Tattoos and/or piercings, therefore, should not be considered risk factors for HBV/HCV in the Dutch population. These findings imply the importance of implementation of hygiene guidelines in other countries.
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spelling doaj.art-086b7b38f35649fdbe4f05d64b635daf2022-12-22T00:31:51ZengPublic Library of Science (PLoS)PLoS ONE1932-62032011-01-0169e2473610.1371/journal.pone.0024736People with multiple tattoos and/or piercings are not at increased risk for HBV or HCV in The Netherlands.Anouk T UrbanusAnneke van den HoekAlbert BoonstraRobin van HoudtLotte J de BruijnTitia HeijmanRoel A CoutinhoMaria PrinsBACKGROUND: Although published results are inconsistent, it has been suggested that tattooing and piercing are risk factors for HBV and HCV infections. To examine whether tattooing and piercing do indeed increase the risk of infection, we conducted a study among people with multiple tattoos and/or piercings in The Netherlands who acquired their tattoos and piercings in The Netherlands and/or abroad. METHODS: Tattoo artists, piercers, and people with multiple tattoos and/or piercings were recruited at tattoo conventions, shops (N = 182), and a biannual survey at our STI-outpatient clinic (N = 252) in Amsterdam. Participants were interviewed and tested for anti-HBc and anti-HCV. Determinants of HBV and HCV infections were analysed using logistic regression analysis. RESULTS: The median number of tattoos and piercings was 5 (IQR 2-10) and 2 (IQR 2-4), respectively. Almost 40% acquired their tattoo of piercing abroad. In total, 18/434 (4.2%, 95%CI: 2.64%-6.46%) participants were anti-HBc positive and 1 was anti-HCV positive (0.2%, 95%CI: 0.01%-1.29%). Being anti-HBc positive was independently associated with older age (OR 1.68, 95%CI: 1.03-2.75 per 10 years older) and being born in an HBV-endemic country (OR 7.39, 95%CI: 2.77-19.7). Tattoo- and/or piercing-related variables, like having a tattoo or piercing in an HBV endemic country, surface percentage tattooed, number of tattoos and piercings etc., were not associated with either HBV or HCV. CONCLUSIONS: We found no evidence for an increased HBV/HCV seroprevalence among persons with multiple tattoos and/or piercings, which might be due to the introduction of hygiene guidelines for tattoo and piercing shops in combination with the low observed prevalence of HBV/HCV in the general population. Tattoos and/or piercings, therefore, should not be considered risk factors for HBV/HCV in the Dutch population. These findings imply the importance of implementation of hygiene guidelines in other countries.http://europepmc.org/articles/PMC3173466?pdf=render
spellingShingle Anouk T Urbanus
Anneke van den Hoek
Albert Boonstra
Robin van Houdt
Lotte J de Bruijn
Titia Heijman
Roel A Coutinho
Maria Prins
People with multiple tattoos and/or piercings are not at increased risk for HBV or HCV in The Netherlands.
PLoS ONE
title People with multiple tattoos and/or piercings are not at increased risk for HBV or HCV in The Netherlands.
title_full People with multiple tattoos and/or piercings are not at increased risk for HBV or HCV in The Netherlands.
title_fullStr People with multiple tattoos and/or piercings are not at increased risk for HBV or HCV in The Netherlands.
title_full_unstemmed People with multiple tattoos and/or piercings are not at increased risk for HBV or HCV in The Netherlands.
title_short People with multiple tattoos and/or piercings are not at increased risk for HBV or HCV in The Netherlands.
title_sort people with multiple tattoos and or piercings are not at increased risk for hbv or hcv in the netherlands
url http://europepmc.org/articles/PMC3173466?pdf=render
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