People who are at risk for developing hepatitis are workers in the
health care professions, people with multiple sexual partners, intravenous
drug users, and hemophiliacs. Hepatitis is generally thought to be as
much as ten times more common in the lower socioeconomic and poorly
educated groups. About one third of all cases of hepatitis come from
an unknown or unidentifiable source. This means that you don't have
to be in a high risk group in order to be infected with the hepatitis
virus.
Feces-contaminated water and food are the major sources of infection
of Hepatitis A , and infected people can transmit it to others if they
do not take strict sanitary precautions. Hepatitis A is the hepatitis
strain people are most likely to encounter in the course of international
travel. Up to 90% of Hepatitis B patients are men, although it can infect
children. Drug users who share needles are at considerable risk. Pregnant
women with hepatitis B can transmit the virus to their babies. Contaminated
medical instruments, including fingerstick devices used for more than
one individual, have been known to transmit the virus.
Hepatitis D occurs only in people with hepatitis B. It is not common
in the US and the incidence of this hepatitis is declining rapidly overseas.
Experts anticipate that it will be extremely rare in the near future.
Those who recover from hepatitis B are immune to further infection from
both hepatitis B and D viruses
Intravenous drug use has been the greatest risk factor for hepatitis
C since the early 1980s. Although transfused blood has been tested for
both hepatitis B and C since the early nineties, individuals given transfusions
before then, even decades before, may still be at risk. Such individuals
are urged to be tested. Most health care providers are at low risk,
although the chance of infection in hospital workers who are accidentally
stuck with a needle is high, ranging from 4% to 10%.
Hepatitis G accounts for about 9% of cases that cannot be diagnosed
as hepatitis A through E. It also occurs in about 25% of patients with
hepatitis A, 32% of those with hepatitis B, and 20% of patients with
hepatitis C. Hepatitis G is detected in between 1.5% and 3.2% of blood
donors and is believed to be more common than hepatitis C. From what
is known of hepatitis G, its risk factors are probably similar to those
of hepatitis C, although incidence among patients with multiple blood
transfusions is much lower than with hepatitis C.
Autoimmune chronic hepatitis typically occurs in women between the
ages of 20 and 40 who have other autoimmune diseases, including systemic
lupus erythematosus, rheumatoid arthritis, Sjögren's syndrome,
inflammatory bowel disease, glomerulonephritis, and hemolytic anemia.
Some research indicates that the postmenopausal period may be another
peak in incidence of AIH among women. About 30% of patients are men,
however, and in both genders there is often no relationship to another
autoimmune disease. In general, no major risk factors have been discovered
for this condition.
Although heavy drinking itself is the major risk factor for alcoholic
hepatitis, genetic factors may play a role in increasing a person's
risk for alcoholic hepatitis. Women who abuse alcohol are at higher
risk for alcoholic hepatitis and cirrhosis than are men who drink heavily.
High fat diets may also increase the risk in heavy drinkers.
Severe obesity plus hypertension are the major risk factors for nonalcoholic
steatohepatitis.