title: Female Genital Cutting and Hepatitis C Spread in Egypt.
abstract: A recent analysis of Egypt's first nationally representative survey of hepatitis C virus (HCV) infection found female genital cutting (FGC) to be an independent risk factor for HCV infection for women in urban areas. We use the same dataset to extend this analysis. In an ecological analysis, we find a strong association between FGC and HCV prevalence (Pearson R (2)-74%;  P < 0.0001). HCV prevalence is significantly higher if FGC is performed by a non-Doctor (15.4%) than a Doctor (4.2%; P < 0.001), and the calculated population attributable fraction of FGC for prevalent HCV seropositivity is high in women (79.8%).
authors.affiliation: HIV/STD Unit, Institute of Tropical Medicine, Antwerp, Nationalestraat 155, 2000 Antwerp, Belgium; Division of Infectious Diseases and HIV Medicine, University of Cape Town, Anzio Road, Observatory 7700, South Africa.
authors.forename: Chris
authors.identifier: 0000-0001-9861-8033
authors.initials: C
authors.lastname: Kenyon
authors.affiliation: Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Nationalestraat 155, 2000 Antwerp, Belgium.
authors.forename: Jozefien
authors.identifier: 0000-0001-6780-380X
authors.initials: J
authors.lastname: Buyze
authors.affiliation: Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Nationalestraat 155, 2000 Antwerp, Belgium.
authors.forename: Ludwig
authors.initials: L
authors.lastname: Apers
authors.affiliation: Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Nationalestraat 155, 2000 Antwerp, Belgium.
authors.forename: Robert
authors.initials: R
authors.lastname: Colebunders