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Women with low income appear to be more likely to engage in these risky behaviors. HCV prevalence was highest in the 2 most urban counties: San Francisco 4. HCV prevalence was significantly higher among women reporting use of amphetamine, cocaine, or heroin compared with women not using these drugs. The current study examined HCV in the Young Women's Survey, a population-based sample of young women recruited in low income, multiethnic neighborhoods of northern California. Despite study limitations, our data provide rare population-based estimates of HCV prevalence and related risk factors among young, low-income women. However, investigation of sexually transmitted infections as potential cofactors for sexual transmission of HCV is hampered by the confounding effects of concomitant high-risk sexual behavior and injection practices. A sample of women, aged 18 to 29, were surveyed and screened for sexually transmitted infections and HCV.

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HCV prevalence was highest in the 2 most urban counties: San Francisco 4.

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The cross-sectional design of this study, however, precludes confirmation of this hypothesis and limits causal inference. Despite study limitations, our data provide rare population-based estimates of HCV prevalence and related risk factors among young, low-income women. The Young Women's Survey was a single-stage, cluster-sample, population-based, door-to-door, cross-sectional survey designed to measure the prevalence of HIV, sexually transmitted diseases, and related risk behavior in young, low-income women in northern California. However, investigation of sexually transmitted infections as potential cofactors for sexual transmission of HCV is hampered by the confounding effects of concomitant high-risk sexual behavior and injection practices.

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