Journal of Public Health Policy

, Volume 30, Issue 3, pp 285–299

Factors associated with serum retinol, α-tocopherol, carotenoids, and selenium in Hispanics with problems of HIV, chronic hepatitis C, and drug use

  • Janet E Forrester
  • Xiang D Wang
  • Tamsin A Knox
  • Carmia G Borek
  • Alice M Tang
  • Elizabeth J Johnson
Original Article

DOI: 10.1057/jphp.2009.20

Cite this article as:
Forrester, J., Wang, X., Knox, T. et al. J Public Health Pol (2009) 30: 285. doi:10.1057/jphp.2009.20

Abstract

The effects of hepatitis and drug use on nutritional problems in HIV infection have rarely been examined despite the importance of drug use in the global HIV pandemic. We examined the effects of HIV, hepatitis C, and drug use on serum micronutrients in 300 US Hispanic adults. Chronic hepatitis C infection was associated with lower serum retinol (−8.2 μg/dl, P<0.0001), α-tocopherol (−0.10 ln μg/dl, P=0.024), and carotenoids (−19.8 μg/dl, P<0.0001). HIV infection was associated with lower selenium (−6.1 μg/l, P=0.028). Elevated triglycerides in HIV infection were associated with higher serum retinol and α-tocopherol. Drug use was not independently associated with micronutrient alterations. We conclude that hepatitis C is an important determinant of low serum micronutrients, and should be considered in any nutritional assessment of HIV infected populations. As the safety of micronutrient supplementation is not established, policy for appropriate HIV clinical care should distinguish between populations with and without hepatitis coinfection.

Keywords

HIV drug use hepatitis C serum micronutrients 

Copyright information

© Palgrave Macmillan 2009

Authors and Affiliations

  • Janet E Forrester
    • 1
  • Xiang D Wang
    • 2
  • Tamsin A Knox
    • 1
  • Carmia G Borek
    • 1
  • Alice M Tang
    • 1
  • Elizabeth J Johnson
    • 2
  1. 1.Tufts University School of MedicineBostonUS
  2. 2.Jean Meyer USDA Human Nutrition Research Center on Aging at Tufts UniversityBostonUSA

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