{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T13:21:45Z","timestamp":1790688105623,"version":"4.1.0"},"reference-count":43,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2012,7,1]],"date-time":"2012-07-01T00:00:00Z","timestamp":1341100800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Diabetes Sci Technol"],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The risk of acute hepatitis B among adults with diabetes mellitus is unknown. We investigated the association between diagnosed diabetes and acute hepatitis B.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Confirmed acute hepatitis B cases were reported in 2009\u20132010 to eight Emerging Infections Program (EIP) sites; diagnosed diabetes status was determined. Behavioral Risk Factor Surveillance System respondents residing in EIP sites comprised the comparison group. Odds ratios (ORs) comparing acute hepatitis B among adults with diagnosed diabetes versus without diagnosed diabetes were determined by multivariate logistic regression, adjusting for age, sex, and race\/ethnicity, and stratified by the presence or absence of risk behaviors for hepatitis B virus (HBV) infection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>During 2009\u20132010, EIP sites reported 865 eligible acute hepatitis B cases among persons aged \u226523 years; 95 (11.0%) had diagnosed diabetes. Comparison group diabetes prevalence was 9.1%. Among adults without hepatitis B risk behaviors and with reported diabetes status, the OR for acute hepatitis B comparing adults with and without diabetes was 1.9 (95% confidence interval [CI] = 1.4, 2.6); ORs for adults ages 23\u201359 and \u226560 years were 2.1 (95% CI = 1.6, 2.8) and 1.5 (95% = CI 0.9, 2.5), respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Diabetes was independently associated with an increased risk for acute hepatitis B among adults without HBV risk behaviors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/193229681200600417","type":"journal-article","created":{"date-parts":[[2014,1,10]],"date-time":"2014-01-10T10:35:52Z","timestamp":1389350152000},"page":"858-866","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":63,"title":["Increased Risk of Acute Hepatitis B among Adults with Diagnosed Diabetes Mellitus"],"prefix":"10.1177","volume":"6","author":[{"given":"Meredith L.","family":"Reilly","sequence":"first","affiliation":[{"name":"Division of Viral Hepatitis, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah F.","family":"Schillie","sequence":"additional","affiliation":[{"name":"Division of Viral Hepatitis, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Smith","sequence":"additional","affiliation":[{"name":"Division of Viral Hepatitis, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tasha","family":"Poissant","sequence":"additional","affiliation":[{"name":"Oregon Health Authority, Portland, Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Candace W.","family":"Vonderwahl","sequence":"additional","affiliation":[{"name":"Colorado Department of Public Health and Environment, Denver, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin","family":"Gerard","sequence":"additional","affiliation":[{"name":"Connecticut Department of Public Health, Hartford, Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Baumgartner","sequence":"additional","affiliation":[{"name":"New York City Department of Health and Mental Hygiene, Long Island City, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynne","family":"Mercedes","sequence":"additional","affiliation":[{"name":"Georgia Department of Public Health, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin","family":"Sweet","sequence":"additional","affiliation":[{"name":"Minnesota Department of Health, St. Paul, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Muleta","sequence":"additional","affiliation":[{"name":"Tennessee Department of Health, Nashville, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel J.","family":"Zaccaro","sequence":"additional","affiliation":[{"name":"RTI International, Research Triangle Park, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. Monina","family":"Klevens","sequence":"additional","affiliation":[{"name":"Division of Viral Hepatitis, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trudy V.","family":"Murphy","sequence":"additional","affiliation":[{"name":"Division of Viral Hepatitis, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2012,7,1]]},"reference":[{"key":"bibr1-193229681200600417","volume-title":"National diabetes fact sheet: National estimates and general information on diabetes and prediabetes in the United States, 2011","author":"Centers for Disease Control and Prevention (CDC)","year":"2011"},{"key":"bibr2-193229681200600417","doi-asserted-by":"publisher","DOI":"10.1186\/1478-7954-8-29"},{"key":"bibr3-193229681200600417","doi-asserted-by":"publisher","DOI":"10.2337\/dc11-S011"},{"key":"bibr4-193229681200600417","unstructured":"Centers for Disease Control and Prevention. Diabetes data and trends.\n                      www.cdc.gov\/diabetes\/statistics\n                      . Accessed November 8, 2011."},{"key":"bibr5-193229681200600417","unstructured":"Burrows NR. Update: National diabetes statistics. Presented at: Meeting of the Advisory Committee on Immunization Practices (ACIP), Atlanta, GA, February 24, 2011.\n                      http:\/\/www.cdc.gov\/vaccines\/recs\/acip\/\n                      ."},{"key":"bibr6-193229681200600417","doi-asserted-by":"publisher","DOI":"10.1177\/193229681100500601"},{"key":"bibr7-193229681200600417","doi-asserted-by":"publisher","DOI":"10.1097\/01.poc.0000189933.35225.77"},{"key":"bibr8-193229681200600417","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2010.02802.x"},{"key":"bibr9-193229681200600417","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.744"},{"key":"bibr10-193229681200600417","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2011.04.331"},{"key":"bibr11-193229681200600417","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(81)92877-4"},{"key":"bibr12-193229681200600417","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/129.2.210"},{"issue":"16","key":"bibr13-193229681200600417","first-page":"1","volume":"55","author":"Mast EE","year":"2006","journal-title":"MMWR Recomm Rep."},{"key":"bibr14-193229681200600417","unstructured":"Centers for Disease Control and Prevention. Viral hepatitis surveillance \u2014 United States, 2009.\n                      www.cdc.gov\/hepatitis\/Statistics\/2009Surveillance\/index.htm\n                      . 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