Liver Cirrhosis, Etiology and Clinical Characteristics Disparities Among Minority Population

Muhammad Abu Tailakh, Liat Poupko, Najwan Kayyal, Ali Alsana, Asia Estis-Deaton, Ohad Etzion, Alexander Fich, David Yardni, Naim Abu-Freha

Research output: Contribution to journalArticlepeer-review

Abstract

Liver cirrhosis (LC) is a common disease with varied primary causes and ethnic disparities. Clinical characteristics and outcomes of Arab Bedouin (AB) and Jewish patients with LC were retrospective collected and compared. We included 1048 patients, 95 (9%) Arab Bedouin and 953 (91%) Jewish patients. The incidence of cirrhosis was much lower among AB. Age at diagnosis was 47 ± 18 years among Bedouins compared to 61 ± 13 years (p < 0.001) among Jews. The most frequent causes of cirrhosis among Bedouin patients were fatty liver 21.1%, cryptogenic 20%, hepatitis B 17.9% and autoimmune hepatitis 15.8%, while hepatitis C (39.2%), fatty liver (17.2%) and alcoholic liver disease (14.4%) were most common among Jewish patients. An all-cause mortality of 48.4% was observed in AB patients compared to 66.4% in Jewish patients (p < 0.001). Significant disparities regarding incidence, clinical characteristics and outcomes of cirrhosis among Arab Bedouin compared with Jewish population were found.

Original languageAmerican English
Pages (from-to)1122-1128
Number of pages7
JournalJournal of Immigrant and Minority Health
Volume24
Issue number5
DOIs
StatePublished - 1 Oct 2022

Keywords

  • Arab Bedouin
  • Cirrhosis
  • Complications
  • Jews
  • Mortality

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health
  • Epidemiology

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