The relationship of viral hepatitis and body piercing has been investigated
in 12 research studies published between 1974 and 1997. Because there are
often a large number of unknowns regarding the cause of viral hepatitis, mo
st of the studies were conducted to identify multiple risk factors for hepa
titis. Eight of the 12 studies identified percutaneous exposure, including
body piercing and ear piercing, as a risk factor for viral hepatitis. Six s
tudies found that hepatitis seropositivity was significantly associated wit
h ear piercing. Conclusions indicate that evidence is sufficient to institu
te public health education along with regulation of the body-piercing indus
try. Recent research has found a significant increase in legislative effort
s to regulate body piercing. Little research has focused directly on body p
iercing as a specific risk factor for viral hepatitis. Further research in
this area is necessary to increase the understanding of hepatitis transmiss
ion by body piercing.