Risk factors of hepatitis B virus surface antigen carriage and serological profile of HBsAg carriers in Lomé Togo, 2016
Autor: | Zoulkaneiri Issa, Wemboo Afiwa Halatoko, Simon Nouvura Antara, Didier K. Ekouevi, Agballa Mébiny-Esso Tchalla, Aboukerim Naba-Mouchedou, Pauline Yanogo, Idrissa Sanou, Kossi Badziklou, Adjaho Koba, Leou Ismael Banla, Koffi Akolly, Abiba Kere Banla, Hamadi Assane, Bernard Sawadogo, Akouda Patassi |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Adult
Male HBsAg medicine.medical_specialty 030209 endocrinology & metabolism Serology 03 medical and health sciences Young Adult 0302 clinical medicine Internal medicine Epidemiology Ethnicity Prevalence Medicine Humans 030212 general & internal medicine Hepatitis Hepatitis B Surface Antigens business.industry Coinfection lcsh:Public aspects of medicine Public Health Environmental and Occupational Health Case-control study lcsh:RA1-1270 Odds ratio Hepatitis B Middle Aged medicine.disease Serological profile Hepatitis C Carriage Risk factors Togo Case-Control Studies Carrier State Female business HBs antigen Lomé Research Article |
Zdroj: | BMC Public Health BMC Public Health, Vol 19, Iss 1, Pp 1-7 (2019) |
ISSN: | 1471-2458 |
Popis: | Background In Togo, the prevalence of Hepatitis B Virus Surface Antigen (HBsAg) among young people aged 15–24 years was estimated at 16.4% in 2010; however, risk factors for HBsAg carriage are poorly documented. We sought to identify risk factors for HBsAg carriage and the serological profile of HBsAg carriers in Lomé (capital city of Togo). Method We conducted a case control study from October 2016 to March 2017 in Lomé. Cases and controls were randomly selected from a database of Institut National d’Hygiène (INH) of Lomé during a free screening campaign for hepatitis B. We calculated means, frequencies, proportions, odds ratios (OR), and 95% confidence interval (CI) and performed logistic regression. Results We included 83 confirmed cases and 249 controls. The median age was 31 years among cases and 30 years among the controls. The sex ratios (M/F) were 11/6 among cases and 4/3 for the controls. The independent risk factors for HBsAg carriage were the awareness of hepatitis B serological status (OR = 3.56, 95% CI [1.80–7.04]) and Kabyè-tem ethnic group (OR = 3.56, 95% CI [1.98–6.39]). Among HBsAg carriers, 13.3% were at the viral replication stage (all of whom were between 30 and 45 years of age) and 1.2% were at the acute stage of the disease. The prevalence of co-infection with hepatitis B and C was 4.80%. All co-infections were in women aged 24–28 years. Conclusion The Kabyè-tem ethnic group is at risk of HBsAg carriage in Lomé. Of note, most HBsAg carriers in this ethnic group are aware of their HBsAg serological status. Furthermore, the prevalence of Hepatitis among adults of reproductive age is high and is cause for concern. We therefore recommend screening and vaccination campaigns at subsidized prices among people aged 30 years and older. |
Databáze: | OpenAIRE |
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