Seroepidemiology and risk factors of hepatitis B virus in Aden, Yemen

Amen Ahmed Bawazir, Christopher Parry, C. Anthony Hart, Tallal A. Sallam, Nicholas Beeching, Luis Cuevas

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

Background

There is little published data concerning hepatitis B virus (HBV) infection in Aden and no data concerning risk factors for infection. This study aimed to determine the prevalence of HBV infection and risk factors for infection in Aden, Yemen.

Methods

A prospective cross sectional survey of individuals attending primary health care facilities was stratified by age and population size. Five hundred and thirty five participants were interviewed and serum was screened for the presence of Immunoglobin G HBV core antibodies (antiHBc). AntiHBc positive participants were tested for antibodies to hepatitis B surface antigen (HBsAg). A case–control analysis of risk factors for HBV was undertaken comparing risk factors between antiHBc positive cases and seronegative controls.

Results

The age-standardized seroprevalence for antiHBc was 16.2% (95% confidence interval (CI) 13.1–19.3) and for HBsAg was 1.5% (95% CI 0.5–2.5). The seroprevalence of antiHBc and HBsAg was estimated to range from 5.5% and 0% in infants to 40% and 4.6% in adults, respectively (p < 0.001). Age (AOR = 1.03, 95% CI = 1.01–1.05), household size (>5–9 members, AOR = 2.9, 95% CI = 1.1–7.6) and ownership of a landline telephone (AOR = 2.8, 95% CI = 1.3–5.8) were independent risk factors for HBV infection.

Conclusions

HBV is still a public health problem in this community, with older individuals having much higher prevalence than younger generations. The results of this study would categorise Aden as a low HBV endemic zone. Perinatal transmission does not seem to be a major route of transmission

Original languageEnglish
Pages (from-to)48-54
Number of pages7
JournalJournal of Infection and Public Health
Volume4
Issue number1
DOIs
Publication statusPublished - 1 Mar 2011

Keywords

  • Aden
  • Hepatitis B virus
  • Risk factors
  • Seroepidemiology
  • Yemen

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