Risk Factors for Hepatitis B Virus Infection in Black Female Attendees of a Sexually Transmitted Disease Clinic

Baddour, Larry M.; Bucak, Vicki A.; Somes, Grant W.; Hudson, Richard R.

doi:10.1097/00007435-198807000-00014

Cited by 15 publications

(2 citation statements)

References 10 publications

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“…Of the four HIV infected patients who were HBsAg positive, one, a bisexual who had engaged in anal (insertive and receptive) and vaginal intercourse with more than a 100 lifetime partners, was HBeAg positive. All these nine with HBeAg were Chinese aged [23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] years. Three of the STD patients but none of the HIV infected patients were anti-HBc IgM positive.…”

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confidence: 99%

Prevalence of hepatitis B virus (HBV) infection in Singapore men with sexually transmitted diseases and HIV infection: role of sexual transmission in a city state with intermediate HBV endemicity.

Heng

Goh

Chan

et al. 1995

Journal of Epidemiology & Community Health

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Study objectives -To describe the prevalence of hepatitis B virus (HBV) 41-2%,61-7%, and 33-3%, respectively (p<0-001). The seroprevalences of hepatitis B surface antigen (6-2%, 8-5%, and 4-5%, respectively) were comparable in the three groups. Using stepwise logistic regression analysis, the adjusted seroprevalences of HBV infection in STD and HIV infected patients were respectively 2-4 times (95% confidence interval (CI), 1-7, 3-3) and 3-3 times (95% CI 1-7, 6-3) higher than in controls. HBV infection rates were higher among Chinese (odds ratio (OR), 1-9; 95% CI 1*6, 3-4) than non-Chinese, and among those aged 25-34 years (OR 2-4; 95% CI 1*6, 3-4), 35-44 years (OR 3-9; 95% CI 2-5, 5.9), and 45+ years (OR 6'2; 95% CI 3-8, 10-2) than in those aged 15-24 years. Sex related factors significantly associated with higher infection rates, independent of age and ethnic group, were reactive VDRL test (OR 2-4; 95% CI 1-2, 4-7), participation in anal intercourse (OR 2-3; 95% CI 1*2, 4-3), and having 10 or more lifetime sexual partners (OR 1-5; 95% CI, 1-0, 2-1). Conclusion -The importance of sexual transmission of HBV in an area of intermediate HBV endemicity was confirmed. Patients attending STD clinics should be routinely screened for HBV markers and those found to be seronegative should be strongly advised to be immunised against this virus. Hepatitis B has been recognised as an important sexually transmitted disease.' Extensive epidemiological studies relating to the sexual transmission of hepatitis B virus (HBV) have been conducted in the low HBV endemic countries of North America and western Europe.2'2 Its role in countries of intermediate and high HBV endemicity, however, is not so clear. This is because in endemic countries, up to 80% of the population may already have been infected before reaching a sexually active age.'3 Evidence on sexual transmission is therefore difficult to obtain. In Sudan, a serosurvey among prostitutes failed to show the significance of sexual transmission of HBV.'4 Based on serological studies of household contacts in Taiwan, '5 China,"6 Hong Kong,'7 and the Middle East,'8 it was concluded that sexual transmission of HBV infection by spouses is oflittle significance. However, a recent study on acute hepatitis B cases conducted in Taiwan, a country highly endemic for HBV, convincingly showed the importance of heterosexual transmission.'9Singapore is a city state of intermediate HBV endemicity with an overall hepatitis B surface antigen (HBsAg) carrier rate of 5% and HBV infection rate of about 25% in the general population.20 The role that sexual transmission of HBV plays has not been fully evaluated and is probably underestimated. Serological surveys showed a sharp increase in HBV prevalence in adolescents and young adults. Among family members of acute hepatitis B cases, the prevalence of HBV infection in spouses (73%) was significantly higher than that in siblings, offspring, and other blood relatives,2' and spouses of hepatitis B e antigen (HBeAg) positive women had a h...

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Section: Description Of Datamentioning

confidence: 99%

Prevalence of hepatitis B virus (HBV) infection in Singapore men with sexually transmitted diseases and HIV infection: role of sexual transmission in a city state with intermediate HBV endemicity.

Heng

Goh

Chan

et al. 1995

Journal of Epidemiology & Community Health

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“…Tuncel ve arkadaşları (33) ise, hayat kadınlarında bu oranlan % 8.9 ve % 50.5 olarak bildirmektedir. Hayat kadmlan HBV için önemli risk grubundadır (1,16,19,21). HBsAg pozitif annelerden transplasenter, özellikle perinatal bulaşlar olmakta ve kordon kanında % 0-80 HBsAg pozitifliği bildirilmektedir (5,26,32,33).…”

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YEMEK FABRİKASI VE LOKANTA PERSONELİNDE ELISA TESTİ İLE HBsAg ve ANTİ-HBs SONUÇLARI

Muazeffer;CENGİZ¹

1994

Ankara Üniversitesi Tıp Fakültesi Mecmuası

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Hepatit B Virüs (HBV) infeksiyonları önemli sağlık sorunlarımız-dan birisini oluşturmaktadır. Ülkemiz HBsAg pozitifliğinin % 2-10 ve Anti-HBs pozitifliğinin % 20-50 olduğu orta kuşak kesimine girmektedir (28,30). HBV'nin kaynağını, akut B hepatitli hastalar özellikle, kronik taşıyıcılar oluşturmakta ve bulaşda parenteral, perinatal, cinsel ilişki yolları etkin olmaktadır. HBsAg, dışkı, idrar, ter, safra, gözyaşı, tükrük, bronş lavaj sıvısı, anne sütü, semende saptanmıştır (2,15,18,28). Bu nedenle, parenteral ilaç alışkanlığı olanlar, eşcinseller ve hayat kadınları, hemodiyaliz hastaları, sağlık personeli, yenidoğanlar gibi risk grupları tanımlanmıştır (14). Poyraz ve arkadaşları (29), sağlıklı 50 kadında, HBsAg % 6 ve Anti-HBs % 24, Kılıç ve arkadaşları (22) ise sırasıyla, aynı grupta, % 6 ve % 28 seropozitiflik oranlarını vermektedir. Kılıç ve arkadaşları (22), hayat kadınlarında % 6.3 HBsAg ve % 50.5 Anti-HBs seropozitifliğine işaret etmektedir. Tuncel ve arkadaşları (33) ise, hayat kadınlarında bu oranlan % 8.9 ve % 50.5 olarak bildirmektedir. Hayat kadmlan HBV için önemli risk grubundadır (1,16,19,21). HBsAg pozitif annelerden transplasenter, özellikle perinatal bulaşlar olmakta ve kordon kanında % 0-80 HBsAg pozitifliği bildirilmektedir (5,26,32,33).

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Prevalence of Hepatitis B in Pregnant Women

Waters¹

1992

JAMA

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Risk Factors for Hepatitis B Virus Infection in Black Female Attendees of a Sexually Transmitted Disease Clinic

Cited by 15 publications

References 10 publications

Prevalence of hepatitis B virus (HBV) infection in Singapore men with sexually transmitted diseases and HIV infection: role of sexual transmission in a city state with intermediate HBV endemicity.

Prevalence of hepatitis B virus (HBV) infection in Singapore men with sexually transmitted diseases and HIV infection: role of sexual transmission in a city state with intermediate HBV endemicity.

YEMEK FABRİKASI VE LOKANTA PERSONELİNDE ELISA TESTİ İLE HBsAg ve ANTİ-HBs SONUÇLARI

Prevalence of Hepatitis B in Pregnant Women

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