Hongjaisee S., Khamduang W., Sripan P., Choyrum S., Thepbundit V., Ngo-Giang-Huong Nicole, Tangmunkongvorakul A. (2020). Prevalence and factors associated with hepatitis B and D virus infections among migrant sex workers in Chiangmai, Thailand : a cross-sectional study in 2019. International Journal of Infectious Diseases, 100, p. 247-254. ISSN 1201-9712.
Titre du document
Prevalence and factors associated with hepatitis B and D virus infections among migrant sex workers in Chiangmai, Thailand : a cross-sectional study in 2019
Année de publication
2020
Auteurs
Hongjaisee S., Khamduang W., Sripan P., Choyrum S., Thepbundit V., Ngo-Giang-Huong Nicole, Tangmunkongvorakul A.
Source
International Journal of Infectious Diseases, 2020,
100, p. 247-254 ISSN 1201-9712
Objectives: To determine the prevalence of hepatitis B surface antigen (HBsAg) and antibody to hepatitis delta virus (anti-HDV) and associated factors among migrant sex workers in Chiangmai, Thailand. Methods: This cross-sectional study was conducted at various sexual entertainment venues in Chiangmai, Thailand, in 2019. Consenting participants were interviewed using a questionnaire, and plasma was tested for hepatitis B virus (HBV) markers (DiaSorin, Italy) and anti-HDV antibody (DIA.PRO Diagnostic Bioprobes, Italy), if HBsAg-positive. Associations between HBsAg positivity or HDV antibody and potential factors were examined using univariable and multivariable logistic regression analysis. Results: A total of 396 migrant sex workers, half of them female, were recruited between February and September 2019. Their median age was 25 years (interquartile range 22-30 years) and 95% were Burmese. Overall, HBsAg prevalence was 11.4%; 8.1% in females and 14.7% in males (Chi-square, p = 0.040). One-third were still susceptible to HBV. No HBsAg-positive participants had anti-HDV antibodies. HBsAg positivity was associated with being male (adjusted odds ratio (aOR) 3.01, 95% confidence interval (CI) 1.25-7.68, p = 0.014), having attended school (aOR 4.50, 95% CI 1.26-15.98, p = 0.020), being separated/divorced/widowed (aOR 5.77, 95% CI 1.48-22.52, p = 0.012), and having unprotected sex (aOR 3.38, 95% CI 1.31-8.71, p = 0.012). Conclusions: In this young population, higher HBsAg prevalence in males may be related to sexual transmission, indicating the need for HBV screening programs linked with HBV prevention and care.
Plan de classement
Santé : généralités [050]
;
Entomologie médicale / Parasitologie / Virologie [052]
;
Démographie [108]
Description Géographique
THAILANDE ; CHIANG MAI
Localisation
Fonds IRD [F B010080898]
Identifiant IRD
fdi:010080898
