@article{fdi:010087803,
  title = {{H}epatitis {B} prevention and treatment needs in women in {S}enegal ({ANRS} 12356 {A}m{BASS} survey)},
  author = {{D}jaogol, {T}. and {P}{\'e}ri{\`e}res, {L}auren and {M}arcellin, {F}. and {D}iouf, {A}. and {C}arrieri, {M}. {P}. and {D}iallo, {A}. and {B}oyer, {S}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground{A}lthough mother-to-child transmission ({MTCT}) of hepatitis {B} virus ({HBV}) is prevalent in {W}est {A}frica, epidemiological data on {HBV} infection in women remain scarce. {W}e studied i) hepatitis {B} surface antigen ({HB}s{A}g) prevalence and its correlates, ii) {HBV} screening history and serological status awareness, iii) {MTCT} risk and treatment needs in {S}enegalese women.{M}ethods{A} cross-sectional population-based serosurvey for {HB}s{A}g positivity was conducted in 2018-2019 in the rural area of {N}iakhar ({F}atick region, {S}enegal). {P}articipants were offered home-based {HBV} screening and answered face-to-face questionnaires. {HB}s{A}g-positive participants underwent clinical and biological assessments. {D}ata were weighted and calibrated to be representative of the area's population. {L}ogistic regression models helped identify factors associated with {HB}s{A}g-positivity in adult women (> 15 years old).{R}esults{HB}s{A}g prevalence in adult women was 9.2% [95% confidence interval: 7.0-11.4]. {F}actors associated with {HB}s{A}g-positivity were being 15-49 years old (ref: >= 50), living in a household with > 2 other {HB}s{A}g-positive members, and knowing someone with liver disease. {O}nly 1.6% of women had already been tested for {HBV}; no one who tested {HB}s{A}g positive was already aware of their serological status. {I}n women 15-49 years old, 5% risked {MTCT} and none were eligible for long-term antiviral treatment.{C}onclusions{A}dult women have a high {HB}s{A}g prevalence but a low {MTCT} risk. {L}ow rates of {HBV} screening and serological status awareness argue for the adoption of systematic screening during pregnancy using free and rapid diagnostic tests. {A}dditionally, screening household members of {HB}s{A}g-positive women may greatly improve the cascade of care in rural {S}enegal.},
  keywords = {{H}epatitis {B} ; {P}revention ; {T}reatment ; {M}other to child transmission ; {S}enegal ; {W}est {A}frica ; {SENEGAL}},
  booktitle = {},
  journal = {{BMC} {P}ublic {H}ealth},
  volume = {23},
  numero = {1},
  pages = {825 [14 p.]},
  year = {2023},
  DOI = {10.1186/s12889-023-15710-y},
  URL = {https://www.documentation.ird.fr/hor/fdi:010087803},
}