Hepatitis B prevalence in an endemic area of hepatitis C virus: A population-based study implicated in hepatitis elimination in Thailand

Chronic hepatitis B (HBV) and C (HCV) are major health challenges in Thailand, with Phetchabun province, a known HCV-endemic area, being a key target for elimination efforts. This study aimed to assess HBV prevalence and identify associated risk factors in this province. Data was collected from thre...

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Main Authors: Nawarat Posuwan, Rujipat Wasitthankasem, Napaporn Pimsing, Wijittra Phaengkha, Saranya Ngamnimit, Preeyaporn Vichaiwattana, Sirapa Klinfueng, Maneerat Raksayod, Yong Poovorawan
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Journal of Virus Eradication
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Online Access:http://www.sciencedirect.com/science/article/pii/S2055664024001924
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author Nawarat Posuwan
Rujipat Wasitthankasem
Napaporn Pimsing
Wijittra Phaengkha
Saranya Ngamnimit
Preeyaporn Vichaiwattana
Sirapa Klinfueng
Maneerat Raksayod
Yong Poovorawan
author_facet Nawarat Posuwan
Rujipat Wasitthankasem
Napaporn Pimsing
Wijittra Phaengkha
Saranya Ngamnimit
Preeyaporn Vichaiwattana
Sirapa Klinfueng
Maneerat Raksayod
Yong Poovorawan
author_sort Nawarat Posuwan
collection DOAJ
description Chronic hepatitis B (HBV) and C (HCV) are major health challenges in Thailand, with Phetchabun province, a known HCV-endemic area, being a key target for elimination efforts. This study aimed to assess HBV prevalence and identify associated risk factors in this province. Data was collected from three cross-sectional population studies: (1) adults in 2015 (n = 1,667, age 30–64 years), (2) young adults in 2017 (n = 1,453, age 18–30 years), both from high HCV-endemic districts, and (3) a province-wide study in 2018 (n = 4,769, age 35–64 years). Plasma samples were tested for HBsAg using the ARCHITECT assay. Results showed HBsAg seropositivity in 3.1 % of young adults in high-endemic districts, with significant associations with age, education, injecting drug use, and MSM behavior. Among adults, HBsAg prevalence was 5.9 %, linked to age and family liver disease history. Province-wide, 6.3 % of adults tested positive, with factors like gender and history of blood donation playing significant roles. Notably, age and blood donation were protective factors against HBV in adults. Analysis revealed a moderate HBV prevalence in those born before Thailand Expanded Program on Immunization (EPI) program, while those born after had rates below 1 %. The findings emphasize distinct HBV transmission patterns in different age groups, influenced by social and behavioral shifts. This knowledge is crucial for effective hepatitis elimination strategies in the Phetchabun province and nationwide.
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spelling doaj-art-6de80e7675914a708587d74e256e74352025-01-27T04:21:50ZengElsevierJournal of Virus Eradication2055-66402024-12-01104100577Hepatitis B prevalence in an endemic area of hepatitis C virus: A population-based study implicated in hepatitis elimination in ThailandNawarat Posuwan0Rujipat Wasitthankasem1Napaporn Pimsing2Wijittra Phaengkha3Saranya Ngamnimit4Preeyaporn Vichaiwattana5Sirapa Klinfueng6Maneerat Raksayod7Yong Poovorawan8Center of Excellence in Clinical Virology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; Chulahorn International College of Medicine, Thammasat University, Rangsit Campus, Patum Thani, ThailandNational Biobank of Thailand, National Center for Genetic Engineering and Biotechnology, Thailand Science Park, Patum Thani, ThailandPhetchabun Provincial Public Health Office, Phetchabun, ThailandNam Nao Hospital, Nam Nao District, Phetchabun, ThailandPhetchabun Provincial Public Health Office, Phetchabun, ThailandCenter of Excellence in Clinical Virology, Faculty of Medicine, Chulalongkorn University, Bangkok, ThailandCenter of Excellence in Clinical Virology, Faculty of Medicine, Chulalongkorn University, Bangkok, ThailandNational Biobank of Thailand, National Center for Genetic Engineering and Biotechnology, Thailand Science Park, Patum Thani, ThailandCenter of Excellence in Clinical Virology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; Corresponding author.Chronic hepatitis B (HBV) and C (HCV) are major health challenges in Thailand, with Phetchabun province, a known HCV-endemic area, being a key target for elimination efforts. This study aimed to assess HBV prevalence and identify associated risk factors in this province. Data was collected from three cross-sectional population studies: (1) adults in 2015 (n = 1,667, age 30–64 years), (2) young adults in 2017 (n = 1,453, age 18–30 years), both from high HCV-endemic districts, and (3) a province-wide study in 2018 (n = 4,769, age 35–64 years). Plasma samples were tested for HBsAg using the ARCHITECT assay. Results showed HBsAg seropositivity in 3.1 % of young adults in high-endemic districts, with significant associations with age, education, injecting drug use, and MSM behavior. Among adults, HBsAg prevalence was 5.9 %, linked to age and family liver disease history. Province-wide, 6.3 % of adults tested positive, with factors like gender and history of blood donation playing significant roles. Notably, age and blood donation were protective factors against HBV in adults. Analysis revealed a moderate HBV prevalence in those born before Thailand Expanded Program on Immunization (EPI) program, while those born after had rates below 1 %. The findings emphasize distinct HBV transmission patterns in different age groups, influenced by social and behavioral shifts. This knowledge is crucial for effective hepatitis elimination strategies in the Phetchabun province and nationwide.http://www.sciencedirect.com/science/article/pii/S2055664024001924PrevalenceHepatitis B virus (HBV)Highest HCV-EndemicThailand
spellingShingle Nawarat Posuwan
Rujipat Wasitthankasem
Napaporn Pimsing
Wijittra Phaengkha
Saranya Ngamnimit
Preeyaporn Vichaiwattana
Sirapa Klinfueng
Maneerat Raksayod
Yong Poovorawan
Hepatitis B prevalence in an endemic area of hepatitis C virus: A population-based study implicated in hepatitis elimination in Thailand
Journal of Virus Eradication
Prevalence
Hepatitis B virus (HBV)
Highest HCV-Endemic
Thailand
title Hepatitis B prevalence in an endemic area of hepatitis C virus: A population-based study implicated in hepatitis elimination in Thailand
title_full Hepatitis B prevalence in an endemic area of hepatitis C virus: A population-based study implicated in hepatitis elimination in Thailand
title_fullStr Hepatitis B prevalence in an endemic area of hepatitis C virus: A population-based study implicated in hepatitis elimination in Thailand
title_full_unstemmed Hepatitis B prevalence in an endemic area of hepatitis C virus: A population-based study implicated in hepatitis elimination in Thailand
title_short Hepatitis B prevalence in an endemic area of hepatitis C virus: A population-based study implicated in hepatitis elimination in Thailand
title_sort hepatitis b prevalence in an endemic area of hepatitis c virus a population based study implicated in hepatitis elimination in thailand
topic Prevalence
Hepatitis B virus (HBV)
Highest HCV-Endemic
Thailand
url http://www.sciencedirect.com/science/article/pii/S2055664024001924
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