Prevalence of hepatitis B virus co-infection among HIV-seropositive persons attending antiretroviral clinics in the Eastern Region of Ghana
Identifieur interne : 000161 ( Main/Exploration ); précédent : 000160; suivant : 000162Prevalence of hepatitis B virus co-infection among HIV-seropositive persons attending antiretroviral clinics in the Eastern Region of Ghana
Auteurs : Gideon Kye-Duodu [Ghana] ; Priscillia Nortey [Ghana] ; Keziah Malm [Ghana] ; Kofi Mensah Nyarko [Ghana] ; Samuel Oko Sackey [Ghana] ; Sampson Ofori [Ghana] ; Edwin Andrews Afari [Ghana]Source :
- The Pan African Medical Journal [ 1937-8688 ] ; 2016.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Co-infection, Connaissances, attitudes et pratiques en santé, Enfant, Enfant d'âge préscolaire, Enquêtes et questionnaires, Facteurs de risque, Femelle, Ghana (épidémiologie), Humains, Hépatite B (), Hépatite B (épidémiologie), Infections à VIH (), Infections à VIH (épidémiologie), Jeune adulte, Modèles logistiques, Mâle, Personnel de santé (normes), Prévalence, Sujet âgé, Vaccins anti-hépatite B (administration et posologie), Études transversales.
- MESH :
- administration et posologie : Vaccins anti-hépatite B.
- normes : Personnel de santé.
- épidémiologie : Ghana, Hépatite B, Infections à VIH.
- Adolescent, Adulte, Adulte d'âge moyen, Co-infection, Connaissances, attitudes et pratiques en santé, Enfant, Enfant d'âge préscolaire, Enquêtes et questionnaires, Facteurs de risque, Femelle, Humains, Hépatite B, Infections à VIH, Jeune adulte, Modèles logistiques, Mâle, Prévalence, Sujet âgé, Études transversales.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Child, Child, Preschool, Coinfection, Cross-Sectional Studies, Female, Ghana (epidemiology), HIV Infections (complications), HIV Infections (epidemiology), Health Knowledge, Attitudes, Practice, Health Personnel (standards), Hepatitis B (complications), Hepatitis B (epidemiology), Hepatitis B Vaccines (administration & dosage), Humans, Logistic Models, Male, Middle Aged, Prevalence, Risk Factors, Surveys and Questionnaires, Young Adult.
- MESH :
- chemical , administration & dosage : Hepatitis B Vaccines.
- complications : HIV Infections, Hepatitis B.
- epidemiology : Ghana, HIV Infections, Hepatitis B.
- standards : Health Personnel.
- Adolescent, Adult, Aged, Child, Child, Preschool, Coinfection, Cross-Sectional Studies, Female, Health Knowledge, Attitudes, Practice, Humans, Logistic Models, Male, Middle Aged, Prevalence, Risk Factors, Surveys and Questionnaires, Young Adult.
Abstract
Hepatitis B and HIV infections are endemic in sub-Saharan Africa including Ghana. Understanding the extent of the co-infection is critical to the optimal care of persons living with HIV and AIDS (PLHIV). We determined the prevalence and risk factors of HBV co-infection in PLHIV and assessed the knowledge of health care workers (HCW) in Antiretroviral Therapy (ART) clinics regarding the co-infection.
A cross sectional study was conducted in five ART clinics to obtain data from a systematic random sample of PLHIV in the Eastern region of Ghana from March to June 2012. We used self-administered questionnaires to assess knowledge of HCW on knowledge and management of the co-infection. Descriptive statistics and logistic regression models were used for analysis at 5% significance level.
Of 320 PLHIV recruited into study, with median age of 40 years (IQR: 33-50 years), 28 tested positive for HBsAg giving an overall prevalence of 8.8%. There were significant associations between HBV infection and being an adult (p=0.004), increasing serum ALT levels (p=0.002) and partner with history of HBV infection (p=0.010). HCW obtained 84.2% (SD± 20.53; 95% CI: 89-98.1) and 53.1% (SD± 35.06; 95% CI: 13.0-88.9) in the “general knowledge” and “management practice” indexes respectively.
Prevalence of HBV-HIV co-infection was relatively high among PLHIV in Eastern region. Knowledge of HCW on management practices of HBV-HIV co-infection and HBV vaccination coverage among PLHIV were found to be relatively low. Regular trainings of HCW and a HBV vaccination programme targeted at PLHIV should be considered.
Url:
DOI: 10.11604/pamj.supp.2016.25.1.6172
PubMed: 28210375
PubMed Central: 5292113
Affiliations:
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Le document en format XML
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Box LG 13, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Ghana Field Epidemiology and Laboratory Training Programme (GFELTP), School of Public Health, University of Ghana, P.O. Box LG 13, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName><orgName type="university">Université du Ghana</orgName></affiliation></author><author><name sortKey="Nortey, Priscillia" sort="Nortey, Priscillia" uniqKey="Nortey P" first="Priscillia" last="Nortey">Priscillia Nortey</name><affiliation wicri:level="4"><nlm:aff id="aff0002">Department of Epidemiology and Disease Control, School of Public Health, University of Ghana, P.O. Box LG 13, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Epidemiology and Disease Control, School of Public Health, University of Ghana, P.O. Box LG 13, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName><orgName type="university">Université du Ghana</orgName></affiliation></author><author><name sortKey="Malm, Keziah" sort="Malm, Keziah" uniqKey="Malm K" first="Keziah" last="Malm">Keziah Malm</name><affiliation wicri:level="4"><nlm:aff id="aff0001">Ghana Field Epidemiology and Laboratory Training Programme (GFELTP), School of Public Health, University of Ghana, P.O. Box LG 13, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Ghana Field Epidemiology and Laboratory Training Programme (GFELTP), School of Public Health, University of Ghana, P.O. Box LG 13, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName><orgName type="university">Université du Ghana</orgName></affiliation></author><author><name sortKey="Nyarko, Kofi Mensah" sort="Nyarko, Kofi Mensah" uniqKey="Nyarko K" first="Kofi Mensah" last="Nyarko">Kofi Mensah Nyarko</name><affiliation wicri:level="4"><nlm:aff id="aff0001">Ghana Field Epidemiology and Laboratory Training Programme (GFELTP), School of Public Health, University of Ghana, P.O. Box LG 13, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Ghana Field Epidemiology and Laboratory Training Programme (GFELTP), School of Public Health, University of Ghana, P.O. Box LG 13, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName><orgName type="university">Université du Ghana</orgName></affiliation></author><author><name sortKey="Sackey, Samuel Oko" sort="Sackey, Samuel Oko" uniqKey="Sackey S" first="Samuel Oko" last="Sackey">Samuel Oko Sackey</name><affiliation wicri:level="4"><nlm:aff id="aff0001">Ghana Field Epidemiology and Laboratory Training Programme (GFELTP), School of Public Health, University of Ghana, P.O. Box LG 13, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Ghana Field Epidemiology and Laboratory Training Programme (GFELTP), School of Public Health, University of Ghana, P.O. Box LG 13, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName><orgName type="university">Université du Ghana</orgName></affiliation></author><author><name sortKey="Ofori, Sampson" sort="Ofori, Sampson" uniqKey="Ofori S" first="Sampson" last="Ofori">Sampson Ofori</name><affiliation wicri:level="1"><nlm:aff id="aff0003">Ghana Health Service, Regional Hospital, Koforidua, Eastern Region, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Ghana Health Service, Regional Hospital, Koforidua, Eastern Region</wicri:regionArea><wicri:noRegion>Eastern Region</wicri:noRegion></affiliation></author><author><name sortKey="Afari, Edwin Andrews" sort="Afari, Edwin Andrews" uniqKey="Afari E" first="Edwin Andrews" last="Afari">Edwin Andrews Afari</name><affiliation wicri:level="4"><nlm:aff id="aff0001">Ghana Field Epidemiology and Laboratory Training Programme (GFELTP), School of Public Health, University of Ghana, P.O. Box LG 13, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Ghana Field Epidemiology and Laboratory Training Programme (GFELTP), School of Public Health, University of Ghana, P.O. Box LG 13, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName><orgName type="university">Université du Ghana</orgName></affiliation></author></analytic><series><title level="j">The Pan African Medical Journal</title><idno type="eISSN">1937-8688</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Child</term><term>Child, Preschool</term><term>Coinfection</term><term>Cross-Sectional Studies</term><term>Female</term><term>Ghana (epidemiology)</term><term>HIV Infections (complications)</term><term>HIV Infections (epidemiology)</term><term>Health Knowledge, Attitudes, Practice</term><term>Health Personnel (standards)</term><term>Hepatitis B (complications)</term><term>Hepatitis B (epidemiology)</term><term>Hepatitis B Vaccines (administration & dosage)</term><term>Humans</term><term>Logistic Models</term><term>Male</term><term>Middle Aged</term><term>Prevalence</term><term>Risk Factors</term><term>Surveys and Questionnaires</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Co-infection</term><term>Connaissances, attitudes et pratiques en santé</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Enquêtes et questionnaires</term><term>Facteurs de risque</term><term>Femelle</term><term>Ghana (épidémiologie)</term><term>Humains</term><term>Hépatite B ()</term><term>Hépatite B (épidémiologie)</term><term>Infections à VIH ()</term><term>Infections à VIH (épidémiologie)</term><term>Jeune adulte</term><term>Modèles logistiques</term><term>Mâle</term><term>Personnel de santé (normes)</term><term>Prévalence</term><term>Sujet âgé</term><term>Vaccins anti-hépatite B (administration et posologie)</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Hepatitis B Vaccines</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Vaccins anti-hépatite B</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>HIV Infections</term><term>Hepatitis B</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Ghana</term><term>HIV Infections</term><term>Hepatitis B</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Personnel de santé</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Health Personnel</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Ghana</term><term>Hépatite B</term><term>Infections à VIH</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Child</term><term>Child, Preschool</term><term>Coinfection</term><term>Cross-Sectional Studies</term><term>Female</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Logistic Models</term><term>Male</term><term>Middle Aged</term><term>Prevalence</term><term>Risk Factors</term><term>Surveys and Questionnaires</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Co-infection</term><term>Connaissances, attitudes et pratiques en santé</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Enquêtes et questionnaires</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Hépatite B</term><term>Infections à VIH</term><term>Jeune adulte</term><term>Modèles logistiques</term><term>Mâle</term><term>Prévalence</term><term>Sujet âgé</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="s1"><title>Introduction</title><p>Hepatitis B and HIV infections are endemic in sub-Saharan Africa including Ghana. Understanding the extent of the co-infection is critical to the optimal care of persons living with HIV and AIDS (PLHIV). We determined the prevalence and risk factors of HBV co-infection in PLHIV and assessed the knowledge of health care workers (HCW) in Antiretroviral Therapy (ART) clinics regarding the co-infection.</p></sec><sec id="s2"><title>Methods</title><p>A cross sectional study was conducted in five ART clinics to obtain data from a systematic random sample of PLHIV in the Eastern region of Ghana from March to June 2012. We used self-administered questionnaires to assess knowledge of HCW on knowledge and management of the co-infection. Descriptive statistics and logistic regression models were used for analysis at 5% significance level.</p></sec><sec id="s3"><title>Results</title><p>Of 320 PLHIV recruited into study, with median age of 40 years (IQR: 33-50 years), 28 tested positive for HBsAg giving an overall prevalence of 8.8%. There were significant associations between HBV infection and being an adult (p=0.004), increasing serum ALT levels (p=0.002) and partner with history of HBV infection (p=0.010). HCW obtained 84.2% (SD± 20.53; 95% CI: 89-98.1) and 53.1% (SD± 35.06; 95% CI: 13.0-88.9) in the “general knowledge” and “management practice” indexes respectively.</p></sec><sec id="s4"><title>Conclusion</title><p>Prevalence of HBV-HIV co-infection was relatively high among PLHIV in Eastern region. Knowledge of HCW on management practices of HBV-HIV co-infection and HBV vaccination coverage among PLHIV were found to be relatively low. Regular trainings of HCW and a HBV vaccination programme targeted at PLHIV should be considered.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Thio, Cl" uniqKey="Thio C">CL Thio</name></author><author><name sortKey="Seaberg, Ec" uniqKey="Seaberg E">EC Seaberg</name></author><author><name sortKey="Skolasky, R" uniqKey="Skolasky R">R Skolasky</name></author><author><name sortKey="Phair, J" uniqKey="Phair J">J Phair</name></author><author><name sortKey="Visscher, B" uniqKey="Visscher B">B Visscher</name></author><author><name sortKey="Muoz, A" uniqKey="Muoz A">A Muoz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lai, Cl" uniqKey="Lai C">CL Lai</name></author><author><name sortKey="Ratziu, V" uniqKey="Ratziu V">V Ratziu</name></author><author><name sortKey="Yuen, Mf" uniqKey="Yuen M">MF Yuen</name></author><author><name sortKey="Poynard, T" uniqKey="Poynard T">T 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uniqKey="Souto F">FJ Souto</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mehmet, D" uniqKey="Mehmet D">D Mehmet</name></author><author><name sortKey="Meliksah, E" uniqKey="Meliksah E">E Meliksah</name></author><author><name sortKey="Serif, Y" uniqKey="Serif Y">Y Serif</name></author><author><name sortKey="Gunay, S" uniqKey="Gunay S">S Gunay</name></author><author><name sortKey="Tuncer, O" uniqKey="Tuncer O">Ö Tuncer</name></author><author><name sortKey="Zeynep, S" uniqKey="Zeynep S">S Zeynep</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Reid, Sr" uniqKey="Reid S">SR Reid</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Irving, A" uniqKey="Irving A">A Irving</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ziraba, Ak" uniqKey="Ziraba A">AK Ziraba</name></author><author><name sortKey="Bwogi, J" uniqKey="Bwogi J">J Bwogi</name></author><author><name sortKey="Namale, A" uniqKey="Namale A">A Namale</name></author><author><name sortKey="Wainaina, Cw" uniqKey="Wainaina C">CW Wainaina</name></author><author><name sortKey="Mayanja Kizza, H" uniqKey="Mayanja Kizza H">H Mayanja-Kizza</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Ghana</li></country><region><li>Région du Grand Accra</li></region><settlement><li>Accra</li></settlement><orgName><li>Université du Ghana</li></orgName></list><tree><country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Kye Duodu, Gideon" sort="Kye Duodu, Gideon" uniqKey="Kye Duodu G" first="Gideon" last="Kye-Duodu">Gideon Kye-Duodu</name></region><name sortKey="Afari, Edwin Andrews" sort="Afari, Edwin Andrews" uniqKey="Afari E" first="Edwin Andrews" last="Afari">Edwin Andrews Afari</name><name sortKey="Malm, Keziah" sort="Malm, Keziah" uniqKey="Malm K" first="Keziah" last="Malm">Keziah Malm</name><name sortKey="Nortey, Priscillia" sort="Nortey, Priscillia" uniqKey="Nortey P" first="Priscillia" last="Nortey">Priscillia Nortey</name><name sortKey="Nyarko, Kofi Mensah" sort="Nyarko, Kofi Mensah" uniqKey="Nyarko K" first="Kofi Mensah" last="Nyarko">Kofi Mensah Nyarko</name><name sortKey="Ofori, Sampson" sort="Ofori, Sampson" uniqKey="Ofori S" first="Sampson" last="Ofori">Sampson Ofori</name><name sortKey="Sackey, Samuel Oko" sort="Sackey, Samuel Oko" uniqKey="Sackey S" first="Samuel Oko" last="Sackey">Samuel Oko Sackey</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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