Hepatitis B in Ghana: a systematic review & meta-analysis of prevalence studies (1995-2015)
Identifieur interne : 000188 ( Main/Exploration ); précédent : 000187; suivant : 000189Hepatitis B in Ghana: a systematic review & meta-analysis of prevalence studies (1995-2015)
Auteurs : Richard Ofori-Asenso [Ghana] ; Akosua Adom Agyeman [Ghana]Source :
- BMC Infectious Diseases [ 1471-2334 ] ; 2016.
Abstract
Although, chronic hepatitis B (HBV) is considered to be of significant public health importance in Ghana, not many reviews detailing the burden (prevalence) of the disease have been conducted. This study was aimed at summarizing the available information and to make an accurate estimate of HBV infection prevalence in Ghana over the last two decades (1995–2015).
A systematic search was conducted in PubMed, ScienceDirect, Google Scholar and Africa Journals Online (AJOL) databases to retrieve primary studies published between 1st January 1995 and 4th October 2015, assessing the prevalence of HBV among populations in Ghana. This was supplemented by a manual search of retrieved references.
Thirty (30) studies across all the ten (10) regions of Ghana and involving an overall population size of 105,435 were analyzed. The national prevalence of HBV as determined by HBsAg seropositivity was 12.3 %. HBV prevalence among voluntary blood donors (VBDs), replacement blood donors (RBDs) and pregnant women were 10.8, 12.7 and 13.1 % respectively. HBV infection prevalence was highest among studies published within the period 1995–2002 (17.3 %), followed by those published within 2003–2009 (14.7 %) and the lowest prevalence rate being recorded across studies published in the period 2010–2015 (10.2 %). Regional prevalence were determined for Ashanti, Greater Accra, Eastern, Northern, central and Brong-Ahafo regions as 13.1, 10.6, 13.6, 13.1, 11.5 and 13.7 % respectively. No aggregate data were derived for Volta, Western, Upper East and Upper West regions. Higher prevalence of HBV infection was attained for rural (13.3 %) compared to urban settings (12.2 %). Across the country, highest HBV infection prevalence rates were recorded in persons within the age group 16–39 years.
Hepatitis B infection is clearly an important public health problem in Ghana. The burden of the disease as dictated by a high prevalence rate calls for urgent public health interventions and strategic policy directions to controlling the disease to avert any potential future explosion.
Url:
DOI: 10.1186/s12879-016-1467-5
PubMed: 26987556
PubMed Central: 4797341
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Hepatitis B in Ghana: a systematic review & meta-analysis of prevalence studies (1995-2015)</title><author><name sortKey="Ofori Asenso, Richard" sort="Ofori Asenso, Richard" uniqKey="Ofori Asenso R" first="Richard" last="Ofori-Asenso">Richard Ofori-Asenso</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Research Unit, Health Policy Consult, P. O. Box WJ 537, Weija-Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Research Unit, Health Policy Consult, P. O. Box WJ 537, Weija-Accra</wicri:regionArea><wicri:noRegion>Weija-Accra</wicri:noRegion></affiliation></author><author><name sortKey="Agyeman, Akosua Adom" sort="Agyeman, Akosua Adom" uniqKey="Agyeman A" first="Akosua Adom" last="Agyeman">Akosua Adom Agyeman</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Research Unit, Health Policy Consult, P. O. Box WJ 537, Weija-Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Research Unit, Health Policy Consult, P. O. Box WJ 537, Weija-Accra</wicri:regionArea><wicri:noRegion>Weija-Accra</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26987556</idno><idno type="pmc">4797341</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4797341</idno><idno type="RBID">PMC:4797341</idno><idno type="doi">10.1186/s12879-016-1467-5</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000088</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000088</idno><idno type="wicri:Area/Pmc/Curation">000087</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000087</idno><idno type="wicri:Area/Pmc/Checkpoint">000090</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000090</idno><idno type="wicri:Area/Ncbi/Merge">000959</idno><idno type="wicri:Area/Ncbi/Curation">000959</idno><idno type="wicri:Area/Ncbi/Checkpoint">000959</idno><idno type="wicri:Area/Main/Merge">000188</idno><idno type="wicri:Area/Main/Curation">000188</idno><idno type="wicri:Area/Main/Exploration">000188</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Hepatitis B in Ghana: a systematic review & meta-analysis of prevalence studies (1995-2015)</title><author><name sortKey="Ofori Asenso, Richard" sort="Ofori Asenso, Richard" uniqKey="Ofori Asenso R" first="Richard" last="Ofori-Asenso">Richard Ofori-Asenso</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Research Unit, Health Policy Consult, P. O. Box WJ 537, Weija-Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Research Unit, Health Policy Consult, P. O. Box WJ 537, Weija-Accra</wicri:regionArea><wicri:noRegion>Weija-Accra</wicri:noRegion></affiliation></author><author><name sortKey="Agyeman, Akosua Adom" sort="Agyeman, Akosua Adom" uniqKey="Agyeman A" first="Akosua Adom" last="Agyeman">Akosua Adom Agyeman</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Research Unit, Health Policy Consult, P. O. Box WJ 537, Weija-Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Research Unit, Health Policy Consult, P. O. Box WJ 537, Weija-Accra</wicri:regionArea><wicri:noRegion>Weija-Accra</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Infectious Diseases</title><idno type="eISSN">1471-2334</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Although, chronic hepatitis B (HBV) is considered to be of significant public health importance in Ghana, not many reviews detailing the burden (prevalence) of the disease have been conducted. This study was aimed at summarizing the available information and to make an accurate estimate of HBV infection prevalence in Ghana over the last two decades (1995–2015).</p></sec><sec><title>Methods</title><p>A systematic search was conducted in PubMed, ScienceDirect, Google Scholar and Africa Journals Online (AJOL) databases to retrieve primary studies published between 1<sup>st</sup> January 1995 and 4<sup>th</sup> October 2015, assessing the prevalence of HBV among populations in Ghana. This was supplemented by a manual search of retrieved references.</p></sec><sec><title>Results</title><p>Thirty (30) studies across all the ten (10) regions of Ghana and involving an overall population size of 105,435 were analyzed. The national prevalence of HBV as determined by HBsAg seropositivity was 12.3 %. HBV prevalence among voluntary blood donors (VBDs), replacement blood donors (RBDs) and pregnant women were 10.8, 12.7 and 13.1 % respectively. HBV infection prevalence was highest among studies published within the period 1995–2002 (17.3 %), followed by those published within 2003–2009 (14.7 %) and the lowest prevalence rate being recorded across studies published in the period 2010–2015 (10.2 %). Regional prevalence were determined for Ashanti, Greater Accra, Eastern, Northern, central and Brong-Ahafo regions as 13.1, 10.6, 13.6, 13.1, 11.5 and 13.7 % respectively. No aggregate data were derived for Volta, Western, Upper East and Upper West regions. Higher prevalence of HBV infection was attained for rural (13.3 %) compared to urban settings (12.2 %). Across the country, highest HBV infection prevalence rates were recorded in persons within the age group 16–39 years.</p></sec><sec><title>Conclusion</title><p>Hepatitis B infection is clearly an important public health problem in Ghana. 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Adu-Sarkodie</name></author><author><name sortKey="Candotti, D" uniqKey="Candotti D">D Candotti</name></author><author><name sortKey="Acheampong, Jw" uniqKey="Acheampong J">JW Acheampong</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Walana, W" uniqKey="Walana W">W Walana</name></author><author><name sortKey="Hokey, P" uniqKey="Hokey P">P Hokey</name></author><author><name sortKey="Ahiaba, S" uniqKey="Ahiaba S">S Ahiaba</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Alavian, Sm" uniqKey="Alavian S">SM Alavian</name></author><author><name sortKey="Hajarizadeh, B" uniqKey="Hajarizadeh B">B Hajarizadeh</name></author><author><name sortKey="Ahmadzad Asl, M" uniqKey="Ahmadzad Asl M">M Ahmadzad-Asl</name></author><author><name sortKey="Kabir, A" uniqKey="Kabir A">A Kabir</name></author><author><name sortKey="Bagheri Lankarani, K" uniqKey="Bagheri Lankarani K">K Bagheri-Lankarani</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fejza, H" uniqKey="Fejza H">H Fejza</name></author><author><name sortKey="Telaku, S" uniqKey="Telaku S">S Telaku</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Mutocheluh, M" uniqKey="Mutocheluh M">M Mutocheluh</name></author><author><name sortKey="Kwarteng, K" uniqKey="Kwarteng K">K Kwarteng</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Akumiah, Po" uniqKey="Akumiah P">PO Akumiah</name></author><author><name sortKey="Sarfo, La" uniqKey="Sarfo L">LA Sarfo</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Vild Sola, Gh" uniqKey="Vild Sola G">GH Vildósola</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Kuhns, Mc" uniqKey="Kuhns M">MC Kuhns</name></author><author><name sortKey="Busch, Mp" uniqKey="Busch M">MP Busch</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Ghana</li></country></list><tree><country name="Ghana"><noRegion><name sortKey="Ofori Asenso, Richard" sort="Ofori Asenso, Richard" uniqKey="Ofori Asenso R" first="Richard" last="Ofori-Asenso">Richard Ofori-Asenso</name></noRegion><name sortKey="Agyeman, Akosua Adom" sort="Agyeman, Akosua Adom" uniqKey="Agyeman A" first="Akosua Adom" last="Agyeman">Akosua Adom Agyeman</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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