Hepatitis B prevalence among men who have sex with men in Brazil

Hepatitis B virus (HBV) is a global public health problem and requires specific prevention actions, particularly focusing on the key populations, such as men who have sex with men (MSM). We aimed at assessing the prevalence of HBV infection, among MSM, in a multicity study in Brazil. In 2016, we con...

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Published inTropical medicine and infectious disease Vol. 8; no. 4; pp. 1 - 8
Main Authors Motta-Castro, Ana Rita C, Kerr, Lígia, Kendall, Carl, Mota, Rosa S, Guimarães, Mark Drew C, Leal, Andréa Fachel, Merchan-Hamann, Edgar, Dourado, Inês, Veras, Maria Amélia, de Brito, Ana Maria, Pontes, Alexandre Kerr, Macena, Raimunda Hermelinda M, Knauth, Daniela, Lima, Luana N G C, Cavalcante, Socorro, Díaz-Bermúdez, Ximena P, Oliveira, Lisangela C, Magno, Laio, Camillo, Ana Cláudia, Lemos, Marcílio F, Silva, Vanessa Cristina M, Compri, Adriana P, Moreira, Regina Célia
Format Journal Article
LanguageEnglish
Published Basel, Switzerland MDPI 01.04.2023
MDPI AG
Subjects
Age groups
Genotype & phenotype
Hepatitis B
Hepatitis B vaccine
Hepatitis B virus
Immunization
Infection
Infections
Medical care
Medical research
Medicine, Experimental
MSM
Prevalence studies (Epidemiology)
Prevention
Public health
respondent-driven sampling
Serology
Sexually transmitted diseases
STD
Stigma (Social psychology)
Surveys
Transgender persons
Vaccination
Brazil
United States > US
Rio de Janeiro Brazil
respondent-driven sampling
MSM
hepatitis B virus
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Abstract Hepatitis B virus (HBV) is a global public health problem and requires specific prevention actions, particularly focusing on the key populations, such as men who have sex with men (MSM). We aimed at assessing the prevalence of HBV infection, among MSM, in a multicity study in Brazil. In 2016, we conducted a survey using a respondent-driven sampling methodology in 12 Brazilian cities. Rapid tests (RT) were performed on 3178 samples from those MSM. Positive results were tested for HBV DNA and sequenced. If negative for HBV DNA, samples were tested for serological markers. The prevalence rate of HBV exposure and clearance was 10.1% (95% CI: 8.1-12.6), and 1.1% (95%; CI: 0.6-2.1) were confirmed to be HBsAg-positive. Of those samples tested for anti-HBs (n = 1033), only 74.4% presented a serological profile analogous to that elicited by hepatitis B vaccination. Among HBsAg-positive samples (n = 29), 72.4% were HBV DNA-positive, and from these, 18 were sequenced. HBV genotypes A, F, and G were found in 55.5%, 38.9%, and 5.6%, respectively. This study indicates high prevalence rates of MSM HBV exposure and a low positivity index for the serological marker of HBV vaccine immunity. These findings may contribute to the discussion of strategies to prevent hepatitis B and reinforce the importance of promoting HBV vaccination in this key population.
AbstractList Hepatitis B virus (HBV) is a global public health problem and requires specific prevention actions, particularly focusing on the key populations, such as men who have sex with men (MSM). We aimed at assessing the prevalence of HBV infection, among MSM, in a multicity study in Brazil. In 2016, we conducted a survey using a respondent-driven sampling methodology in 12 Brazilian cities. Rapid tests (RT) were performed on 3178 samples from those MSM. Positive results were tested for HBV DNA and sequenced. If negative for HBV DNA, samples were tested for serological markers. The prevalence rate of HBV exposure and clearance was 10.1% (95% CI: 8.1–12.6), and 1.1% (95%; CI: 0.6–2.1) were confirmed to be HBsAg-positive. Of those samples tested for anti-HBs (n = 1033), only 74.4% presented a serological profile analogous to that elicited by hepatitis B vaccination. Among HBsAg-positive samples (n = 29), 72.4% were HBV DNA-positive, and from these, 18 were sequenced. HBV genotypes A, F, and G were found in 55.5%, 38.9%, and 5.6%, respectively. This study indicates high prevalence rates of MSM HBV exposure and a low positivity index for the serological marker of HBV vaccine immunity. These findings may contribute to the discussion of strategies to prevent hepatitis B and reinforce the importance of promoting HBV vaccination in this key population.
Hepatitis B virus (HBV) is a global public health problem and requires specific prevention actions, particularly focusing on the key populations, such as men who have sex with men (MSM). We aimed at assessing the prevalence of HBV infection, among MSM, in a multicity study in Brazil. In 2016, we conducted a survey using a respondent-driven sampling methodology in 12 Brazilian cities. Rapid tests (RT) were performed on 3178 samples from those MSM. Positive results were tested for HBV DNA and sequenced. If negative for HBV DNA, samples were tested for serological markers. The prevalence rate of HBV exposure and clearance was 10.1% (95% CI: 8.1-12.6), and 1.1% (95%; CI: 0.6-2.1) were confirmed to be HBsAg-positive. Of those samples tested for anti-HBs ( = 1033), only 74.4% presented a serological profile analogous to that elicited by hepatitis B vaccination. Among HBsAg-positive samples ( = 29), 72.4% were HBV DNA-positive, and from these, 18 were sequenced. HBV genotypes A, F, and G were found in 55.5%, 38.9%, and 5.6%, respectively. This study indicates high prevalence rates of MSM HBV exposure and a low positivity index for the serological marker of HBV vaccine immunity. These findings may contribute to the discussion of strategies to prevent hepatitis B and reinforce the importance of promoting HBV vaccination in this key population.
Hepatitis B virus (HBV) is a global public health problem and requires specific prevention actions, particularly focusing on the key populations, such as men who have sex with men (MSM). We aimed at assessing the prevalence of HBV infection, among MSM, in a multicity study in Brazil. In 2016, we conducted a survey using a respondent-driven sampling methodology in 12 Brazilian cities. Rapid tests (RT) were performed on 3178 samples from those MSM. Positive results were tested for HBV DNA and sequenced. If negative for HBV DNA, samples were tested for serological markers. The prevalence rate of HBV exposure and clearance was 10.1% (95% CI: 8.1–12.6), and 1.1% (95%; CI: 0.6–2.1) were confirmed to be HBsAg-positive. Of those samples tested for anti-HBs ( n = 1033), only 74.4% presented a serological profile analogous to that elicited by hepatitis B vaccination. Among HBsAg-positive samples ( n = 29), 72.4% were HBV DNA-positive, and from these, 18 were sequenced. HBV genotypes A, F, and G were found in 55.5%, 38.9%, and 5.6%, respectively. This study indicates high prevalence rates of MSM HBV exposure and a low positivity index for the serological marker of HBV vaccine immunity. These findings may contribute to the discussion of strategies to prevent hepatitis B and reinforce the importance of promoting HBV vaccination in this key population.
Audience Academic
Author Mark Drew C Guimaraes
Carl Kendall
Raimunda Hermelinda M Macena
Edgar Merchan-Hamann
Socorro Cavalcante
Maria Amelia Veras
Ana Claudia Camillo
Marcílio F Lemos
Ligia Kerr
Rosa S Mota
Regina Celia Moreira
Alexandre Kerr Pontes
Lisangela C Oliveira
Vanessa Cristina M Silva
Daniela Knauth
Ines Dourado
Ana Maria de Brito
Ana Rita C Motta-Castro
Andrea Fachel Leal
Adriana P Compri
Luana NGC Lima
Ximena P Diaz-Bermudez
Laio Magno
AuthorAffiliation 5 Departamento de Estatística e Matemática Aplicada, Universidade Federal do Ceará, Fortaleza 60020-181, CE, Brazil
14 Departamento de Medicina Social, Universidade Federal do Rio Grande do Sul, Porto Alegre 90010-150, RS, Brazil
7 Departamento de Sociologia, Universidade Federal do Rio Grande do Sul, Porto Alegre 90010-150, RS, Brazil
2 Fundação Oswaldo Cruz—Mato Grosso do Sul, Campo Grande 79081-746, MS, Brazil
4 Global Community Health and Behavioral Sciences, Tulane University, New Orleans, LA 70112, USA
8 Faculdade de Ciências da Saúde, Saúde Coletiva, Universidade de Brasília, Brasília 70910-900, DF, Brazil
18 Escola de Saúde, Centro Universitário Autônomo do Brasil UNIBRASIL, Curitiba 82820-540, PR, Brazil
20 Fundação Alfredo da Mata, Centro de Aconselhamento, Manaus 69065-040, AM, Brazil
17 Centro de Ciências da Saúde, Universidade de Brasília, Brasília 70910-900, DF, Brazil
21 Laboratório de Hepatites, Centro de Virologia, Instituto Adolfo Lutz, São Paulo 01246-000, SP, Brazil
13 Faculd
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/37104344$$D View this record in MEDLINE/PubMed
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Issue 4
Keywords respondent-driven sampling
MSM
hepatitis B virus
Language English
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Informit, Melbourne (Vic)
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Snippet Hepatitis B virus (HBV) is a global public health problem and requires specific prevention actions, particularly focusing on the key populations, such as men...
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StartPage 1
SubjectTerms Age groups
Genotype & phenotype
Hepatitis B
Hepatitis B vaccine
Hepatitis B virus
Immunization
Infection
Infections
Medical care
Medical research
Medicine, Experimental
MSM
Prevalence studies (Epidemiology)
Prevention
Public health
respondent-driven sampling
Serology
Sexually transmitted diseases
STD
Stigma (Social psychology)
Surveys
Transgender persons
Vaccination
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Title Hepatitis B prevalence among men who have sex with men in Brazil
URI http://search.informit.org/doi/10.3316/informit.175790730067300
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