Early detection of chronic hepatitis B and risk factor assessment in Turkish migrants, Middle Limburg, Belgium

Koc, Özgür M; Kremer, Cécile; Hens, Niel; Bielen, Rob; Busschots, Dana; Damme, Pierre Van; Robaeys, Geert

doi:10.1371/journal.pone.0234740

Cited by 5 publications

(3 citation statements)

References 34 publications

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“…For screening to be effective, a comprehensive prevention approach should be offered that includes screening, linkage to care and treatment, and ideally also source and contact tracing and vaccination ( 29 , 46 ). When comparing screening initiatives with high participation rates (>95%), we see that all studies refer positively tested patients to care ( 27 , 31 , 37 , 44 , 46 , 50 , 58 , 59 ). Other noteworthy similarities were the systematic approaches to multi-infectious disease screening, using appropriate procedures and forms, carried out by skilled personnel.…”

Section: Resultsmentioning

confidence: 99%

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A systematic review of barriers and facilitators for hepatitis B and C screening among migrants in the EU/EEA region

Moonen

Heijer²,

Dukers-Muijrers³

et al. 2023

Front. Public Health

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IntroductionHepatitis B and C are a threat to public health. Screening of high-risk groups, such as migrants from high-endemic areas, enables early identification and treatment initiation. This systematic review identified barriers and facilitators for hepatitis B and C screening among migrants in the European Union/European Economic Area (EU/EEA).MethodsFollowing PRISMA guidelines, databases PubMed, Embase via Ovid, and Cochrane were searched for English articles published between 1 July 2015 and 24 February 2022. Articles were included, not restricted to a specific study design, if they elaborated on HBV or HCV screening in migrant populations from countries outside Western Europe, North America, and Oceania, and residing in EU/EEA countries. Excluded were studies with solely an epidemiological or microbiological focus, including only general populations or non-migrant subgroups, or conducted outside the EU/EEA, without qualitative, quantitative, or mixed methods. Data appraisal, extraction, and quality assessment were conducted and assessed by two reviewers. Barriers and facilitators were categorized into seven levels based on multiple theoretical frameworks and included factors related to guidelines, the individual health professional, the migrant and community, interaction, the organization and economics, the political and legal level, and innovations.ResultsThe search strategy yielded 2,115 unique articles of which 68 were included. Major identified barriers and facilitators to the success of screening related to the migrant (knowledge and awareness) and community level (culture, religion, support) and the organizational and economic level (capacity, resources, coordinated structures). Given possible language barriers, language support and migrant sensitivity are indispensable for facilitating interaction. Rapid point-of-care-testing is a promising strategy to lower screening barriers.DiscussionThe inclusion of multiple study designs provided extensive insight into barriers, strategies to lower these barriers, and facilitators to maximize the success of screening. A great variety of factors were revealed on multiple levels, therefore there is no one-size-fits-all approach for screening, and initiatives should be adopted for the targeted group(s), including tailoring to cultural and religious beliefs. We provide a checklist of facilitators and barriers to inform adapted interventions to allow for optimal screening impact.

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Section: Resultsmentioning

confidence: 99%

“…Long waiting times and other service issues, can be hindering patients' engagement in screening. Logistical barriers can be reduced by outreach and screening in the community itself ( 50 , 58 , 86 ).…”

Section: Resultsmentioning

confidence: 99%

A systematic review of barriers and facilitators for hepatitis B and C screening among migrants in the EU/EEA region

Moonen

Heijer²,

Dukers-Muijrers³

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…[ 10 ] Furthermore, in Turkey, the risk factors that were significantly associated with infection by the HBV included male gender, older age group (>60 years), educational level, infected mothers, infected siblings, other family members infected with HBV, and others. [ 11 ] In the USA, among adults aged 18–49 years, a significant association was found between HBV prevalence and males of age >30 years, married status, not being vaccinated, high socioeconomic status, and lower educational level. [ 12 ]…”

Section: Introductionmentioning

confidence: 99%

Incidental hepatitis B virus in Sudanese patients and relative risk factors: Why more screening is needed in primary care?

Abuzeid

Hassan²,

Nail

et al. 2022

Journal of Family Medicine and Primary Care

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A BSTRACT Background: Hepatitis B virus (HBV) is considered one of the most paternally transmissible viruses. Therefore, education about its risk factors and transmission is vital in decreasing the prevalence of the disease burden in Sudan. The aim of the present study was to investigate the relative risk factors of HBV and its impact on the society. Materials And Methods: A facility-based, descriptive, cross-sectional study was conducted among those who were incidentally detected with HBV surface antigen (HbsAg) and their contact family members by ICT and enzyme-linked immunosorbent assay (ELISA) in Tropical Diseases Teaching Hospital, Omdurman locality, Khartoum state, Sudan. Results: The study recruited 112 participants, among whom 63 individuals incidentally attended for screening for HBV and this led to contact tracing of 49 individuals (contact relative group). Among 63 patients of the incidental group, there were 83.9% males and 16.1% females. In the contact tracing group consisting of 49 individuals, there were 83.3% males and 16.7% females (odds ratio [OR] = 1.375, 95% confidence interval [CI] = 0.14–13.6; P = 0.000). All the participants were screened for HBsAg. HBV was found to have a significant association with male gender (OR = 1.375, 95% CI = 0.14–13.6; P = 0.000), marital status (OR = 627.084, 95% CI = 48–8195; P = 0.000), working as police officers (OR = 524.2, 95% CI = 43.5–6314; P = 0.000), residing in Khartoum (OR = 520.173, 95% CI = 43–6290; P = 0.000), being illiterate (OR = 558.4, 95% CI = 47.7–6544.7; P = 0.000), vaccination status (OR = 625.4, 95% CI = 48.9–7996.3; P = 0.000), and with some concomitant diseases (OR = 559.193, 95% CI = 47.7–6561.5; P = 0.000). Conclusion: The HBV is still considered a very critical, highly infectious disease; therefore, primary care physicians have an important role in the investigation, prevention, and health education, in order to prevent the viral spread.

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Nanomedicine based approaches for combating viral infections

Shah

Chougule

Kotha

et al. 2021

Journal of Controlled Release

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Early detection of chronic hepatitis B and risk factor assessment in Turkish migrants, Middle Limburg, Belgium

Cited by 5 publications

References 34 publications

A systematic review of barriers and facilitators for hepatitis B and C screening among migrants in the EU/EEA region

A systematic review of barriers and facilitators for hepatitis B and C screening among migrants in the EU/EEA region

Incidental hepatitis B virus in Sudanese patients and relative risk factors: Why more screening is needed in primary care?

Nanomedicine based approaches for combating viral infections

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