Hepatitis B virus and hepatitis C virus infections among female sex workers and men who have sex with men in Lebanon: prevalence, risk behaviour and immune status

Kassak, Kassem; Mahfoud, Ziyad; Kreidieh, Khalil; Shamra, Sarah; Afifi, Rima; Ramia, S.

doi:10.1071/sh10080

Cited by 22 publications

(15 citation statements)

References 29 publications

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“…Concerning the data of Kassak et al 16 , these authors have not found any case of HBV exposure among FSW. However, it is noteworthy that they have recruited only 103 women and most of them were from other countries.…”

Section: Discussionmentioning

confidence: 80%

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Viral hepatitis in female sex workers using the Respondent-Driven Sampling

et al. 2017

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OBJECTIVETo estimate the prevalence of hepatitis B virus and C virus infections and their genotypes and analyze the risk factors for the markers of exposure to hepatitis B virus in female sex workers in a region of intense sex trade.METHODSThis is a cross-sectional study performed with four hundred and two female sex workers in Goiânia, Brazil. Data have been collected using the Respondent-Driven Sampling. The women have been interviewed and tested for markers of hepatitis B and C viruses. Positive samples have been genotyped. The data have been analyzed using the Respondent-Driven Sampling Analysis Tool, version 5.3, and Stata 11.0.RESULTSThe adjusted prevalence for hepatitis B virus and C virus were 17.1% (95%CI 11.6–23.4) and 0.7% (95%CI 0.1–1.5), respectively. Only 28% (95%CI 21.1–36.4) of the participants had serological evidence of vaccination against hepatitis B virus. Being older (> 40 years), being single, having a history of blood transfusion and use of cocaine, and ignoring the symptoms of sexually transmitted infections were associated with positivity for hepatitis B virus (p < 0.05). We have detected the subgenotype A1 of hepatitis B virus (n = 3) and the subtypes of hepatitis C virus 1a (n = 3) and 1b (n = 1).CONCLUSIONSWe can observe a low prevalence of infection of hepatitis B and C viruses in the studied population. However, the findings of the analysis of the risk factors show the need for more investment in prevention programs for sexual and drug-related behavior, as well as more efforts to vaccinate this population against hepatitis B. The genotypes of the hepatitis B virus and C virus identified are consistent with those circulating in Brazil.

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Section: Discussionmentioning

confidence: 80%

“…To our knowledge, only Kassak et al 16 have used the RDS methodology to investigate viral hepatitis among Lebanese FSW. Therefore, this study represents the first epidemiological report on viral hepatitis among FSW in South America using the RDS methodology.…”

Section: Discussionmentioning

confidence: 99%

Viral hepatitis in female sex workers using the Respondent-Driven Sampling

et al. 2017

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“…Such important risk factors rarely are covered by Arab researchers; very little data exist regarding the prevalence of injection drug use combined with Alcoholism and imprisonment and its contribution to HCV infection in the Arab world [77]. In Lebanon HCV among IDU was found to be 52.8%, with no difference in marital status, and in prisoners, it was found to be (3.4%); tattooing was also associated with HCV [78]. In Syria, the prevalence of HCV among Syrian prisoners was found to be 60.5 among IDUs and 1.96 among prostitutes [79].…”

Section: Factors Associated With Transmission Of Hepatitis C Virusmentioning

confidence: 99%

Hepatitis C Virus in Arab World: A State of Concern

Daw

Dau

2012

The Scientific World Journal

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Hepatitis C virus has been considered to be one of the most important devastating causes of chronic hepatitis, cirrhosis, and hepatic cellular carcinoma. The prevalence of such virus varies greatly over the world. Arab world has a unique geography and consists over nineteen countries who share the same heritage and customs and do speak the same language. In this area, the epidemiology of hepatitis C is not well understandable. Hepatitis C virus was found to be endemic in Arabia. The serostatus of such virus was found to be variable among these countries with uniform patterns of genotypes. Such prevalence varies tremendously according to the risk factors involved. Blood and blood products, haemodialysis, intravenous, and percutaneous drug users, and occupational, habitual, and social behavior were found to be the important factors involved. Hepatitis C will have major social, economic, and even political burdens on such young and dynamic societies. Thus, strategies and clear policy of intervention are urgently needed to combat the consequences of HCV both regionally and at state level of each country.

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“…These characteristics seem common among female sex workers in Brazil and in other countries (9,(18)(19)(20)(21)(22) . In this study, as well as in others conducted with difficult to reach populations, adherence to the first dose was good, demonstrating this population's willingness for vaccination (9)(10)23) .…”

Section: Discussionmentioning

confidence: 93%

Low completion rate of hepatitis B vaccination in female sex workers

et al. 2017

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How to cite this article: Magalhães RLB, Teles SA, Reis RK, Galvão MTG, Gir E. Low completion rate of hepatitis B vaccination in female sex workers.Rev Bras Enferm [Internet]. 2017;70(3):489-94. DOI: http://dx.doi.org/10.1590/0034-7167-2016-0567Submission: 10-24-2016 Approval: 11-04-2016 ABSTRACT Objective: to assess predictive factors for noncompletion of the hepatitis B vaccination schedule in female sex workers in the city of Teresina, Northeastern Brazil. Method: 402 women were interviewed and, for those who did not wish to visit specialized sites, or did not know their hepatitis B vaccination status, the vaccine was offered at their workplaces. Bi-and multivariate analyses were performed to identify potential predictors for noncompletion of the vaccination schedule. Results: of the 284 women eligible for vaccination, 258 (90.8%) received the second dose, 157/258 (60.8%) and 68/258 (26.3%) received the second and third doses, respectively. Working at clubs and consuming illicit drugs were predictors for noncompletion of the vaccination schedule. Conclusion: the high acceptability of the vaccine's fi rst dose, associated with low completion rates of the vaccination schedule in sex workers, shows the need for more persuasive strategies that go beyond offering the vaccine at their workplaces. Descriptors: Sex workers; Immunization; Hepatitis B; Women; Vulnerable Populations. RESUMO Objetivo: avaliar fatores preditores de não completude do esquema vacinal contra hepatite B em mulheres que se prostituem em Teresina, Nordeste do Brasil. Método: Um total de 402 mulheres foi entrevistado e, para as que se negaram a irem a lugares especializados, ou desconheciam sua situação vacinal contra hepatite B, a vacina foi oferecida no local do trabalho. Análises bi e multivariadas foram realizadas para identifi car potenciais preditores de não completude do esquema vacinal. Resultados: Das 284 mulheres elegíveis para vacinação, 258 (90,8%) receberam a primeira dose, 157/258 (60,8%) e 68/258 (26,3%) receberam a segunda e terceira doses. Trabalhar em boates e consumir drogas ilícitas foram preditores de não completude do esquema vacinal (p<0,05). Conclusão: A elevada aceitabilidade da primeira dose da vacina, associada à baixa completude do esquema vacinal em profi ssionais do sexo, evidencia a necessidade de estratégia mais persuasiva que vá além da oferta da vacina no local de trabalho. Descritores: Profi ssionais do Sexo; Imunização; Hepatite B; Mulheres; População Vulnerável. RESUMEN Objetivo: Evaluar factores predictores del no completamiento del esquema de vacunación contra la hepatitis B en mujeres que se prostituyen en Teresina, noreste de Brasil. Método: Fueron entrevistadas 402 mujeres. Para las que se negaron a ir a lugares especializados o desconocían su situación de vacunación contra la hepatitis B, la vacuna fue ofrecida en lugar de trabajo. Fueron efectuados análisis multivariados para identifi car potenciales predictores del no completamiento del esquema de vacunación. Resultados: de las 284 mujeres elegibles p...

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Hepatitis B virus and hepatitis C virus infections among female sex workers and men who have sex with men in Lebanon: prevalence, risk behaviour and immune status

Cited by 22 publications

References 29 publications

Viral hepatitis in female sex workers using the Respondent-Driven Sampling

Viral hepatitis in female sex workers using the Respondent-Driven Sampling

Hepatitis C Virus in Arab World: A State of Concern

Low completion rate of hepatitis B vaccination in female sex workers

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