Hepatitis B Virus Infection and Its Associated Factors Among Medical Waste Collectors at Public Health Facilities in Eastern Ethiopia: A Facility-based Cross-Sectional Study.

Abstract

BackgroundThe risk of Hepatitis B Virus infection among medical waste handlers who undergo collection, transportation, and disposal of medical wastes in the health institutions is higher due to frequent exposure to contaminated blood and other body fluids. There are limited evidence on the seroprevalence of hepatitis B among medical waste handlers in eastern Ethiopia.ObjectivesThe study was aimed at studying the seroprevalence of Hepatitis B Virus and associated risk factors among medical waste collectors at health facilities of eastern Ethiopia Methodsa facility-based cross-sectional study was conducted among randomly selected medical waste collectors from public health facilities in eastern Ethiopia from March to June 2018. A pre-tested and well-structured questionnaire was used to collect data on socio-demographic characteristics and Hepatitis B infection risk factors. A 5ml venous blood was also collected, centrifuged and the serum was analyzed for Hepatitis B surface antigen using the Instant Hepatitis B surface antigen kit. Descriptive summary measures were done. Chi-square and Fisher exact tests were used to assess the risk of association. Multivariate logistic regression was conducted with 95% CI and all value at P-value < 0.05 was declared statistically significant. ResultsFrom a total of 260 (97.38%) medical waste collectors participated, HBV was detected in 53 (20.4%) of the participants [95%CI; 15.8, 25.6]. No significant differences were observed in the detection rates of HBV with respect to socio-demographic characteristics. In both bivariate and multivariable logistic regression analysis, being unvaccinated (AOR= 6.35; 95%CI = [2.53-15.96], P=0.001), history of blood transfusion (receiving) (AOR; 3.54; 95%CI; [1.02-12.24], P=0.046), history of tattooing (AOR= 2.86; 95%CI=[1.12-7.27], p=0.03), and history of multiple sexual partner (AOR= 10.28; 95%CI=[4.16-25.38], P=0.001) remained statistically significantly associated with HBsAg positivity. ConclusionThis cross-sectional study identified that HBV infection is high among medical waste collectors in eastern Ethiopia. Immunization and on job health promotion and disease prevention measures should be considered in order to control the risk of HBV infection among medical waste collectors.