1981
DOI: 10.1017/s0022172400068777
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The prevalence of hepatitis B infection amongst urban and rural populations in Western Samoa

Abstract: A group of 240 urban and 200 rural dwellers in Western Samoa over the age of 20 years was studied for serological evidence of current or past infection with hepatitis B virus (HBV). Overall, 5.5% of subjects were found to be currently infected with HBV and a further 74.5% showed detectable levels of antibody. Antibody to the hepatitis B core antigen was found to be a better marker of past infection than antibody to the surface antigen of the virus. Both the infection rate and carrier rate were higher in males … Show more

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Cited by 9 publications
(5 citation statements)
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“…The HBsAg positive rates for AGH and HFH were 12.4% and 13.8%, respectively, which were higher than that of SPC (2.2%). According to the previous reports, HBV prevalence showed higher or similar rates in rural districts 12,13. In this study, HFH is in the capital of a municipality and SPC is in a more urban district than AGH; there is not much difference in the prevalence between urban and rural consistent with previous reports 12,13.…”
Section: Discussionsupporting
confidence: 89%
See 1 more Smart Citation
“…The HBsAg positive rates for AGH and HFH were 12.4% and 13.8%, respectively, which were higher than that of SPC (2.2%). According to the previous reports, HBV prevalence showed higher or similar rates in rural districts 12,13. In this study, HFH is in the capital of a municipality and SPC is in a more urban district than AGH; there is not much difference in the prevalence between urban and rural consistent with previous reports 12,13.…”
Section: Discussionsupporting
confidence: 89%
“…According to the previous reports, HBV prevalence showed higher or similar rates in rural districts 12,13. In this study, HFH is in the capital of a municipality and SPC is in a more urban district than AGH; there is not much difference in the prevalence between urban and rural consistent with previous reports 12,13. According to our survey, inoculated rate of HBV vaccine in AGH, HFH, SPC were 0.7%, 0.3%, and 1.1%, respectively which were very slight.…”
Section: Discussionmentioning
confidence: 85%
“…In that study, it was found that total HBV exposure rate, HBsAg carrier rate and previous exposure to HBV measured by the frequency of HBcAb alone were significantly higher in the rural population compared with the urban population [25]. A similar finding was reported in western Samoa where people living in rural areas were more likely to be infected than those living in urban areas [26]. On the other side, place of abode influenced the HBV infection rate reported from a study carried out in China where the prevalence rate in rural districts of the country were found to be significantly lower than the urban population [27].…”
Section: Discussionsupporting
confidence: 53%
“…In this study it appears a more common factor of working in hospital environment binds our subjects together thereby making other social factors less relevant. The main risk factor for HBV infection for HCWs is direct contact with infected material such as blood, body fluids, or needle stick injury hence HCWs are at particularly increased risk of infection [26].…”
Section: Discussionmentioning
confidence: 99%
“…Lifestyle was seen to be a factor in two rural populations of New Caledonia [ 34 ], yet a study in Fiji showed high prevalence that appeared not to have been affected by location and lifestyle [ 21 ]. A study in Tonga showed increased new cases of HBV infections in rural dwellers compared to urban and attributed this to a lifestyle in rural settings that predisposed them to increased infection [ 35 ]. While this may hold true for the Taulils, Bainings and Tolais of the Gazelle district, it is in contrast to the Pomios in this current study, who live mostly in rural areas and yet have the lowest HBsAg prevalence.…”
Section: Discussionmentioning
confidence: 99%