Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) infections among undocumented migrants and uninsured legal residents in the Netherlands: A cross-sectional study, 2018–2019

Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) infections among undocumented migrants and uninsured legal residents in the Netherlands: A cross-sectional study, 2018–2019

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<h4>Background</h4> Migrants are not routinely screened for hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV) in the Netherlands. We estimated the prevalence and determined factors associated with HBV, HCV and/or HIV infections among undocumented mig...

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Autores principales: Sarineke Klok, Eline van Dulm, Anders Boyd, Ellen Generaal, Sally Eskander, Ivo Kim Joore, Brigitte van Cleef, Evelien Siedenburg, Sylvia Bruisten, Yvonne van Duijnhoven, Gerdien Tramper-Stranders, Maria Prins
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Publicado: Public Library of Science (PLoS) 2021
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Acceso en línea:https://doaj.org/article/1c44fbab966b4cdc9870322a8bea2ac2
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spelling oai:doaj.org-article:1c44fbab966b4cdc9870322a8bea2ac22021-11-04T07:42:08ZHepatitis B Virus (HBV), Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) infections among undocumented migrants and uninsured legal residents in the Netherlands: A cross-sectional study, 2018–20191932-6203https://doaj.org/article/1c44fbab966b4cdc9870322a8bea2ac22021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8555813/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4> Migrants are not routinely screened for hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV) in the Netherlands. We estimated the prevalence and determined factors associated with HBV, HCV and/or HIV infections among undocumented migrants and uninsured legal residents. <h4>Methods</h4> In this cross-sectional study, undocumented migrants and uninsured legal residents were recruited at a non governmental organization (NGO), healthcare facility in the Netherlands and were invited to be tested for hepatitis B surface antigen (HBsAg), anti-hepatitis B core antibodies (anti-HBcAb), HCV-RNA, and anti-HIV antibodies or HIV antigen at a local laboratory. <h4>Results</h4> Of the 1376 patients invited, 784 (57%) participated. Participants originated from Africa (35%), Asia (30%) and North/South America (30%). 451/784 (58%) participants went to the laboratory for testing. Of participants 30% were HBV exposed (anti-HBcAb-positive), with 27% (n = 119/438, 95% CI 23.1% to 31.6%) having resolved HBV infection (HBsAg-negative) and 2.5% (n = 11/438, 95%CI 1.3% to 4.5%, 64% new infection) having chronic HBV infection (HBsAg-positive). Compared to HBV non-exposed, HBV exposed individuals were older (p = 0.034) and more often originated from Africa (p<0.001). Prevalence of chronic HCV infection (HCV-RNA-positive) was 0.7% (n = 3/435, 95%CI 0.1% to 2.0%, all new infections) and HIV infection 1.1% (n = 5/439, 95%CI 0.04% to 2.6%, 40% new infection). <h4>Conclusion</h4> Prevalence of chronic HBV, chronic HCV and HIV infections in our study population is higher compared to the Dutch population, thus emphasizing the importance of case finding for these infections through primary care and public health in this specific group of migrants. Screening uptake could be improved by on-site testing.Sarineke KlokEline van DulmAnders BoydEllen GeneraalSally EskanderIvo Kim JooreBrigitte van CleefEvelien SiedenburgSylvia BruistenYvonne van DuijnhovenGerdien Tramper-StrandersMaria PrinsPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Sarineke Klok
Eline van Dulm
Anders Boyd
Ellen Generaal
Sally Eskander
Ivo Kim Joore
Brigitte van Cleef
Evelien Siedenburg
Sylvia Bruisten
Yvonne van Duijnhoven
Gerdien Tramper-Stranders
Maria Prins
Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) infections among undocumented migrants and uninsured legal residents in the Netherlands: A cross-sectional study, 2018–2019
description <h4>Background</h4> Migrants are not routinely screened for hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV) in the Netherlands. We estimated the prevalence and determined factors associated with HBV, HCV and/or HIV infections among undocumented migrants and uninsured legal residents. <h4>Methods</h4> In this cross-sectional study, undocumented migrants and uninsured legal residents were recruited at a non governmental organization (NGO), healthcare facility in the Netherlands and were invited to be tested for hepatitis B surface antigen (HBsAg), anti-hepatitis B core antibodies (anti-HBcAb), HCV-RNA, and anti-HIV antibodies or HIV antigen at a local laboratory. <h4>Results</h4> Of the 1376 patients invited, 784 (57%) participated. Participants originated from Africa (35%), Asia (30%) and North/South America (30%). 451/784 (58%) participants went to the laboratory for testing. Of participants 30% were HBV exposed (anti-HBcAb-positive), with 27% (n = 119/438, 95% CI 23.1% to 31.6%) having resolved HBV infection (HBsAg-negative) and 2.5% (n = 11/438, 95%CI 1.3% to 4.5%, 64% new infection) having chronic HBV infection (HBsAg-positive). Compared to HBV non-exposed, HBV exposed individuals were older (p = 0.034) and more often originated from Africa (p<0.001). Prevalence of chronic HCV infection (HCV-RNA-positive) was 0.7% (n = 3/435, 95%CI 0.1% to 2.0%, all new infections) and HIV infection 1.1% (n = 5/439, 95%CI 0.04% to 2.6%, 40% new infection). <h4>Conclusion</h4> Prevalence of chronic HBV, chronic HCV and HIV infections in our study population is higher compared to the Dutch population, thus emphasizing the importance of case finding for these infections through primary care and public health in this specific group of migrants. Screening uptake could be improved by on-site testing.
format article
author Sarineke Klok
Eline van Dulm
Anders Boyd
Ellen Generaal
Sally Eskander
Ivo Kim Joore
Brigitte van Cleef
Evelien Siedenburg
Sylvia Bruisten
Yvonne van Duijnhoven
Gerdien Tramper-Stranders
Maria Prins
author_facet Sarineke Klok
Eline van Dulm
Anders Boyd
Ellen Generaal
Sally Eskander
Ivo Kim Joore
Brigitte van Cleef
Evelien Siedenburg
Sylvia Bruisten
Yvonne van Duijnhoven
Gerdien Tramper-Stranders
Maria Prins
author_sort Sarineke Klok
title Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) infections among undocumented migrants and uninsured legal residents in the Netherlands: A cross-sectional study, 2018–2019
title_short Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) infections among undocumented migrants and uninsured legal residents in the Netherlands: A cross-sectional study, 2018–2019
title_full Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) infections among undocumented migrants and uninsured legal residents in the Netherlands: A cross-sectional study, 2018–2019
title_fullStr Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) infections among undocumented migrants and uninsured legal residents in the Netherlands: A cross-sectional study, 2018–2019
title_full_unstemmed Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) infections among undocumented migrants and uninsured legal residents in the Netherlands: A cross-sectional study, 2018–2019
title_sort hepatitis b virus (hbv), hepatitis c virus (hcv) and human immunodeficiency virus (hiv) infections among undocumented migrants and uninsured legal residents in the netherlands: a cross-sectional study, 2018–2019
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/1c44fbab966b4cdc9870322a8bea2ac2
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