Cargando…

Prevalence of hepatitis B and C among female sex workers in Togo, West Africa

BACKGROUND: Hepatitis B and C are endemic in sub-Saharan Africa, with prevalence among the highest in the World. However, several challenges impede the progression towards the elimination of viral hepatitis by 2030 as suggested by the World Health Organization Global health sector strategy on viral...

Descripción completa

Detalles Bibliográficos
Autores principales: Bitty-Anderson, Alexandra M., Ferré, Valentine, Gbeasor-Komlanvi, Fifonsi A., Tchankoni, Martin Kouame, Sadio, Arnold, Salou, Mounerou, Descamps, Diane, Dagnra, Claver A., Charpentier, Charlotte, Ekouevi, Didier K., Coffie, Patrick A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8664183/
https://www.ncbi.nlm.nih.gov/pubmed/34890388
http://dx.doi.org/10.1371/journal.pone.0259891
_version_ 1784613793275314176
author Bitty-Anderson, Alexandra M.
Ferré, Valentine
Gbeasor-Komlanvi, Fifonsi A.
Tchankoni, Martin Kouame
Sadio, Arnold
Salou, Mounerou
Descamps, Diane
Dagnra, Claver A.
Charpentier, Charlotte
Ekouevi, Didier K.
Coffie, Patrick A.
author_facet Bitty-Anderson, Alexandra M.
Ferré, Valentine
Gbeasor-Komlanvi, Fifonsi A.
Tchankoni, Martin Kouame
Sadio, Arnold
Salou, Mounerou
Descamps, Diane
Dagnra, Claver A.
Charpentier, Charlotte
Ekouevi, Didier K.
Coffie, Patrick A.
author_sort Bitty-Anderson, Alexandra M.
collection PubMed
description BACKGROUND: Hepatitis B and C are endemic in sub-Saharan Africa, with prevalence among the highest in the World. However, several challenges impede the progression towards the elimination of viral hepatitis by 2030 as suggested by the World Health Organization Global health sector strategy on viral hepatitis, including the lack of knowledge on the scale of this epidemic in the region. The aim of this study was to estimate the prevalence of hepatitis B and C among female sex workers (FSW) in Togo. METHODS: This ancillary study from a national cross-sectional bio-behavioral study was conducted in 2017 using a respondent-driven sampling (RDS) method, in eight towns of Togo among FSW. Socio-demographic, behavioral and sexual characteristics were assessed using a standardized questionnaire. Blood samples were collected for HIV, hepatitis B and C serological testing. Data were analyzed using descriptive analysis and a logistic regression model. RESULTS: Out of the 1,036 FSW recruited for this study, biological analyses for viral hepatitis were completed for 769 of them. The median age was 26 years [IQR: 22–33] and 49.8% (n = 383) had attained secondary school. The prevalence of hepatitis B was 9.9% [95% CI: (7.9–12.2)] and the prevalence of hepatitis C was 5.3% [95% CI: (3.9–7.2)]. Higher hepatitis B and C prevalence was associated with recruitment out of Lomé (aOR: 6.63; 95%CI: 3.51–13.40, p <0.001 and OR: 2.82; 95% CI: [1.37–5.99]; p<0.001, respectively) and, for hepatitis B, with never using condoms for vaginal intercourse (OR: 3.14; 95%CI: [1.02–8.71]; p<0.05). CONCLUSIONS: Results from this study reveals high prevalence of hepatitis B and C among FSW in Togo and an opportunity for advocacy toward the introduction of immunizations and treatment in this population.
format Online
Article
Text
id pubmed-8664183
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-86641832021-12-11 Prevalence of hepatitis B and C among female sex workers in Togo, West Africa Bitty-Anderson, Alexandra M. Ferré, Valentine Gbeasor-Komlanvi, Fifonsi A. Tchankoni, Martin Kouame Sadio, Arnold Salou, Mounerou Descamps, Diane Dagnra, Claver A. Charpentier, Charlotte Ekouevi, Didier K. Coffie, Patrick A. PLoS One Research Article BACKGROUND: Hepatitis B and C are endemic in sub-Saharan Africa, with prevalence among the highest in the World. However, several challenges impede the progression towards the elimination of viral hepatitis by 2030 as suggested by the World Health Organization Global health sector strategy on viral hepatitis, including the lack of knowledge on the scale of this epidemic in the region. The aim of this study was to estimate the prevalence of hepatitis B and C among female sex workers (FSW) in Togo. METHODS: This ancillary study from a national cross-sectional bio-behavioral study was conducted in 2017 using a respondent-driven sampling (RDS) method, in eight towns of Togo among FSW. Socio-demographic, behavioral and sexual characteristics were assessed using a standardized questionnaire. Blood samples were collected for HIV, hepatitis B and C serological testing. Data were analyzed using descriptive analysis and a logistic regression model. RESULTS: Out of the 1,036 FSW recruited for this study, biological analyses for viral hepatitis were completed for 769 of them. The median age was 26 years [IQR: 22–33] and 49.8% (n = 383) had attained secondary school. The prevalence of hepatitis B was 9.9% [95% CI: (7.9–12.2)] and the prevalence of hepatitis C was 5.3% [95% CI: (3.9–7.2)]. Higher hepatitis B and C prevalence was associated with recruitment out of Lomé (aOR: 6.63; 95%CI: 3.51–13.40, p <0.001 and OR: 2.82; 95% CI: [1.37–5.99]; p<0.001, respectively) and, for hepatitis B, with never using condoms for vaginal intercourse (OR: 3.14; 95%CI: [1.02–8.71]; p<0.05). CONCLUSIONS: Results from this study reveals high prevalence of hepatitis B and C among FSW in Togo and an opportunity for advocacy toward the introduction of immunizations and treatment in this population. Public Library of Science 2021-12-10 /pmc/articles/PMC8664183/ /pubmed/34890388 http://dx.doi.org/10.1371/journal.pone.0259891 Text en © 2021 Bitty-Anderson et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Bitty-Anderson, Alexandra M.
Ferré, Valentine
Gbeasor-Komlanvi, Fifonsi A.
Tchankoni, Martin Kouame
Sadio, Arnold
Salou, Mounerou
Descamps, Diane
Dagnra, Claver A.
Charpentier, Charlotte
Ekouevi, Didier K.
Coffie, Patrick A.
Prevalence of hepatitis B and C among female sex workers in Togo, West Africa
title Prevalence of hepatitis B and C among female sex workers in Togo, West Africa
title_full Prevalence of hepatitis B and C among female sex workers in Togo, West Africa
title_fullStr Prevalence of hepatitis B and C among female sex workers in Togo, West Africa
title_full_unstemmed Prevalence of hepatitis B and C among female sex workers in Togo, West Africa
title_short Prevalence of hepatitis B and C among female sex workers in Togo, West Africa
title_sort prevalence of hepatitis b and c among female sex workers in togo, west africa
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8664183/
https://www.ncbi.nlm.nih.gov/pubmed/34890388
http://dx.doi.org/10.1371/journal.pone.0259891
work_keys_str_mv AT bittyandersonalexandram prevalenceofhepatitisbandcamongfemalesexworkersintogowestafrica
AT ferrevalentine prevalenceofhepatitisbandcamongfemalesexworkersintogowestafrica
AT gbeasorkomlanvififonsia prevalenceofhepatitisbandcamongfemalesexworkersintogowestafrica
AT tchankonimartinkouame prevalenceofhepatitisbandcamongfemalesexworkersintogowestafrica
AT sadioarnold prevalenceofhepatitisbandcamongfemalesexworkersintogowestafrica
AT saloumounerou prevalenceofhepatitisbandcamongfemalesexworkersintogowestafrica
AT descampsdiane prevalenceofhepatitisbandcamongfemalesexworkersintogowestafrica
AT dagnraclavera prevalenceofhepatitisbandcamongfemalesexworkersintogowestafrica
AT charpentiercharlotte prevalenceofhepatitisbandcamongfemalesexworkersintogowestafrica
AT ekouevididierk prevalenceofhepatitisbandcamongfemalesexworkersintogowestafrica
AT coffiepatricka prevalenceofhepatitisbandcamongfemalesexworkersintogowestafrica