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Seroprevalence of Hepatitis E Virus in Roma Settlements: A Comparison with the General Population in Slovakia
Open AccessArticle

Prevalence and Risk Factors for Hepatitis B Virus Infection in Roma and Non-Roma People in Slovakia

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Department of Internal Medicine, University Hospital Poprad, 058 01 Poprad, Slovakia
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1st Department of Internal Medicine, Faculty of Medicine, P.J. Safarik University and L. Pasteur University Hospital, Kosice, 040 11 Kosice, Slovakia
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Department of Infectious Diseases, Faculty of Medicine, P.J. Safarik University and L. Pasteur University Hospital, Kosice, 040 01 Kosice, Slovakia
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Department of Epidemiology, Faculty of Medicine, P.J. Safarik University, Kosice, 041 80 Kosice, Slovakia
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Department of Pediatrics, Faculty of Medicine and Children´s Faculty Hospital, P.J. Safarik University, Kosice, 040 11 Kosice, Slovakia
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Department of Health Psychology, Faculty of Medicine, P.J. Safarik University, Kosice, 040 11 Kosice, Slovakia
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Department of Medical and Clinical Biochemistry, Faculty of Medicine, P.J. Safarik University, Kosice, 040 11 Kosice, Slovakia
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Faculty of Medicine, P.J. Safarik University, Kosice, 040 11 Kosice, Slovakia
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(5), 1047; https://doi.org/10.3390/ijerph15051047
Received: 21 March 2018 / Revised: 9 May 2018 / Accepted: 15 May 2018 / Published: 22 May 2018
(This article belongs to the Special Issue Roma Health)
Prevalence of Hepatitis B is relatively low in developed European countries. However specific subpopulations may exist within each country with markedly different Hepatitis B burden. Roma minority is very numerous in Slovakia and their lifestyle is completely different to non-Roma population. The aim of this study is to map Hepatitis B prevalence in Roma and compare it to non-Roma population and to explore potential socio-economic and health related risk factors. Cross-sectional epidemiology study was performed in Slovakia that included randomly sampled Roma population and geographically corresponding random sampled non-Roma population. Comprehensive questionnaire about risk factors was administered and blood samples were drawn for Hepatitis B serology and virology tests. Altogether 855 participants were included. Global Hepatitis B surface Antigen (HBsAg) positivity rate was 7.7% (i.e., active Hepatitis B) and anti Hepatitis B core IgG antibody (antiHBcIgG) positivity rate was 34.6%. Roma population had significantly higher prevalence of Hepatitis B, both active chronic infection (12.4%; 95% Confidence Interval (CI) 9.58%–15.97% versus 2.8%; 95% CI 1.56%–4.91%; p < 0.0001) and antiHBcIgG positivity (52.8%; 95% CI 48.17%–57.44% versus 25.9%; 95% CI 12.56%–20.02%; p < 0.0001) Main risk factors for HBsAg positivity were Roma ethnicity, male sex and tattoo. Conclusion: There is a very high prevalence of Hepatitis B in Roma communities in Slovakia, with potential for grave medical consequences. View Full-Text
Keywords: chronic hepatitis B; Roma population; prevalence; risk factors; anti HBc antibodies; HBV DNA chronic hepatitis B; Roma population; prevalence; risk factors; anti HBc antibodies; HBV DNA
MDPI and ACS Style

Drazilova, S.; Janicko, M.; Kristian, P.; Schreter, I.; Halanova, M.; Urbancikova, I.; Madarasova-Geckova, A.; Marekova, M.; Pella, D.; Jarcuska, P.; HepaMeta Team. Prevalence and Risk Factors for Hepatitis B Virus Infection in Roma and Non-Roma People in Slovakia. Int. J. Environ. Res. Public Health 2018, 15, 1047.

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