Screening, Vaccination Uptake and Linkage to Care for Hepatitis B Virus among Health Care Workers in Rural Sierra Leone
Abstract
1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Total | HBsAg Negative (n,%) | HBsAg Positive (n,%) | |
---|---|---|---|
Age (median, IQR) | 32 (25–42) | 32 (18–43) | 29 (20–38) |
Age category * | |||
30 years and above | 397 (62.8) | 365 (91.9) | 32 (8.1) |
Less than 30 years | 235 (37.2) | 202 (86.0) | 33 (14.0) |
Gender | |||
Female | 304 (48.1) | 279 (91.8) | 25 (8.2) |
Male | 328 (51.9) | 288 (87.8) | 40 (12.2) |
Occupation | |||
Nurses | 174(27.5) | 157 (90.2) | 17 (9.8) |
CHWs | 135 (21.4) | 120 (88.9) | 15 (11.1) |
Paramedical officers | 95 (15.0) | 83 (87.4) | 12 (12.6) |
Equipment and facility maintenance officers | 91 (14.4) | 82 (90.1) | 9 (9.9) |
Environmental and public health officers | 46 (7.3) | 39 (84.8) | 7 (15.2) |
Others | 91 (14.4) | 86 (94.5) | 5 (5.5) |
Years of work | |||
Less than 1 | 78 (12.3) | 75 (96.1) | 3 (3.9) |
1–4 | 318 (50.3) | 279 (87.7) | 39 (12.3) |
5–9 | 166 (26.3) | 152 (91.6) | 14 (8.4) |
More than 9 | 70 (11.1) | 61 (87.1) | 9 (12.9) |
Education level | |||
Primary | 52 (8.2) | 45 (86.5) | 7 (13.5) |
Secondary | 243 (38.5) | 214 (88.1) | 29 ( 11.9) |
Tertiary | 337 (53.3) | 308 (91.4) | 29 (8.6) |
Never married | |||
No | 410 (64.9) | 374 (91.2) | 36 (8.8) |
Yes | 222 (35.1) | 193 (86.9) | 29 (13.1) |
Have children | |||
No | 92 (14.6) | 80 (87.0) | 12 (13) |
Yes | 540 (85.4) | 487 (90.2) | 53 (9.8) |
Previous exposure to vaccine | |||
No | 619 (97.0) | 548 (89.4) | 65 (10.6) |
Yes | 19 (3.0) | 19 (100) | 0 (0) |
History of needle stick injury | |||
No | 346 (54.8) | 317 (91.6) | 29 (8.4) |
Yes | 286 (45.2) | 250 (87.4) | 36 (10.2) |
Category | Univariate Analysis | Multivariate Analysis | ||||
---|---|---|---|---|---|---|
OR | CI | p-Value | aOR | CI | p-Value | |
Age | ||||||
Less than 30 years | 1.86 | 1.11–3.12 | 0.02 | 2.17 | 1.16–4.03 | 0.01 |
More than 30 years | Ref | Ref | ||||
Gender | ||||||
Female | Ref | Ref | ||||
Male | 1.55 | 0.92–2.62 | 0.1 | 2.0 | 1.06–3.78 | 0.03 |
Occupation | ||||||
Others | Ref | |||||
Nurses | 1.86 | 0.66–5.22 | 0.24 | - | - | - |
CHWs | 2.15 | 0.75–6.14 | 0.15 | 1.98 | 0.67–5.88 | 0.22 |
Paramedical officers | 2.49 | 0.84–7.37 | 0.1 | 2.08 | 0.68–6.38 | 0.2 |
Equipment and facility maintenance Officers | 1.89 | 0.61–5.87 | 0.27 | - | - | - |
Environmental and public health officers | 3.09 | 0.92–10.34 | 0.07 | 2.48 | 0.71–8.72 | 0.16 |
Education level | ||||||
Primary | ref | |||||
Secondary | 0.87 | 0.36–2.11 | 0.76 | - | - | - |
Above secondary level | 0.61 | 0.25–1.46 | 0.27 | - | - | - |
Never Married | ||||||
No | ref | ref | ||||
Yes | 1.56 | 0.93–2.62 | 0.09 | 1.37 | 0.75–2.51 | 0.31 |
Have children | ||||||
No | ref | |||||
Yes | 0.73 | 0.37–1.42 | 0.35 | - | - | - |
Years of work-years | ||||||
Less than 1 | Ref | |||||
1–4 | 3.49 | 1.05–11.62 | 0.04 | 3.99 | 1.15–13.73 | 0.03 |
5–9 | 2.30 | 0.64–8.26 | 0.2 | - | - | - |
More than 9 | 3.69 | 0.96–14.22 | 0.06 | 6.16 | 1.41–26.9 | 0.02 |
History of Needle stick Injury | ||||||
No | Ref | ref | ||||
Yes | 1.57 | 0.94–2.64 | 0.09 | 1.51 | 0.86–2.66 | 0.15 |
Variable | Not Linked to Care (n%) | Linked to Care (n/%) |
---|---|---|
Linkage | 17 (26.1) | 48 (73.9) |
Age (median, IQR) | 29 (27–38) | 32. (27.5–43) |
Age category | ||
30 years and above | 7 | 25 |
Less than 30 years | 10 | 23 |
Gender | ||
Male | 7 | 18 |
Female | 10 | 30 |
Patient on treatment | 6 (12.5%) | |
Cirrhosis | 2 | |
HIV/HBV co-infection | 4 | |
Follow-up and monitoring in the clinic | 42 |
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Bangura, M.; Frühauf, A.; Mhango, M.; Lavallie, D.; Reed, V.; Rodriguez, M.P.; Smith, S.J.; Lakoh, S.; Ibrahim-Sayo, E.; Conteh, S.; et al. Screening, Vaccination Uptake and Linkage to Care for Hepatitis B Virus among Health Care Workers in Rural Sierra Leone. Trop. Med. Infect. Dis. 2021, 6, 65. https://doi.org/10.3390/tropicalmed6020065
Bangura M, Frühauf A, Mhango M, Lavallie D, Reed V, Rodriguez MP, Smith SJ, Lakoh S, Ibrahim-Sayo E, Conteh S, et al. Screening, Vaccination Uptake and Linkage to Care for Hepatitis B Virus among Health Care Workers in Rural Sierra Leone. Tropical Medicine and Infectious Disease. 2021; 6(2):65. https://doi.org/10.3390/tropicalmed6020065
Chicago/Turabian StyleBangura, Musa, Anna Frühauf, Michael Mhango, Daniel Lavallie, Vicky Reed, Marta Patiño Rodriguez, Samuel Juana Smith, Sulaiman Lakoh, Emmanuel Ibrahim-Sayo, Sorie Conteh, and et al. 2021. "Screening, Vaccination Uptake and Linkage to Care for Hepatitis B Virus among Health Care Workers in Rural Sierra Leone" Tropical Medicine and Infectious Disease 6, no. 2: 65. https://doi.org/10.3390/tropicalmed6020065
APA StyleBangura, M., Frühauf, A., Mhango, M., Lavallie, D., Reed, V., Rodriguez, M. P., Smith, S. J., Lakoh, S., Ibrahim-Sayo, E., Conteh, S., Lado, M., & Kachimanga, C. (2021). Screening, Vaccination Uptake and Linkage to Care for Hepatitis B Virus among Health Care Workers in Rural Sierra Leone. Tropical Medicine and Infectious Disease, 6(2), 65. https://doi.org/10.3390/tropicalmed6020065