1. Sociodemographic and clinical features related to hepatitis B virus infection among rejected blood donors in Luanda, Angola.
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Jandondo, Domingos, Pimentel, Victor, Vigário, João, Vienga, Pedro, Sebastião, Joana M. K., Mateus, Anabela, Comandante, Felícia, Sacomboio, Euclides, Abecasis, Ana, Manico, Eunice, Machado, Deodete, David, Zinga, de Vasconcelos, Jocelyne Neto, Morais, Joana, and Sebastião, Cruz S.
- Subjects
HEPATITIS B ,BLOOD donors ,HEPATITIS B virus ,VIRAL hepatitis ,METROPOLITAN areas - Abstract
Background: Hepatitis B virus (HBV) remains a public health concern. Blood donors screened for HBV surface antigen (HBsAg) along with aspartate transaminase (AST)/alanine aminotransferase (ALT) could play a key in providing safe blood products. We investigated the features related to HBV infection among rejected blood donors in Luanda, Angola. Methods: This was a cross‐sectional study conducted with 164 rejected donors. Donors were screened for HBsAg from March to May 2022. Overall, 63.4% tested positive for HBV. Results: The mean age of the HBV‐positive (29.2 ± 8.02) was lower than the HBV‐negative (33.9 ± 10.0) (p < 0.001). Donors between 20 and 40 years (odds ratio [OR]: 2.34, p = 0.045), females (OR: 1.40, p = 0.516), residents in urbanized areas (OR: 1.23, p = 0.530), low educational (OR: 1.54, p = 0.458), unemployed (OR: 1.65, p = 0.271), and unmarried (OR:1.41, p = 0.616) might be likely to contract HBV. AST/ALT ratio was higher in HBV‐infected (2.07 ± 1.42) than in HBV‐uninfected (1.90 ± 1.14). About 20% of HBV‐positive were classified as having acute liver disease, while 80% with chronic liver disease, based on AST/ALT ratio. Age ranged from 20 to 40 years (OR: 1.97, p = 0.305), females (OR: 1.61, p = 0.557), donors from non‐urbanized (OR: 1.69, p = 0.557), a low educational (OR: 1.64, p = 0.571), and unemployed donors (OR: 1.81, p = 0.289) were likely to develop chronic liver disease. Conclusions: Our findings indicated the failure of viral hepatitis control measures. Authorities should consider including HBV nucleic acid testing to ensure early identification of HBV in Angola. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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