Geographically targeted chronic infection screening: lessons from a hepatitis B pilot study in the UK

被引:0
作者
O'Ferrall, Angus M. [1 ]
MacElhinney-West, Alison [2 ]
Bell, Mark S. [2 ]
Haslam, Michael P. [2 ]
Walker, Gemma [1 ]
Norton, Donna [1 ]
Burns, Sean A. [3 ]
Ferrier, Graham [4 ]
Easom, Nicholas J. W. [1 ]
机构
[1] Hull Univ, Teaching Hosp, Castle Hill Hosp, Infect Res Grp, Castle Rd, Cottingham HU16 5JQ, East Yorkshire, England
[2] Hull Univ, Teaching Hosp, Castle Hill Hosp, Viral Hepatitis Serv, Castle Rd, Cottingham HU16 5JQ, East Yorkshire, England
[3] Univ Sheffield, Sheffield S10 2TN, England
[4] Univ Hull, Dept Geog Geol & Environm, Cottingham Rd, Kingston Upon Hull HU6 7RX, England
关键词
geographic information system; hepatitis B; migrant health; screening; secondary prevention; VIRUS-INFECTION;
D O I
10.1093/trstmh/trac131
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Chronic hepatitis B (CHB) most commonly occurs following infection in early childhood. Prevalence varies markedly around the globe. Country of birth is therefore a strong predictor of CHB risk in adults. We used country of birth census data to predict CHB risk and carry out geographically targeted screening in East Yorkshire, UK. Despite engaging individuals born in high-prevalence countries with testing, we observed lower than expected prevalence in targeted highest-risk areas, which may indicate barriers to testing for people with undiagnosed CHB. Improved strategies for engagement with high-risk groups will be key for viral hepatitis elimination.
引用
收藏
页码:403 / 406
页数:4
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