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在卡塔尔的农民工中乙型肝炎和丙型肝炎病毒的流行情况。

Prevalence of hepatitis B and C viruses among migrant workers in Qatar.

机构信息

Biomedical Research Center, Qatar University, Doha, Qatar.

Department of Biomedical Science, College of Health Sciences, QU Health, Qatar University, 2713, Doha, Qatar.

出版信息

Sci Rep. 2024 May 17;14(1):11275. doi: 10.1038/s41598-024-61725-9.

Abstract

Limited data exist on viral hepatitis among migrant populations. This study investigated the prevalence of current hepatitis B virus (HBV) infection and lifetime hepatitis C virus (HCV) infection among Qatar's migrant craft and manual workers (CMWs), constituting 60% of the country's population. Sera collected during a nationwide COVID-19 population-based cross-sectional survey on CMWs between July 26 and September 9, 2020, underwent testing for HBsAg and HCV antibodies. Reactive samples underwent confirmatory testing, and logistic regression analyses were employed to explore associations with HBV and HCV infections. Among 2528 specimens tested for HBV infection, 15 were reactive, with 8 subsequently confirmed positive. Three samples lacked sufficient sera for confirmatory testing but were included in the analysis through multiple imputations. Prevalence of current HBV infection was 0.4% (95% CI 0.2-0.7%). Educational attainment and occupation were significantly associated with current HBV infection. For HCV infection, out of 2607 specimens tested, 46 were reactive, and 23 were subsequently confirmed positive. Prevalence of lifetime HCV infection was 0.8% (95% CI 0.5-1.2%). Egyptians exhibited the highest prevalence at 6.5% (95% CI 3.1-13.1%), followed by Pakistanis at 3.1% (95% CI 1.1-8.0%). Nationality, geographic location, and occupation were significantly associated with lifetime HCV infection. HBV infection is relatively low among CMWs, while HCV infection falls within the intermediate range, both compared to global and regional levels.

摘要

关于移民人群中的病毒性肝炎,现有数据有限。本研究调查了卡塔尔移民体力劳动者(CMWs)中当前乙型肝炎病毒(HBV)感染和终身丙型肝炎病毒(HCV)感染的流行率,CMWs 占该国人口的 60%。2020 年 7 月 26 日至 9 月 9 日,在针对 CMW 的全国性 COVID-19 基于人群的横断面调查期间采集的血清样本,接受了 HBsAg 和 HCV 抗体检测。对反应性样本进行了确认性检测,并采用逻辑回归分析探讨了与 HBV 和 HCV 感染的关联。在 2528 份接受 HBV 感染检测的样本中,有 15 份呈反应性,其中 8 份随后确认为阳性。有 3 份样本缺乏足够的血清进行确认性检测,但通过多次插补纳入了分析。当前 HBV 感染率为 0.4%(95%CI 0.2-0.7%)。教育程度和职业与当前 HBV 感染显著相关。对于 HCV 感染,在 2607 份接受检测的样本中,有 46 份呈反应性,随后有 23 份被确认为阳性。终身 HCV 感染率为 0.8%(95%CI 0.5-1.2%)。埃及人 HCV 感染率最高,为 6.5%(95%CI 3.1-13.1%),其次是巴基斯坦人,为 3.1%(95%CI 1.1-8.0%)。国籍、地理位置和职业与终身 HCV 感染显著相关。与全球和区域水平相比,CMWs 中的 HBV 感染相对较低,而 HCV 感染处于中等水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10a4/11101619/ca94fa882141/41598_2024_61725_Fig1_HTML.jpg

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