Skip to main content

Advertisement

Log in

Determinants of Hepatitis B Virus (HBV) Infection Among University Students in Central Bangladesh

  • Original Paper
  • Published:
Journal of Community Health Aims and scope Submit manuscript

Abstract

This study aimed to determine the seroprevalence and determinants of hepatitis B virus (HBV) infection among university students in Bangladesh. This cross-sectional study was conducted among 614 students from five universities in central Bangladesh. Data were collected on demographic information, immunization history, medical and blood transfusion history through the face-to-face interview. Blood samples were collected and screened for anti-HBsAg using ELISA, HBsAg Rapid Test-cassette, and immune chromatographic test. The overall seroprevalence of HBV infection was 5.0%, and vaccination coverage was 19.2% among the participants. Students having a history of surgery (OR 11.004, 95% CI 3.211–37.707), blood transfusion (OR 5.651, 95% CI 0.965–33.068), being married (OR 4.776, 95% CI 1.508–15.127), and not being vaccinated (OR 9.825, 95% CI 1.130–85.367) were at higher risk of being infected by HBV. This study showed the endemicity of HBV infection among the Bangladeshi population. Marriage, surgical or blood transfusion history, not being vaccinated were the determinants of HBV infection within the study population. Public health initiatives for preventing HBV infection at the university levels should be envisaged.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Franco, E., Meleleo, C., Serino, L., Sorbara, D., & Zaratti, L. (2012). Hepatitis A: Epidemiology andprevention in developing countries. World Journal of Hepatology, 4(3), 68–73.

    Article  Google Scholar 

  2. World Health Organization (WHO). (2020). Hepatitis B. Accessed August 20, 2020, from https://www.who.int/news-room/fact-sheets/detail/hepatitis-b

  3. Parkin, D. M. (2006). The global health burden of infection-associated cancers in the year 2002. International Journal of Cancer, 118(12), 3030–3044.

    Article  CAS  Google Scholar 

  4. Ghouri, Y. A., Mian, I., & Rowe, J. H. (2017). Review of hepatocellular carcinoma: Epidemiology, etiology, and carcinogenesis. Journal of Carcinogenesis. https://doi.org/10.4103/jcar.JCar_9_16

    Article  PubMed  PubMed Central  Google Scholar 

  5. MacLachlan, J. H., & Cowie, B. C. (2015). Hepatitis B virus epidemiology. Cold Spring Harbor Perspectives in Medicine, 5(5), a021410. https://doi.org/10.1101/cshperspect.a021410

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. World Health Organization (WHO). (2004). Hepatitis B vaccines. Weekly Epidemiological Record, 79(28), 255–263.

    Google Scholar 

  7. André, F. (2000). Hepatitis B epidemiology in Asia, the Middle East and Africa. Vaccine, 18(Suppl 1), S20–S22. https://doi.org/10.1016/s0264-410x(99)00456-9

    Article  PubMed  Google Scholar 

  8. Maynard, J. E. (1990). Hepatitis B: global importance and need for control. Vaccine, 81, S18–S20. https://doi.org/10.1016/0264-410x(90)90209-5

    Article  Google Scholar 

  9. Romano’, L., Paladini, S., Van Damme, P., & Zanetti, A. R. (2011). The worldwide impact of vaccinationon the control and protection of viral hepatitis B. Digestive and Liver Diseases, 43, S2–S7. https://doi.org/10.1016/S1590-8658(10)60685-8

    Article  Google Scholar 

  10. Sung, J. L., & The Asian Regional Study Group. (1990). Hepatitis B virus eradication strategy for Asia. Vaccine, 8(Suppl), S95–S99. https://doi.org/10.1016/0264-410x(90)90227-d.PMID2139290

    Article  PubMed  Google Scholar 

  11. Qua, C. S., & Goh, K. L. (2011). Liver cirrhosis in Malaysia: Peculiar epidemiology in a multiracial Asian country. Journal of Gastroenterology and Hepatology, 26(8), 1333–1337. https://doi.org/10.1111/j.1440-1746.2011.06732.x

    Article  PubMed  Google Scholar 

  12. Wisnom, C., & Siegel, M. A. (2003). Advances in the diagnosis and management of human viral hepatitis. Dental Clinics of North America, 47(3), 431–447. https://doi.org/10.1016/s0011-8532(03)00021-1

    Article  PubMed  Google Scholar 

  13. Reichen, J., & Grob, P. (2002). Hepatitis B virus infection: Diagnosis, clinical sequelae, therapy andprevention. Praxis, 91(8), 307–319.

    Article  CAS  Google Scholar 

  14. Mushtaq, M. U., Gull, S., Khurshid, U., Shahid, U., Shad, M. A., & Siddiqui, A. M. (2011). Prevalence andsocio-demographic correlates of stunting and thinness among Pakistani primary schoolchildren. BMC Public Health, 11(11), 790. https://doi.org/10.1186/1471-2458-11-790.PMID:21988799;PMCID:PMC3209698

    Article  PubMed  PubMed Central  Google Scholar 

  15. Mahtab, M. A., Rahman, S., Karim, M. F., Khan, M., Foster, G., Solaiman, S., & Afroz, S. (2008). Epidemiology of hepatitis B virus in Bangladeshi general population. Hepatobiliary & Pancreatic Diseases International, 7(6), 595–600.

    Google Scholar 

  16. Uz-Zaman, M. H., Rahman, A., & Yasmin, M. (2018). Epidemiology of hepatitis B virus infection in Bangladesh: Prevalence among general population, risk groups and genotype distribution. Genes, 9(11), 541. https://doi.org/10.3390/genes9110541

    Article  CAS  PubMed Central  Google Scholar 

  17. Zaki, H., Darmstadt, G. L., Baten, A., Ahsan, C. R., & Saha, S. K. (2003). Seroepidemiology of hepatitis Band delta virus infections in Bangladesh. Journal of Tropical Pediatrics, 49(6), 371–374. https://doi.org/10.1093/tropej/49.6.371

    Article  PubMed  Google Scholar 

  18. Harpaz, R., Von Seidlein, L., Averhoff, F. M., Tormey, M. P., Sinha, S. D., Kotsopoulou, K., Lambert, S. B., Robertson, B. H., Cherry, J. D., & Shapiro, C. N. (1996). Transmission of hepatitis B virus tomultiple patients from a surgeon without evidence of inadequate infection control. New England Journal of Medicine, 334(9), 549–554. https://doi.org/10.1056/NEJM199602293340901

    Article  CAS  Google Scholar 

  19. Lee, W. M. (1997). Hepatitis B virus infection. New England Journal of Medicine, 337(24), 1733–1745.

    Article  CAS  Google Scholar 

  20. United Nations Initiative on Global Geospatial Information Management (UN-GGIM). (2016). Report of the Inter-Agency and Expert Group on sustainable development goal indicators (E/CN.3/2016/2/Rev.1). Accessed December 5, 2018, from http://ggim.un.org/knowledgebase/KnowledgebaseArticle51479.aspx

  21. Yogambigai, R., Niazlin, M. T., Mudatsir, M., Harapan, H., Abram, L. W., Subramaniam, M., Rahim, K. A., & Radam, A. (2020). Risk behaviours related to hepatitis B virus infection among adults in Malaysia: A cross-sectional household survey. Clinical Epidemiology and Global Health, 8(1), 76–82. https://doi.org/10.1016/j.cegh.2019.04.011

    Article  Google Scholar 

  22. Islam, M., Islam, K., & Islam, N. (1984). Hepatitis-B virus infection in Dhaka, Bangladesh. Bangladesh Medical Research Council bulletin, 10(1), 1–6.

    CAS  PubMed  Google Scholar 

  23. Rumi, M. A., Begum, K., Hassan, M. S., Hasan, S. M., Azam, M. G., Hasan, K. N., & Khan, A. K. (1998). Detection of hepatitis B surface antigen in pregnant women attending a publichospital for delivery: Implication for vaccination strategy in Bangladesh. The American Journal of Tropical Medicine and Hygiene, 59(2), 318–322. https://doi.org/10.4269/ajtmh.1998.59.318

    Article  CAS  PubMed  Google Scholar 

  24. Mustafa, M., Islam, M. N., Rahman, M., & Salauddin, A. K. (1989). Prevalence of hepatitis B surfaceantigen (HBsAg) among parenteral drug abusers at Dhaka. Bangladesh Medical Research Council Bulletin, 15(1), 1–7.

    CAS  PubMed  Google Scholar 

  25. Ahmad, Q., Chowdhury, S. G., Islam, M. N., Khan, F. D., Alam, M. R., & Miah, A. H. (1991). HBsAg amongstunscreened operated patients. Bangladesh Medical Research Council Bulletin, 17(1), 11–16.

    CAS  PubMed  Google Scholar 

  26. Sattar, H., & Islam, M. (1996). Hepatitis B virus markers among the prostitutes of Dhaka. Bangladesh Medical Research Council Bulletin, 22(1), 8–11.

    CAS  PubMed  Google Scholar 

  27. Islam, M. M., Islam, S., Azad, A. K., Alam, M., & Mia, Z. (2016). Sero-prevalence of hepatitis b virus(HBV) infection among students of a public university, Dhaka, Bangladesh. Jagannath University Journal of Life and Earth Sciences, 2, 1–6.

    Google Scholar 

  28. Ashraf, H., Alam, N. H., Rothermundt, C., Brooks, A., Bardhan, P., Hossain, L., Salam, M. A., Hassan, M. S., Beglinger, C., & Gyr, N. (2010). Prevalence and risk factors of hepatitis B and C virusinfections in an impoverished urban community in Dhaka, Bangladesh. BMC Infectious Diseases, 10, 1–8. https://doi.org/10.1186/1471-2334-10-208

    Article  Google Scholar 

  29. Health Bulletin. (2018). Ministry of health and family welfare. Government of People’s Reoublic of Bangladesh. Accessed July 8, 2019, from https://dghs.gov.bd/images/docs/Publicaations/HB%202018%20final.pdf

  30. Piot, P., Goilav, C., & Kegels, E. (1990). Hepatitis B: Transmission by sexual contact and needle sharing. Vaccine, 8, S37–S40.

    Article  Google Scholar 

  31. Atkins, M., & Nolan, M. (2005). Sexual transmission of hepatitis B. Current Opinion in Infectious Diseases, 18(1), 67–72.

    Article  Google Scholar 

  32. Gorgos, L. (2013). Sexual transmission of viral hepatitis. Infectious Disease Clinics, 27(4), 811–836.

    PubMed  Google Scholar 

  33. Lichtenhan, J. (1995). Sexual activity and recommendations for the hepatitis B vaccine. American Family Physician, 52(5), 1277–1278.

    CAS  PubMed  Google Scholar 

  34. Walling, A. (1998). Role of semen in the sexual transfer of hepatitis viruses. American Family Physician, 58(2), 509–509.

    CAS  PubMed  Google Scholar 

  35. Shepard, C. W., Simard, E. P., Finelli, L., Fiore, A. E., & Bell, B. P. (2006). Hepatitis B virus infection: Epidemiology and vaccination. Epidemiologic Reviews, 28, 112–125. https://doi.org/10.1093/epirev/mxj009

    Article  PubMed  Google Scholar 

  36. Spijkerman, I. J., van Doorn, L. J., Janssen, M. H., Wijkmans, C. J., Bilkert-Mooiman, M. A., Coutinho, R. A., & Weers-Pathoff, G. (2002). Transmission of hepatitis B virus from a surgeon to hispatients during high-risk and low-risk surgical procedures during 4 years. Infection Control and Hospital Epidemiology, 23(6), 306–312. https://doi.org/10.1086/502056

    Article  PubMed  Google Scholar 

  37. Allos, B. M., & Schaffner, W. (2007). Transmission of hepatitis B in the health care setting: The elephant in the room … or the mouse? Jounal Infectious Diseases, 195(9), 1245–1247. https://doi.org/10.1086/513436

    Article  Google Scholar 

  38. Gershon, R. R., Sherman, M., Mitchell, C., Vlahov, D., Erwin, M. J., Lears, M. K., Felknor, S., Lubelczyk, R. A., & Alter, M. J. (2007). Prevalence and risk factors for bloodborne exposure andinfection in correctional healthcare workers. Infection Control and Hospital Epidemiology, 28(1), 24–30. https://doi.org/10.1086/510813

    Article  PubMed  Google Scholar 

  39. Rumi, N. A., Sultana, R., Luby, S. P., Islam, M. S., Uddin, M., Hossain, M. J., Zaman, R. U., Nahar, N., & Gurley, E. S. (2014). Infrastructure and contamination of the physical environment in three Bangladeshi hospitals: Putting infection control into context. PLoS ONE, 9(2), e89085. https://doi.org/10.1371/journal.pone.0089085

    Article  CAS  Google Scholar 

  40. Chiarello, L. A., & Cardo, D. M. (2002). Preventing transmission of hepatitis B virus from surgeons to patients. Infection Control & Hospital Epidemiology, 23(6), 301–302.

    Article  Google Scholar 

  41. Saag, M. S., Squires, K. E., Aberg, J. A., & Bardeguez, A. (2010). Letter in response to the new SHEAguideline for healthcare workers with hepatitis B virus, hepatitis C virus, and/or humanimmunodeficiency virus. Infection Control Hospital Epidemiology, 31(10), 1092–1093. https://doi.org/10.1086/656559

    Article  PubMed  Google Scholar 

  42. Li, X., Zheng, Y., Liau, A., Cai, B., Ye, D., Huang, F., Sheng, X., Ge, F., Xuan, L., Li, S., & Li, J. (2012). Hepatitis B virus infections and risk factors among the general population in Anhui province China: An epidemiological study. BMC Public Health, 12, 272. https://doi.org/10.1186/1471-2458-12-272

    Article  PubMed  PubMed Central  Google Scholar 

  43. Khan, M., & Ahmad, N. (1996). Seroepidemiology of HBV and HCV in Bangladesh. International Hepatology Communications, 5(1), 27–29.

    Article  Google Scholar 

  44. Lu, F. M., & Zhuang, H. (2009). Prevention of hepatitis B in China: Achievements and challenges. Chinese Medical Journal, 122(24), 2925–2927.

    PubMed  Google Scholar 

  45. Wait, S., & Chen, D. S. (2012). Towards the eradication of hepatitis B in Taiwan. The Kaohsiung Journal of Medical Sciences, 28(1), 1–9.

    Article  Google Scholar 

  46. World Health Organization (WHO). (2016). Combating hepatitis B and C to reach eliminationby 2030. Accessed August 6, 2020, from https://www.who.int/hepatitis/publications/hep43elimination-by-2030-brief/en/

  47. Sarkar, P., Sarker, N., Doulah, S., & Bari, T. I. (2017). Expanded programme on immunization in Bangladesh: A success story. Bangladesh Journal of Child Health, 39(2), 93–98. https://doi.org/10.3329/bjch.v39i2.31540

    Article  Google Scholar 

  48. Lu, P. J., O’Halloran, A. C., Williams, W. W., & Nelson, N. P. (2018). Hepatitis B vaccination coverageamong adults aged ≥ 18 years traveling to a country of high or intermediate endemicity, United States, 2015. Vaccine, 36(18), 2471–2479. https://doi.org/10.1016/j.vaccine.2018.03.030

    Article  PubMed  PubMed Central  Google Scholar 

  49. Lewis-Ximenez, L. L., do O, K. M., Ginuino, C. F., Silva, J. C., Schatzmayr, H. G., Stuver, S., & Yoshida, C. F. (2002). Risk factors for hepatitis B virusinfection in Rio de Janeiro, Brazil. BMC Public Health, 2, 26. https://doi.org/10.1186/1471-2458-2-26

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Faisal Muhammad.

Ethics declarations

Ethical Approval

The Bangladesh Institute of Allergy and Clinical Immunology’s ethical review committee approved the study (IACIB). Each participant signed a written informed consent form. They were informed about the study’s nature and goal and the fact that their information would be kept private. In addition, all volunteers received free laboratory tests, interviews, and results from notification. Each participant’s test results were sealed, encased, and personally delivered. As a thank you for taking part in the study, each participant received a modest gift.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Islam, M.R., Sheba, N.H., Islam, M.T. et al. Determinants of Hepatitis B Virus (HBV) Infection Among University Students in Central Bangladesh. J Community Health 47, 136–142 (2022). https://doi.org/10.1007/s10900-021-01025-9

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10900-021-01025-9

Keywords

Navigation