Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) infections among undocumented migrants and uninsured legal residents in the Netherlands: A cross-sectional study, 2018-2019
Migrants are not routinely screened for hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV) in the Netherlands. We estimated the prevalence and determined factors associated with HBV, HCV and/or HIV infections among undocumented migrants and uninsured legal reside...
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| Veröffentlicht in: | PloS one 2021-10, Vol.16 (10), p.e0258932-e0258932 |
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| creator | Klok, Sarineke van Dulm, Eline Boyd, Anders Generaal, Ellen Eskander, Sally Joore, Ivo Kim van Cleef, Brigitte Siedenburg, Evelien Bruisten, Sylvia van Duijnhoven, Yvonne Tramper-Stranders, Gerdien Prins, Maria |
| description | Migrants are not routinely screened for hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV) in the Netherlands. We estimated the prevalence and determined factors associated with HBV, HCV and/or HIV infections among undocumented migrants and uninsured legal residents.
In this cross-sectional study, undocumented migrants and uninsured legal residents were recruited at a non governmental organization (NGO), healthcare facility in the Netherlands and were invited to be tested for hepatitis B surface antigen (HBsAg), anti-hepatitis B core antibodies (anti-HBcAb), HCV-RNA, and anti-HIV antibodies or HIV antigen at a local laboratory.
Of the 1376 patients invited, 784 (57%) participated. Participants originated from Africa (35%), Asia (30%) and North/South America (30%). 451/784 (58%) participants went to the laboratory for testing. Of participants 30% were HBV exposed (anti-HBcAb-positive), with 27% (n = 119/438, 95% CI 23.1% to 31.6%) having resolved HBV infection (HBsAg-negative) and 2.5% (n = 11/438, 95%CI 1.3% to 4.5%, 64% new infection) having chronic HBV infection (HBsAg-positive). Compared to HBV non-exposed, HBV exposed individuals were older (p = 0.034) and more often originated from Africa (p |
| doi_str_mv | 10.1371/journal.pone.0258932 |
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In this cross-sectional study, undocumented migrants and uninsured legal residents were recruited at a non governmental organization (NGO), healthcare facility in the Netherlands and were invited to be tested for hepatitis B surface antigen (HBsAg), anti-hepatitis B core antibodies (anti-HBcAb), HCV-RNA, and anti-HIV antibodies or HIV antigen at a local laboratory.
Of the 1376 patients invited, 784 (57%) participated. Participants originated from Africa (35%), Asia (30%) and North/South America (30%). 451/784 (58%) participants went to the laboratory for testing. Of participants 30% were HBV exposed (anti-HBcAb-positive), with 27% (n = 119/438, 95% CI 23.1% to 31.6%) having resolved HBV infection (HBsAg-negative) and 2.5% (n = 11/438, 95%CI 1.3% to 4.5%, 64% new infection) having chronic HBV infection (HBsAg-positive). Compared to HBV non-exposed, HBV exposed individuals were older (p = 0.034) and more often originated from Africa (p<0.001). Prevalence of chronic HCV infection (HCV-RNA-positive) was 0.7% (n = 3/435, 95%CI 0.1% to 2.0%, all new infections) and HIV infection 1.1% (n = 5/439, 95%CI 0.04% to 2.6%, 40% new infection).
Prevalence of chronic HBV, chronic HCV and HIV infections in our study population is higher compared to the Dutch population, thus emphasizing the importance of case finding for these infections through primary care and public health in this specific group of migrants. Screening uptake could be improved by on-site testing.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0258932</identifier><identifier>PMID: 34714867</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Aged ; Antibodies ; Antigens ; Biology and life sciences ; Chronic infection ; Consent ; Cross-Sectional Studies ; Exposure ; Female ; Health care ; Health care facilities ; Health risks ; Health services ; Hepatitis ; Hepatitis B ; Hepatitis B - epidemiology ; Hepatitis B surface antigen ; Hepatitis C ; Hepatitis C - epidemiology ; HIV ; HIV Infections - epidemiology ; Human immunodeficiency virus ; Humans ; Immune system ; Infections ; Infectious diseases ; Laboratories ; Male ; Medical diagnosis ; Medically Uninsured ; Medicine and Health Sciences ; Middle Aged ; Migrants ; Netherlands - epidemiology ; Participation ; People and places ; Population studies ; Prevalence ; Public health ; Questionnaires ; Transients and Migrants ; Undocumented immigrants ; Uninsured people ; Viruses</subject><ispartof>PloS one, 2021-10, Vol.16 (10), p.e0258932-e0258932</ispartof><rights>2021 Klok et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 Klok et al 2021 Klok et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c526t-dff0a46e83aa5e061d39e139e70e2d0f61a8cacb45e157a6879a32df552dbc7f3</citedby><cites>FETCH-LOGICAL-c526t-dff0a46e83aa5e061d39e139e70e2d0f61a8cacb45e157a6879a32df552dbc7f3</cites><orcidid>0000-0001-7078-5315</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8555813/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8555813/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34714867$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Khudyakov, Yury E.</contributor><creatorcontrib>Klok, Sarineke</creatorcontrib><creatorcontrib>van Dulm, Eline</creatorcontrib><creatorcontrib>Boyd, Anders</creatorcontrib><creatorcontrib>Generaal, Ellen</creatorcontrib><creatorcontrib>Eskander, Sally</creatorcontrib><creatorcontrib>Joore, Ivo Kim</creatorcontrib><creatorcontrib>van Cleef, Brigitte</creatorcontrib><creatorcontrib>Siedenburg, Evelien</creatorcontrib><creatorcontrib>Bruisten, Sylvia</creatorcontrib><creatorcontrib>van Duijnhoven, Yvonne</creatorcontrib><creatorcontrib>Tramper-Stranders, Gerdien</creatorcontrib><creatorcontrib>Prins, Maria</creatorcontrib><title>Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) infections among undocumented migrants and uninsured legal residents in the Netherlands: A cross-sectional study, 2018-2019</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Migrants are not routinely screened for hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV) in the Netherlands. We estimated the prevalence and determined factors associated with HBV, HCV and/or HIV infections among undocumented migrants and uninsured legal residents.
In this cross-sectional study, undocumented migrants and uninsured legal residents were recruited at a non governmental organization (NGO), healthcare facility in the Netherlands and were invited to be tested for hepatitis B surface antigen (HBsAg), anti-hepatitis B core antibodies (anti-HBcAb), HCV-RNA, and anti-HIV antibodies or HIV antigen at a local laboratory.
Of the 1376 patients invited, 784 (57%) participated. Participants originated from Africa (35%), Asia (30%) and North/South America (30%). 451/784 (58%) participants went to the laboratory for testing. Of participants 30% were HBV exposed (anti-HBcAb-positive), with 27% (n = 119/438, 95% CI 23.1% to 31.6%) having resolved HBV infection (HBsAg-negative) and 2.5% (n = 11/438, 95%CI 1.3% to 4.5%, 64% new infection) having chronic HBV infection (HBsAg-positive). Compared to HBV non-exposed, HBV exposed individuals were older (p = 0.034) and more often originated from Africa (p<0.001). Prevalence of chronic HCV infection (HCV-RNA-positive) was 0.7% (n = 3/435, 95%CI 0.1% to 2.0%, all new infections) and HIV infection 1.1% (n = 5/439, 95%CI 0.04% to 2.6%, 40% new infection).
Prevalence of chronic HBV, chronic HCV and HIV infections in our study population is higher compared to the Dutch population, thus emphasizing the importance of case finding for these infections through primary care and public health in this specific group of migrants. Screening uptake could be improved by on-site testing.</description><subject>Adult</subject><subject>Aged</subject><subject>Antibodies</subject><subject>Antigens</subject><subject>Biology and life sciences</subject><subject>Chronic infection</subject><subject>Consent</subject><subject>Cross-Sectional Studies</subject><subject>Exposure</subject><subject>Female</subject><subject>Health care</subject><subject>Health care facilities</subject><subject>Health risks</subject><subject>Health services</subject><subject>Hepatitis</subject><subject>Hepatitis B</subject><subject>Hepatitis B - epidemiology</subject><subject>Hepatitis B surface antigen</subject><subject>Hepatitis C</subject><subject>Hepatitis C - epidemiology</subject><subject>HIV</subject><subject>HIV Infections - epidemiology</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Immune system</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Laboratories</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medically Uninsured</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Migrants</subject><subject>Netherlands - epidemiology</subject><subject>Participation</subject><subject>People and places</subject><subject>Population studies</subject><subject>Prevalence</subject><subject>Public health</subject><subject>Questionnaires</subject><subject>Transients and Migrants</subject><subject>Undocumented immigrants</subject><subject>Uninsured people</subject><subject>Viruses</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNptkttuEzEQhlcIREvhDRBY4qaVmuLDrtfLBVIbAYlUwQ3k1vLas6mjXTvYa6Q8Jy-Ec2hoERc-aOab355DUbwm-Iqwmrxf-RSc6q_W3sEVppVoGH1SnJJ8TDjF7OmD-0nxIsYVxhUTnD8vTlhZk1Lw-rT4PYO1Gu1oI7pBCxtSROezm8XFJfrrmB4d08UFUs6gWRqUQ_NhSM4b6Ky24PTmiM0zZl0HerTeRaQG75YoOeN1GsCNYNBgl0G5Me7UkrMuppDNPSxVjwJEa2DrtQ6Nd4C-Qt5Dn9n4AV0jHXyMk7iXz3wck9lcIoqJmOSteVk861Qf4dXhPCt-fP70fTqb3H77Mp9e3050Rfk4MV2HVclBMKUqwJwY1gDJq8ZADe44UUIr3ZYVkKpWXNSNYtR0VUVNq-uOnRVv97rr3kd56EeUuRWCkbLBdSbme8J4tZLrYAcVNtIrK3cGH5ZShdHqHiTRZdm1qm04b0ttdCNqzChVogVFlaZZ6-PhtdQOYHQuUFD9I9HHHmfv5NL_kqKqKkFYFjg_CAT_M0Ec5WCjhj7XFXza_rvBhHFMeUbf_YP-P7tyT-0aEqA7foZguZ3R-yi5nVF5mNEc9uZhIseg-6FkfwCzAOc1</recordid><startdate>20211029</startdate><enddate>20211029</enddate><creator>Klok, Sarineke</creator><creator>van Dulm, Eline</creator><creator>Boyd, Anders</creator><creator>Generaal, Ellen</creator><creator>Eskander, Sally</creator><creator>Joore, Ivo Kim</creator><creator>van Cleef, Brigitte</creator><creator>Siedenburg, Evelien</creator><creator>Bruisten, Sylvia</creator><creator>van Duijnhoven, Yvonne</creator><creator>Tramper-Stranders, Gerdien</creator><creator>Prins, Maria</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-7078-5315</orcidid></search><sort><creationdate>20211029</creationdate><title>Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) infections among undocumented migrants and uninsured legal residents in the Netherlands: A cross-sectional study, 2018-2019</title><author>Klok, Sarineke ; van Dulm, Eline ; Boyd, Anders ; Generaal, Ellen ; Eskander, Sally ; Joore, Ivo Kim ; van Cleef, Brigitte ; Siedenburg, Evelien ; Bruisten, Sylvia ; van Duijnhoven, Yvonne ; Tramper-Stranders, Gerdien ; Prins, Maria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c526t-dff0a46e83aa5e061d39e139e70e2d0f61a8cacb45e157a6879a32df552dbc7f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Antibodies</topic><topic>Antigens</topic><topic>Biology and life sciences</topic><topic>Chronic infection</topic><topic>Consent</topic><topic>Cross-Sectional Studies</topic><topic>Exposure</topic><topic>Female</topic><topic>Health care</topic><topic>Health care facilities</topic><topic>Health risks</topic><topic>Health services</topic><topic>Hepatitis</topic><topic>Hepatitis B</topic><topic>Hepatitis B - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Klok, Sarineke</au><au>van Dulm, Eline</au><au>Boyd, Anders</au><au>Generaal, Ellen</au><au>Eskander, Sally</au><au>Joore, Ivo Kim</au><au>van Cleef, Brigitte</au><au>Siedenburg, Evelien</au><au>Bruisten, Sylvia</au><au>van Duijnhoven, Yvonne</au><au>Tramper-Stranders, Gerdien</au><au>Prins, Maria</au><au>Khudyakov, Yury E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) infections among undocumented migrants and uninsured legal residents in the Netherlands: A cross-sectional study, 2018-2019</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2021-10-29</date><risdate>2021</risdate><volume>16</volume><issue>10</issue><spage>e0258932</spage><epage>e0258932</epage><pages>e0258932-e0258932</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Migrants are not routinely screened for hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV) in the Netherlands. We estimated the prevalence and determined factors associated with HBV, HCV and/or HIV infections among undocumented migrants and uninsured legal residents.
In this cross-sectional study, undocumented migrants and uninsured legal residents were recruited at a non governmental organization (NGO), healthcare facility in the Netherlands and were invited to be tested for hepatitis B surface antigen (HBsAg), anti-hepatitis B core antibodies (anti-HBcAb), HCV-RNA, and anti-HIV antibodies or HIV antigen at a local laboratory.
Of the 1376 patients invited, 784 (57%) participated. Participants originated from Africa (35%), Asia (30%) and North/South America (30%). 451/784 (58%) participants went to the laboratory for testing. Of participants 30% were HBV exposed (anti-HBcAb-positive), with 27% (n = 119/438, 95% CI 23.1% to 31.6%) having resolved HBV infection (HBsAg-negative) and 2.5% (n = 11/438, 95%CI 1.3% to 4.5%, 64% new infection) having chronic HBV infection (HBsAg-positive). Compared to HBV non-exposed, HBV exposed individuals were older (p = 0.034) and more often originated from Africa (p<0.001). Prevalence of chronic HCV infection (HCV-RNA-positive) was 0.7% (n = 3/435, 95%CI 0.1% to 2.0%, all new infections) and HIV infection 1.1% (n = 5/439, 95%CI 0.04% to 2.6%, 40% new infection).
Prevalence of chronic HBV, chronic HCV and HIV infections in our study population is higher compared to the Dutch population, thus emphasizing the importance of case finding for these infections through primary care and public health in this specific group of migrants. Screening uptake could be improved by on-site testing.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>34714867</pmid><doi>10.1371/journal.pone.0258932</doi><orcidid>https://orcid.org/0000-0001-7078-5315</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2021-10, Vol.16 (10), p.e0258932-e0258932 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2588314907 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS) Journals Open Access; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Aged Antibodies Antigens Biology and life sciences Chronic infection Consent Cross-Sectional Studies Exposure Female Health care Health care facilities Health risks Health services Hepatitis Hepatitis B Hepatitis B - epidemiology Hepatitis B surface antigen Hepatitis C Hepatitis C - epidemiology HIV HIV Infections - epidemiology Human immunodeficiency virus Humans Immune system Infections Infectious diseases Laboratories Male Medical diagnosis Medically Uninsured Medicine and Health Sciences Middle Aged Migrants Netherlands - epidemiology Participation People and places Population studies Prevalence Public health Questionnaires Transients and Migrants Undocumented immigrants Uninsured people Viruses |
| title | Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) infections among undocumented migrants and uninsured legal residents in the Netherlands: A cross-sectional study, 2018-2019 |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-01T18%3A01%3A51IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Hepatitis%20B%20Virus%20(HBV),%20Hepatitis%20C%20Virus%20(HCV)%20and%20Human%20Immunodeficiency%20Virus%20(HIV)%20infections%20among%20undocumented%20migrants%20and%20uninsured%20legal%20residents%20in%20the%20Netherlands:%20A%20cross-sectional%20study,%202018-2019&rft.jtitle=PloS%20one&rft.au=Klok,%20Sarineke&rft.date=2021-10-29&rft.volume=16&rft.issue=10&rft.spage=e0258932&rft.epage=e0258932&rft.pages=e0258932-e0258932&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0258932&rft_dat=%3Cproquest_plos_%3E2590136026%3C/proquest_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2588314907&rft_id=info:pmid/34714867&rft_doaj_id=oai_doaj_org_article_1c44fbab966b4cdc9870322a8bea2ac2&rfr_iscdi=true |