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Hepatitis B virus markers in prostitutes in Singapore
Insights
Hepatitis B virus markers were more common in male and female prostitutes than the general population. This suggests sexual transmission is a key factor in endemic areas.
Area of Science:
- Hepatology
- Virology
- Public Health
Background:
- Hepatitis B virus (HBV) infection is a significant global health concern.
- Understanding transmission routes is crucial for prevention strategies, especially in high-risk populations.
Purpose of the Study:
- To determine the prevalence of hepatitis B virus markers among male and female prostitutes.
- To investigate potential differences in marker prevalence between genders within this population.
- To assess the significance of sexual transmission of HBV in an endemic setting.
Main Methods:
- Cross-sectional study involving 121 men and 239 women prostitutes.
- Testing for hepatitis B surface antigen (HBsAg), hepatitis Be antigen, antibodies to HBsAg (anti-HBs), and antibodies to hepatitis B core antigen (anti-HBc).
Main Results:
- Overall prevalence of HBV markers was significantly higher in prostitutes compared to the general population.
- Hepatitis B surface antigen (HBsAg) was detected in 9.7% of individuals.
- Hepatitis Be antigen was found in 27.3% of HBsAg-positive individuals, with higher prevalence in men.
- Antibodies to HBsAg (anti-HBs) and anti-HBc were present in approximately 71% of participants.
- Men exhibited a higher prevalence of HBV markers than women.
Conclusions:
- Prostitutes represent a high-risk group for Hepatitis B virus infection.
- Sexual transmission plays a significant role in HBV epidemiology within this population in endemic regions.
- Public health interventions targeting prostitutes are essential for controlling HBV transmission.
Abstract:
The prevalence of hepatitis B virus markers in 121 men and 239 women prostitutes was studied. Of 33 (9.7%) with hepatitis B surface antigen (HBsAg), nine (27.3%) also had hepatitis Be antigen, which was more prevalent in men than women. Antibodies to HBsAg (anti-HBs) and to hepatitis B core antigen (anti-HBc) were found in about 71% of men and women prostitutes. Hepatitis B virus markers were more prevalent in men than in women prostitutes. Compared with other people, prostitutes had a significantly greater prevalence of hepatitis B virus markers. This study strongly suggested the importance of sexual transmission of infection with hepatitis B virus in a country where infection is endemic.
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