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[Correlation between type 2 diabetes and hepatitis B virus infection].

W Liu1, T S Zhao2, L G Yang1

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Zhonghua Liu Xing Bing Xue Za Zhi = Zhonghua Liuxingbingxue Zazhi
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This study found a significant correlation between diabetes and hepatitis B, with higher rates of hepatitis B infection in diabetic patients. Both conditions show a high prevalence, emphasizing the need for better screening and management of related health issues.

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Area of Science:

  • Endocrinology
  • Infectious Diseases
  • Public Health

Background:

  • Type 2 diabetes and Hepatitis B virus (HBV) infection are significant global health concerns.
  • Latent prevalence and potential correlations between these conditions require further investigation.
  • Understanding these links is crucial for effective public health strategies and patient management.

Purpose of the Study:

  • To investigate the latent prevalence of Hepatitis B and type 2 diabetes.
  • To analyze the correlation between Hepatitis B infection and diabetes status.
  • To assess the HBsAg positive rate in individuals with and without diabetes.

Main Methods:

  • An observational case-control study design was employed.
  • Participants were recruited through diabetes management systems, village doctors, and health clinics.
  • Blood glucose levels and HBV serological markers (HBsAg, HBV core antibody, surface antibody) were analyzed using capillary and venous blood samples, respectively. Firth logistic regression was used for analysis.

Main Results:

  • A significant portion of individuals without a diabetes diagnosis showed impaired fasting glucose (11.15%) or undiagnosed diabetes (4.43%).
  • Latent Hepatitis B infection was indicated by positive HBV core and surface antibodies in 18.80% of participants without a known diagnosis.
  • The HBsAg positive rate was significantly higher in the diabetes group (2.76% reported history vs. 0.81% in non-diabetes group) with an adjusted Odds Ratio of 2.90 (95% CI: 1.21-6.91).

Conclusions:

  • Both type 2 diabetes and Hepatitis B exhibit a high degree of latent prevalence within the studied population.
  • A significant positive correlation exists between diabetes and HBsAg positivity.
  • Strengthened screening and management of comorbidities, particularly the interplay between diabetes and HBV, are essential.