Evidence map›Paper›PMID 27216405›Full record

ArticleBMC public health2016

Undocumented migrant women in Denmark have inadequate access to pregnancy screening and have a higher prevalence Hepatitis B virus infection compared to documented migrants in Denmark: a prevalence study.

Annika Wendland, Boje K Ehmsen, Vibeke Lenskjold, Birgitte S Astrup, Marlene Mohr, Christopher J Williams, Susan A Cowan

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Review
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  6. Review
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  10. International journal of environmental research and public health · 2020
    Article
  11. Article
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  14. Global HBV burden: guesstimates and facts.Hepatology international · 2018
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 3 countries.

Annika WendlandStatens Serum Institut, Artillerivej 5, 2300, København S, Denmark. annikawendland@hotmail.com.
Boje K EhmsenDanish Research Centre for Migration, Ethnicity and Health (MESU), Øster Farimagsgade 5, Postboks 2099, 1014, København K, Denmark.
Vibeke LenskjoldRøde Kors Sundhedsklinikken, Blegdamsvej 27, 2100, København Ø, Denmark.
Birgitte S AstrupProVest Clinic, Fredericia, Denmark.
Marlene MohrReden International, Colbjørnsensgade 12 st.tv, 1652, København V, Denmark.
Christopher J WilliamsEuropean Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.
Susan A CowanStatens Serum Institut, Artillerivej 5, 2300, København S, Denmark.
Statens Serum Institut · DKPublic Health Wales · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPregnant residents of Denmark are tested by their GP for current infections with Hepatitis B virus (HBV), HIV and syphilis through the Danish pregnancy screening programme to identify infections and initiate interventions to prevent mother-to-child transmission. Documented migrants (DM) have access to this screening but undocumented migrants (UM) do not, instead relying on ad-hoc care from clinics run by non-governmental organisations. We aimed to assess screening frequency in UM and to compare prevalence of infection in UM with DM.

methodsWe obtained individual-level information on HBV, HIV and syphilis testing frequency and results for pregnant women attending three clinics specialising in care for UM between August 2011 and August 2014. We obtained aggregate data on the prevalence of the three infections for documented migrants from the Danish pregnancy screening programme and birth register between January 2011 and January 2014. Planned abortions were excluded from the study. We described demographic features of pregnant UM and estimated the screening frequency for HIV, HBV and syphilis. We compared prevalence of current infections in UM and DM by calculating standardised prevalence ratios (SPR).

resultsThe three UM clinics registered 219 pregnancies qualifying for screening. Overall 43, 58 and 60 % of pregnant UM had a test result recorded for HBV, Syphilis and HIV respectively, compared to >99 % in the general Danish population including DM. The prevalence of HBV was higher in UM than in DM (SPR: 2.4; 95 % CI: 1.1-5.3). The SPR of 2 (95 % CI: 0.5-8.0) for HIV was not statistically significant, potentially due to small sample size of UM. None of the pregnant UM tested positive for Syphilis.

conclusionsPregnant UM have a poorer chance of being tested for HIV, HBV and syphilis, despite having a higher prevalence of HBV than DM. We recommend giving systematic access to routine pregnancy screening to all UM to prevent mother-to-child transmission and to address the observed health care inequity.

Indexed as

AdolescentAdultCross-Sectional StudiesDenmarkFemaleHepatitis BHIV InfectionsHumansInfectious Disease Transmission, VerticalMass ScreeningMiddle AgedPregnancyPregnancy Complications, InfectiousPrevalenceRetrospective StudiesSyphilisHepatitis BHIVPregnancy screeningSyphilisUndocumented migrants

Identifiers

PMID27216405
PMCPMC4877804
OpenAlexW2395508083

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.