Evidence map›Paper›PMID 29036227›Full record

ArticlePloS one2017

Evolution of hepatitis A virus seroprevalence among HIV-positive adults in Taiwan.

Yu-Lin Lee, Kuan-Yin Lin, Chien-Yu Cheng, Chia-Wen Li, Chia-Jui Yang, Mao-Song Tsai, Hung-Jen Tang, Te-Yu Lin, Ning-Chi Wang, Yi-Chien Lee and 10 more

Abstract readComparative Study
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Outbreak of hepatitis A virus infection in Taiwan, June 2015 to September 2017.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2019
    Article
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

20 authors.

Yu-Lin LeeDepartment of Internal Medicine, Changhua Christian Hospital, Changhua, Taiwan.ORCID http://orcid.org/0000-0001-6346-082X
Kuan-Yin LinDepartment of Medicine, National Taiwan University Hospital Jin-Shan Branch, New Taipei City, Taiwan.
Chien-Yu ChengDepartment of Infectious Diseases, Taoyuan General Hospital, Ministry of Health and Welfare, Taoyuan, Taiwan.
Chia-Wen LiDepartment of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.
Chia-Jui YangDepartment of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
Mao-Song TsaiDepartment of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
Hung-Jen TangDepartment of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Te-Yu LinDepartment of Internal Medicine, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan.
Ning-Chi WangDepartment of Internal Medicine, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan.
Yi-Chien LeeDepartment of Internal Medicine, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi, Taiwan.
Shih-Ping LinDepartment of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Yu-Shan HuangDepartment of Internal Medicine, National Taiwan University Hospital Hsin-Chu Branch, Hsin-Chu, Taiwan.
Hsin-Yun SunDepartment of Internal Medicine, National Taiwan University Hospital, and National Taiwan University College of Medicine, Taipei, Taiwan.
Jun-Yu ZhangCenter of Infection Control, National Taiwan University Hospital, Taipei, Taiwan.
Wen-Chien KoDepartment of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.
Shu-Hsing ChengDepartment of Infectious Diseases, Taoyuan General Hospital, Ministry of Health and Welfare, Taoyuan, Taiwan.
Yuan-Ti LeeSchool of Medicine, Chung Shan Medical University, Taichung, Taiwan.
Chun-Eng LiuDepartment of Internal Medicine, Changhua Christian Hospital, Changhua, Taiwan.ORCID http://orcid.org/0000-0002-7009-0254
Chien-Ching HungDepartment of Internal Medicine, National Taiwan University Hospital, and National Taiwan University College of Medicine, Taipei, Taiwan.
Taiwan HIV Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe study aimed to describe the seroprevalence of hepatitis A virus (HAV) in HIV-positive adult patients in Taiwan between 2012 and 2016 and to examine the evolution of HAV seroprevalence between 2004-2007 and 2012-2016.

methodsClinical information and data of anti-HAV antibody results were collected from 2,860 antiretroviral-naïve HIV-positive Taiwanese aged 18 years or older who initiated combination antiretroviral therapy at 11 hospitals around Taiwan between 2012 and 2016 (2012-2016 cohort). A multivariate logistic regression model was applied to identify independent variables associated with HAV seropositivity. Comparisons of HAV seroprevalences and associated clinical characteristics were made between this 2012-2016 cohort and a previous cohort of 1580 HIV-positive patients in 2004-2007 (2004-2007 cohort).

resultsOf the 2,860 HIV-positive patients between 2012 and 2016, the overall HAV seropositivity rate was 21.2% (605/2860), which was independently associated with an older age (adjusted odds ratio [AOR], per 1-year increase, 1.13; 95% confidence interval [95% CI], 1.11-1.15) and co-infection with hepatitis B virus (AOR 1.44; 95% CI, 1.08-1.93). Residence in southern Taiwan (AOR 0.49; 95% CI, 0.34-0.72) was inversely associated with HAV seropositivity. The overall HAV seroprevalence in the 2012-2016 cohort was significantly lower than that in the 2004-2007 cohort (21.2% vs 60.9%, p<0.01). The decreases of HAV seropositivity rate were observed in nearly every age-matched group, which suggested the cohort effect on HAV seroepidemiology. However, among individuals aged 25 years or younger, the HAV seropositivity rate increased from 3.8% (2/52) in the 2004-2007 cohort to 8.5% (50/587) in the 2012-2016 cohort, with 95.4% (560/587) being MSM in this age group of the latter cohort.

conclusionsHAV seroprevalence has decreased with time among HIV-positive adults in Taiwan. The cohort effect has increased the number of young HIV-positive patients that are susceptible to HAV infection in a country without nationwide childhood vaccination program against HAV.

Indexed as

AdolescentAdultAge FactorsAnti-HIV AgentsFemaleHepatitis AHepatitis A AntibodiesHepatitis A VaccinesHepatitis A virusHIV InfectionsHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisRetrospective StudiesAnti-HIV AgentsHepatitis A AntibodiesHepatitis A Vaccines

Identifiers

PMID29036227
PMCPMC5643057

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Registered trials

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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.