Evidence map›Paper›PMID 38578515›Full record

ArticleInfectious diseases and therapy2024

Seroprevalence and Shifting Endemicities of Hepatitis A Virus Infection in Two Different Geographical Areas in the Philippines.

Josefina C Carlos, Vinna Marie T Quinones, Maria Peñafrancia L Adversario, Jennifer M Nailes, Jangail C Songco, Donaliz R Garcia, Michelle G Cacayorin, May Priscilla V Cero, Maria Paula Aleta Benedicto-Delfin, Ma Christina C Blanco and 8 more

Open access · goldAbstract read
In one paragraph

Article in Infectious diseases and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. 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

18 authors at 2 institutions in 2 countries.

Josefina C CarlosUniversity of the East Ramon Magsaysay Memorial Medical Center, Quezon City, Philippines.ORCID http://orcid.org/0000-0002-2680-4918
Vinna Marie T QuinonesUniversity of the East Ramon Magsaysay Memorial Medical Center, Quezon City, Philippines.
Maria Peñafrancia L AdversarioUniversity of the East Ramon Magsaysay Memorial Medical Center, Quezon City, Philippines.
Jennifer M NailesUniversity of the East Ramon Magsaysay Memorial Medical Center, Quezon City, Philippines.ORCID http://orcid.org/0000-0001-6334-0510
Jangail C SongcoUniversity of the East Ramon Magsaysay Memorial Medical Center, Quezon City, Philippines.
Donaliz R GarciaUniversity of the East Ramon Magsaysay Memorial Medical Center, Quezon City, Philippines.
Michelle G CacayorinUniversity of the East Ramon Magsaysay Memorial Medical Center, Quezon City, Philippines.
May Priscilla V CeroUniversity of the East Ramon Magsaysay Memorial Medical Center, Quezon City, Philippines.
Maria Paula Aleta Benedicto-DelfinUniversity of the East Ramon Magsaysay Memorial Medical Center, Quezon City, Philippines.
Ma Christina C BlancoUniversity of the East Ramon Magsaysay Memorial Medical Center, Quezon City, Philippines.
Nadjah S NatividadUniversity of the East Ramon Magsaysay Memorial Medical Center, Quezon City, Philippines.
Jacqueline D BernabeUniversity of the East Ramon Magsaysay Memorial Medical Center, Quezon City, Philippines.
Hyacinth Claire T ChaconUniversity of the East Ramon Magsaysay Memorial Medical Center, Quezon City, Philippines.
Ronald Alvin C AscueUniversity of the East Ramon Magsaysay Memorial Medical Center, Quezon City, Philippines.
Jayme Natasha K PaggaoUniversity of the East Ramon Magsaysay Memorial Medical Center, Quezon City, Philippines.
Lous Ohsana P ComendadorUniversity of the East Ramon Magsaysay Memorial Medical Center, Quezon City, Philippines.
Gustavo Hernandez-SuarezGSK, Avenue Fleming 20, Wavre, Belgium.
Adriana Guzman-HolstGSK, Avenue Fleming 20, Wavre, Belgium. adriana.x.guzman@gsk.com.ORCID http://orcid.org/0000-0002-6753-2541
University of the East Ramon Magsaysay Memorial Medical Center · PHGlaxoSmithKline (Belgium) · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInfection with hepatitis A virus (HAV) is often asymptomatic in young children, but most adolescents and adults will have symptoms ranging from nausea and tiredness to acute liver failure and even death. The risk of severe disease is higher in older adults and people with pre-existing liver disease. Immunization is recommended in regions with low HAV endemicity levels, i.e., where people get infected later in life. In the Philippines, recent epidemiologic data on HAV infection are lacking. The objective of this study was to assess age-specific seroprevalence and evaluate risk factors associated with HAV seropositivity.

methodsPeople from two geographic areas (urban and rural) were recruited/enrolled and stratified by age group. HAV-specific immunoglobulin G (IgG) antibodies were measured with a chemiluminescent microparticle immunoassay. Sociodemographic parameters, hepatitis medical history, disease knowledge, hygiene measures and sanitation were assessed via a purpose-made questionnaire. Age at midpoint of population immunity (AMPI) was estimated using Kaplan-Meier curves. Logistic regression analyses were carried out to determine factors that were statistically significantly associated (p < 0.05) with HAV seropositivity.

resultsOverall, 1242 participants were included in the analysis; 250/602 (41.5%) participants from urban regions and 283/640 (44.2%) participants from rural regions tested positive for HAV IgG antibodies. AMPI was 35 and 37 years for the rural and urban region, respectively. Higher education was associated with lower HAV seropositivity prevalence ratios, while not living in the same region for the last 5 years, regularly consuming street food and lack of handwashing after defecation were associated with a higher likelihood of HAV seropositivity.

conclusionResults suggest that HAV endemicity is low in the Philippines. Factors associated with HAV seropositivity were traveling, consuming street food and lack of basic hygienic gestures. Immunization might be an option to protect vulnerable populations against severe hepatitis A disease.

Indexed as

Age at midpoint of population immunity (AMPI)HAV endemicityHAV seroprevalenceHepatitis A virus (HAV)Immunoglobulin G hepatitis A antibodiesPhilippinesRisk factorsSanitationWater safety access

Identifiers

PMID38578515
PMCPMC11098982
OpenAlexW4393993362

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.