Evidence map›Paper›PMID 42775656›Full record

ArticleBioMed research international2026

Prevalence and Predictors of Hepatitis B Virus Infection Among Sellers and Workers at West Africa's Largest Market, Kejetia, Ghana: A Cross-Sectional Study.

De-Graft Kwaku Ofosu Boateng, Michael Agyemang Obeng, Joshua Kofi Attah, Abdul Latif Koney Shardow, Clinton Owusu Boateng, Daniel Kobina Okwan, Senam Yawa Nunamey Ahadzie, Pius Takyi, Godfred Yawson Scott, Akwasi Amponsah Abrampah and 7 more

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Article in BioMed research international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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.

  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

17 authors.

De-Graft Kwaku Ofosu BoatengDepartment of Pathology, Elbe Kliniken Stade-Buxtehude, Stade, Germany.ORCID https://orcid.org/0009-0001-6891-2116
Michael Agyemang ObengKumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, knust.edu.gh.ORCID https://orcid.org/0000-0002-0265-1822
Joshua Kofi AttahPathology Department, Komfo Anokye Teaching Hospital, Kumasi, Ghana, kathhsp.org.
Abdul Latif Koney ShardowKumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, knust.edu.gh.ORCID https://orcid.org/0009-0002-6011-9946
Clinton Owusu BoatengKumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, knust.edu.gh.ORCID https://orcid.org/0009-0003-0898-6548
Daniel Kobina OkwanDepartment of Anatomy, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, knust.edu.gh.ORCID https://orcid.org/0000-0003-0232-7376
Senam Yawa Nunamey AhadzieKumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, knust.edu.gh.ORCID https://orcid.org/0009-0005-3961-4426
Pius TakyiKumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, knust.edu.gh.ORCID https://orcid.org/0009-0000-6657-6721
Godfred Yawson ScottDepartment of Medical Diagnostics, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, knust.edu.gh.ORCID https://orcid.org/0000-0001-7531-4213
Akwasi Amponsah AbrampahDawurampong Polyclinic, Ghana Health Service, Dawurampong, Ghana, ghanahealthservice.org.ORCID https://orcid.org/0009-0005-5698-4461
Felix Kusi BoakyeMaternal and Child Health Hospital, Ghana Health Service, Kumasi, Ghana, ghanahealthservice.org.
Patrick OduroKumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, knust.edu.gh.ORCID https://orcid.org/0009-0007-4645-5552
Daniel Dzemedo NouwatiKumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, knust.edu.gh.ORCID https://orcid.org/0009-0004-1744-7447
Kofi Bonsu AmankwahKumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, knust.edu.gh.ORCID https://orcid.org/0009-0008-2694-2318
Reem Mahmoud HassaninPublic Health, Hamburg University of Applied Sciences, Hamburg, Germany, haw-hamburg.de.ORCID https://orcid.org/0009-0007-1000-0193
Mohammed Mahi AdamsNational Cardiothoracic Center, Korle Bu Teaching Hospital, Accra, Ghana, kbth.gov.gh.
Abu Abudu RahamaniDepartment of Medical Laboratory Sciences, University for Development Studies, Tamale, Ghana, uds.edu.gh.ORCID https://orcid.org/0000-0002-4560-3118

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepatitis B virus (HBV) infection remains a major public health challenge in sub-Saharan Africa, including Ghana, despite the infant vaccination programs. Limited data exist on HBV prevalence and predictors in informal sector populations, who may face unique occupational and behavioral exposures. This study assessed the prevalence and predictors of HBV infection among sellers and workers at Kejetia Market, Ghana's largest commercial hub.

methodsA cross-sectional study was conducted among 489 adult market workers from December 4, 2024, to January 25, 2025. Participants were selected through stratified random sampling across occupational groups. Data on sociodemographic, occupational, and behavioral factors were collected using structured questionnaires. On-site testing for Hepatitis B surface antigen (HBsAg) was performed using the Hightop One Step Rapid Test kit. Bivariate and multivariate logistic regression analyses were used to identify independent predictors of HBV infection. p < 0.05 was considered statistically significant.

resultsThe overall prevalence of HBV infection was 7.36% (36/489), consistent with intermediate-to-high endemicity. Multivariate analysis identified three independent predictors of HBV infection. Female gender (aOR = 0.455, 95% CI: 0.221-0.937; p = 0.033) and absence of tattoos (aOR = 0.283, 95% CI: 0.110-0.730; p = 0.009) were associated with lower risk of HBV infection, whereas unvaccinated individuals had 3.37-fold increased odds of getting the infection (95% CI: 1.395-8.142; p = 0.007). HBV prevalence declined progressively with increasing vaccine doses, from 9.2% in unvaccinated individuals to 2.3% among those who had completed three or more doses.

conclusionHBV infection is common among Kejetia Market workers, with prevalence exceeding both continental and global estimates. Gender, tattooing, and vaccination status were significant predictors of infection. These findings highlight the urgent need for targeted adult Hepatitis B vaccination programs and strengthened occupational health interventions. They also emphasize the importance of regulating high-risk practices such as informal tattooing within Ghana's informal sector to reduce HBV burden and achieve Ghana's contribution to the WHO goal of eliminating HBV by 2030.

Indexed as

Hepatitis BHepatitis B virusAdolescentAdultCross-Sectional StudiesFemaleGhanaHepatitis B Surface AntigensHumansMaleMiddle AgedPrevalenceRisk FactorsYoung AdultHepatitis B Surface Antigenscross-sectional studyGhanaHBsAg prevalenceHepatitis B virusinformal sector workersKejetia Marketpredictorspublic healthvaccination

Identifiers

PMID42775656
PMCPMC13598932

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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.