Prevalence of Human Immunodeficiency Virus, Hepatitis B, Hepatitis C and Syphilis among Antenatal Patients, Gastroenterology Patients and Blood Donors in Public Hospitals in Lagos

Background: Blood-borne infections remain a significant public health challenge globally. Understanding their prevalence and risk factors is crucial for implementing preventive measures. Objective: The objective of the study was to determine the prevalence of blood-borne infections, including human...

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Main Authors: Kehinde Sharafadeen Okunade, Emuobor Odeghe, Damilola O Akinlawon, Rita O Oladele
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-04-01
Series:Nigerian Postgraduate Medical Journal
Subjects:
Online Access:https://journals.lww.com/10.4103/npmj.npmj_28_25
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author Kehinde Sharafadeen Okunade
Emuobor Odeghe
Damilola O Akinlawon
Rita O Oladele
author_facet Kehinde Sharafadeen Okunade
Emuobor Odeghe
Damilola O Akinlawon
Rita O Oladele
author_sort Kehinde Sharafadeen Okunade
collection DOAJ
description Background: Blood-borne infections remain a significant public health challenge globally. Understanding their prevalence and risk factors is crucial for implementing preventive measures. Objective: The objective of the study was to determine the prevalence of blood-borne infections, including human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV) and syphilis, among patients attending public hospitals in Lagos, Nigeria. Subjects and Methods: This was a cross-sectional study involving 352 participants, recruited from the antenatal, gastroenterology clinics and prospective donors from the blood banks in four general and one tertiary hospital in Lagos, Nigeria. Data were collected on demographic characteristics, risk factors and disease prevalence using structured questionnaires, and laboratory testing was performed using the B21147-01 HIV-HCV-HBsAg-Syphilis Combo Rapid Test. Results: The mean age of participants was 37.2 ± 11.0 years. The majority were female (66.8%) and married (80.7%). The prevalence of HIV, hepatitis B surface antigen (HBsAg) anti-HCV, and syphilis was 24.4%, 23.3%, 2.6% and 0.3%, respectively. There was significantly increased odds of HIV infection among participants with a history of sexually transmitted infections (adjusted odds ratio [AOR] = 2.3, 95% confidence interval [CI] = 1.0–5.1), and those who had skilled occupations (AOR = 4.5, 95% CI = 1.5–13.3). Participants with a family history of either HBV, HCV, chronic liver disease or hepatocellular carcinoma had significantly increased odds of being HBsAg positive (AOR = 7.8, 95% CI = 2.1–29.42). Conclusion: Blood-borne viral infections are highly prevalent among people attending hospitals in Lagos, Nigeria. Enhanced screening, awareness and risk reduction education are recommended to reduce the burden of these infections.
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spelling doaj-art-1ffa85a1d0bd4fc1be8701c0c0cba15c2025-08-20T02:02:01ZengWolters Kluwer Medknow PublicationsNigerian Postgraduate Medical Journal1117-19362468-68752025-04-0132212713410.4103/npmj.npmj_28_25Prevalence of Human Immunodeficiency Virus, Hepatitis B, Hepatitis C and Syphilis among Antenatal Patients, Gastroenterology Patients and Blood Donors in Public Hospitals in LagosKehinde Sharafadeen OkunadeEmuobor OdegheDamilola O AkinlawonRita O OladeleBackground: Blood-borne infections remain a significant public health challenge globally. Understanding their prevalence and risk factors is crucial for implementing preventive measures. Objective: The objective of the study was to determine the prevalence of blood-borne infections, including human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV) and syphilis, among patients attending public hospitals in Lagos, Nigeria. Subjects and Methods: This was a cross-sectional study involving 352 participants, recruited from the antenatal, gastroenterology clinics and prospective donors from the blood banks in four general and one tertiary hospital in Lagos, Nigeria. Data were collected on demographic characteristics, risk factors and disease prevalence using structured questionnaires, and laboratory testing was performed using the B21147-01 HIV-HCV-HBsAg-Syphilis Combo Rapid Test. Results: The mean age of participants was 37.2 ± 11.0 years. The majority were female (66.8%) and married (80.7%). The prevalence of HIV, hepatitis B surface antigen (HBsAg) anti-HCV, and syphilis was 24.4%, 23.3%, 2.6% and 0.3%, respectively. There was significantly increased odds of HIV infection among participants with a history of sexually transmitted infections (adjusted odds ratio [AOR] = 2.3, 95% confidence interval [CI] = 1.0–5.1), and those who had skilled occupations (AOR = 4.5, 95% CI = 1.5–13.3). Participants with a family history of either HBV, HCV, chronic liver disease or hepatocellular carcinoma had significantly increased odds of being HBsAg positive (AOR = 7.8, 95% CI = 2.1–29.42). Conclusion: Blood-borne viral infections are highly prevalent among people attending hospitals in Lagos, Nigeria. Enhanced screening, awareness and risk reduction education are recommended to reduce the burden of these infections.https://journals.lww.com/10.4103/npmj.npmj_28_25hepatitis b virushepatitis c virushuman immunodeficiency virusprevalencesyphilis
spellingShingle Kehinde Sharafadeen Okunade
Emuobor Odeghe
Damilola O Akinlawon
Rita O Oladele
Prevalence of Human Immunodeficiency Virus, Hepatitis B, Hepatitis C and Syphilis among Antenatal Patients, Gastroenterology Patients and Blood Donors in Public Hospitals in Lagos
Nigerian Postgraduate Medical Journal
hepatitis b virus
hepatitis c virus
human immunodeficiency virus
prevalence
syphilis
title Prevalence of Human Immunodeficiency Virus, Hepatitis B, Hepatitis C and Syphilis among Antenatal Patients, Gastroenterology Patients and Blood Donors in Public Hospitals in Lagos
title_full Prevalence of Human Immunodeficiency Virus, Hepatitis B, Hepatitis C and Syphilis among Antenatal Patients, Gastroenterology Patients and Blood Donors in Public Hospitals in Lagos
title_fullStr Prevalence of Human Immunodeficiency Virus, Hepatitis B, Hepatitis C and Syphilis among Antenatal Patients, Gastroenterology Patients and Blood Donors in Public Hospitals in Lagos
title_full_unstemmed Prevalence of Human Immunodeficiency Virus, Hepatitis B, Hepatitis C and Syphilis among Antenatal Patients, Gastroenterology Patients and Blood Donors in Public Hospitals in Lagos
title_short Prevalence of Human Immunodeficiency Virus, Hepatitis B, Hepatitis C and Syphilis among Antenatal Patients, Gastroenterology Patients and Blood Donors in Public Hospitals in Lagos
title_sort prevalence of human immunodeficiency virus hepatitis b hepatitis c and syphilis among antenatal patients gastroenterology patients and blood donors in public hospitals in lagos
topic hepatitis b virus
hepatitis c virus
human immunodeficiency virus
prevalence
syphilis
url https://journals.lww.com/10.4103/npmj.npmj_28_25
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