AI Article Synopsis

  • - The study aimed to estimate the prevalence of hepatitis B virus (HBV) among 10-25-year-olds in Mexico using data from the 2012 National Health and Nutrition Survey, analyzing 1,581 serum samples.
  • - The results showed a low prevalence of natural infection at 0.23%, with no cases of acute or chronic infection, while vaccination-derived immunity was found to be 44.7%, particularly lower in those aged 20-25 compared to 10-19.
  • - The findings suggest that vaccination policies implemented since 1999 have contributed to higher immunity levels in adolescents, highlighting the effectiveness of vaccination in reducing HBV prevalence.

Article Abstract

Objectives: To estimate hepatitis B virus (HBV) seroprevalence from natural infection or vaccination in 10-25-year-olds in Mexico, using the 2012 National Health and Nutrition Survey (ENSANUT).

Methods: Randomly selected serum samples (1,581) from adolescents and young adults, representative of 38,924,584 Mexicans, were analyzed to detect hepatitis B surface antigen (HBsAg), hepatitis B surface antibody (anti-HBs) and hepatitis B core antibody (anti-HBc). Weighted HBV seroprevalence in the Mexican population and association with sociodemographic variables were calculated.

Results: Overall weighted seroprevalence from natural infection (positive for anti-HBs and anti-HBc) was 0.23% (95% confidence interval [95% CI] 0.10-0.52). No HBsAg was detected, indicating no acute or chronic infection. Vaccine-derived immunity (positive ≥ 10.0 mIU/ml for anti-HBs and negative to anti-HBc) was 44.7% (95% CI: 40.2-49.4) overall; lower in persons aged 20-25 years (40.83%) than in persons aged 10-19 years (47.7%). Among the population analyzed, 54.2% (95% CI: 49.6-58.8) were seronegative to HBV (negative for all three markers) and no sociodemographic risk factors were identified.

Conclusions: HBV seroprevalence from natural infection was low. Vaccination-induced immunity was higher among Mexican adolescents than young adults, possibly due to vaccination policies since 1999.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422518PMC
http://dx.doi.org/10.1080/21645515.2018.1533617DOI Listing

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