Hepatitis B Clinical Trial
Official title:
Prevalence and Risk Factors of Hepatitis B Viral Infection in the Turkish Population Living in Belgium
This study will assess HBV (HBsAg, anti-HBc and anti-HBs) prevalence in the Turkish population living in Belgium. Additionally, the investigators will determine the risk factors for HBV infection and the uptake of screening, vaccination and antiviral treatment in this hard-to-reach Turkish population.
HBV infection is an important public health problem in the Turkish population, i.e. one of
the largest migrant populations in Europe. With the introduction of cost-effective antiviral
treatments in the past decade, there is a need to identify HBV infected patients who may
benefit from treatment. This study will assess the HBV prevalence in the Turkish population
living in Belgium. Additionally, the investigators will determine the risk factors of HBV
infection and the uptake of screening, vaccination and antiviral treatment in this
hard-to-reach Turkish population.
A cross-sectional, epidemiological trial will be conducted in the region Middle Limburg
Belgium, where the Turkish adult population (subjects born in Turkey or subjects of which one
of the parents is born in Turkey), 18 years of age and older, will be screened for HBsAg,
anti-HBs and anti-HBc. Educational meetings concerning viral hepatitis B will be organized
and there will be three ways to be screened for HBV: (1) immediately after the educational
meetings, (2) at the Outpatient Hepatology Department of Ziekenhuis Oost-Limburg (ZOL) and
(3) at home visits. Subsequently, participants will be asked to fill in a questionnaire
regarding sociodemographic factors, migration history, risk factors for HBV infection (e.g.
sharing toothbrushes, HBV infected family member) and HBV vaccination status. One year after
data collection, HBsAg positive patients will be assessed whether they are under follow-up at
the general practitioner or hepatologist. The investigators will also gather information
regarding the uptake of vaccination in non-immunized subjects.
This study will provide information about the HBV prevalence and distribution of the stages
of liver disease in the Turkish population in Belgium. By determining the risk factors for
HBV infection, subgroups with an increased prevalence of HBV infection can be identified.
This study will also give information on how to organize the healthcare system for screening
in hard-to-reach migrant groups and to develop care paths.
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