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Seroepidemiology of Hepatitis Viruses and Hepatitis B Genotypes of Female Marriage Immigrants in Korea

  • Kwon, Jae-Cheol (Department of Internal Medicine, Chung-Ang University College of Medicine) ;
  • Chang, Hye Young (Department of Internal Medicine, Yonsei University College of Medicine, Gangnam Severance Hospital) ;
  • Kwon, Oh Young (Department of Internal Medicine, Chung-Ang University College of Medicine) ;
  • Park, Ji Hoon (Department of Internal Medicine, Chung-Ang University College of Medicine) ;
  • Oh, In Soo (Department of Internal Medicine, Chung-Ang University College of Medicine) ;
  • Kim, Hyung Joon (Department of Internal Medicine, Chung-Ang University College of Medicine) ;
  • Lee, Jun Hyung (Department of Laboratory Medicine, Chonnam National University Hwasun Hospital) ;
  • Roh, Ha-Jung (Molecular Epidemiology and Bioinformatics Laboratory, Division of Viral Hepatitis, Center for Disease Control and Prevention) ;
  • Lee, Hyun Woong (Department of Internal Medicine, Yonsei University College of Medicine, Gangnam Severance Hospital)
  • 투고 : 2018.04.23
  • 심사 : 2018.08.23
  • 발행 : 2018.11.01

초록

Purpose: The Korean society has moved rapidly toward becoming a multicultural society. This study aimed to estimate the seroprevalence of hepatitis viruses and investigate hepatitis B virus (HBV) genotypic diversity in female marriage immigrants. Materials and Methods: Screening program was conducted at support centers for multicultural families in 21 administrative districts in Korea between July 2011 and January 2017. A total of 963 female marriage immigrants were included in this study. Blood samples were tested for hepatitis viral markers and HBV genotype. Results: Subjects' median age was 33 years (20-40 years), and they originated from nine countries including Vietnam (n=422, 43.8%), China (n=311, 32.3%), the Philippines (n=85, 8.8%), Cambodia (n=58, 6.0%), and Japan (n=39, 4.0%). About 30% (n=288) of subjects required hepatitis A vaccination. HBsAg positive rate was 5.4% (n=52). Positive HBsAg results were the highest in subjects from Southeast Asia (6.6%, n=38). Anti-HBs positive rate was 60.4% (n=582). About 34% (n=329) of subjects who were negative for anti-HBs and HBsAg required HBV vaccinations. Genotypes B and C were found in 54.6% (n=12) and 45.4% (n=10) of the 22 subjects with HBV, in whom genotypes were tested. Eight (0.8%) subjects were positive for anti-HCV. Positive anti-HCV results were the highest in subjects from Central Asia (7.9%, n=3). Conclusion: Testing for hepatitis viral marker (hepatitis A virus IgG and HBsAg/anti-HBs) is needed for female marriage immigrants. Especially, HBV genotype B is different from genotype C of Koreans. Therefore, interest and attention to vaccination programs for female marriage immigrants are necessary for both clinicians and public health institutes.

키워드

과제정보

연구 과제 주관 기관 : National Research Foundation of Korea (NRF), Yonsei University College of Medicine

참고문헌

  1. Statistic Korea. Status of marriage migrant [accessed on 2018 January]. Available at: http://index.go.kr/potal/main/EachDtlPage-Detail.do?idx_cd=2819.
  2. Chae HB, Kim JH, Kim JK, Yim HJ. Current status of liver diseases in Korea: hepatitis B. Korean J Hepatol 2009;15 Suppl 6:S13-24. https://doi.org/10.3350/kjhep.2009.15.S6.S13
  3. Jazag A, Puntsagdulam N, Chinburen J. Status quo of chronic liver diseases, including hepatocellular carcinoma, in Mongolia. Korean J Intern Med 2012;27:121-7. https://doi.org/10.3904/kjim.2012.27.2.121
  4. Merican I, Guan R, Amarapuka D, Alexander MJ, Chutaputti A, Chien RN, et al. Chronic hepatitis B virus infection in Asian countries. J Gastroenterol Hepatol 2000;15:1356-61. https://doi.org/10.1046/j.1440-1746.2000.0150121356.x
  5. Nguyen VT. Hepatitis B infection in Vietnam: current issues and future challenges. Asia Pac J Public Health 2012;24:361-73. https://doi.org/10.1177/1010539510385220
  6. Sievert W, Altraif I, Razavi HA, Abdo A, Ahmed EA, Alomair A, et al. A systematic review of hepatitis C virus epidemiology in Asia, Australia and Egypt. Liver Int 2011;31 Suppl 2:61-80. https://doi.org/10.1111/j.1478-3231.2011.02540.x
  7. Chung SJ, Kim TY, Kim SM, Roh M, Yu MY, Lee JH, et al. Changes in the seroprevalence of IgG anti-hepatitis A virus between 2001 and 2013: experience at a single center in Korea. Clin Mol Hepatol 2014;20:162-7. https://doi.org/10.3350/cmh.2014.20.2.162
  8. Jeong SH, Lee HS. Hepatitis A: clinical manifestations and management. Intervirology 2010;53:15-9. https://doi.org/10.1159/000252779
  9. Lee HW, Chang DY, Moon HJ, Chang HY, Shin EC, Lee JS, et al. Clinical factors and viral load influencing severity of acute hepatitis A. PLoS One 2015;10:e0130728. https://doi.org/10.1371/journal.pone.0130728
  10. Cho GJ, Kim YB, Kim SM, Hong HR, Kim JH, Seol HJ, et al. Hepatitis A virus infection during pregnancy in Korea: hepatitis A infection on pregnant women. Obstet Gynecol Sci 2013;56:368-74. https://doi.org/10.5468/ogs.2013.56.6.368
  11. Rossi C, Shrier I, Marshall L, Cnossen S, Schwartzman K, Klein MB, et al. Seroprevalence of chronic hepatitis B virus infection and prior immunity in immigrants and refugees: a systematic review and meta-analysis. PLoS One 2012;7:e44611. https://doi.org/10.1371/journal.pone.0044611
  12. Tong MJ, Hwang SJ. Hepatitis B virus infection in Asian Americans. Gastroenterol Clin North Am 1994;23:523-36.
  13. Phung TB, Alestig E, Nguyen TL, Hannoun C, Lindh M. Genotype X/C recombinant (putative genotype I) of hepatitis B virus is rare in Hanoi, Vietnam--genotypes B4 and C1 predominate. J Med Virol 2010;82:1327-33. https://doi.org/10.1002/jmv.21775
  14. Tatematsu K, Tanaka Y, Kurbanov F, Sugauchi F, Mano S, Maeshiro T, et al. A genetic variant of hepatitis B virus divergent from known human and ape genotypes isolated from a Japanese patient and provisionally assigned to new genotype J. J Virol 2009;83:10538-47. https://doi.org/10.1128/JVI.00462-09
  15. Kao JH. Molecular epidemiology of hepatitis B virus. Korean J Intern Med 2011;26:255-61. https://doi.org/10.3904/kjim.2011.26.3.255
  16. Lin CL, Kao JH. The clinical implications of hepatitis B virus genotype: recent advances. J Gastroenterol Hepatol 2011;26 Suppl 1:123-30. https://doi.org/10.1111/j.1440-1746.2010.06541.x
  17. Lee SH, Han SJ, Cho SC, Roh BJ, Sohn JH, Kim DA. Distribution of HBV genotypes in patients with chronic HBV infection in Korea. Korean J Hepatol 2001;7:373-80.
  18. Choi MS, Kim DY, Lee DH, Lee JH, Koh KC, Paik SW, et al. Clinical significance of pre-S mutations in patients with genotype C hepatitis B virus infection. J Viral Hepat 2007;14:161-8. https://doi.org/10.1111/j.1365-2893.2006.00784.x
  19. Gower E, Estes C, Blach S, Razavi-Shearer K, Razavi H. Global epidemiology and genotype distribution of the hepatitis C virus infection. J Hepatol 2014;61(1 Suppl):S45-57. https://doi.org/10.1016/j.jhep.2014.07.027
  20. Kim DY, Kim IH, Jeong SH, Cho YK, Lee JH, Jin YJ, et al. A nationwide seroepidemiology of hepatitis C virus infection in South Korea. Liver Int 2013;33:586-94. https://doi.org/10.1111/liv.12108
  21. Yoon EL, Sinn DH, Lee HW, Kim JH. Current status and strategies for the control of viral hepatitis A in Korea. Clin Mol Hepatol 2017;23:196-204. https://doi.org/10.3350/cmh.2017.0034
  22. Lee D, Cho YA, Park Y, Hwang JH, Kim JW, Kim NY, et al. Hepatitis a in Korea: epidemiological shift and call for vaccine strategy. Intervirology 2008;51:70-4.
  23. Lee D, Ki M, Lee A, Lee KR, Park HB, Kim CS, et al. A nationwide seroprevalence of total antibody to hepatitis A virus from 2005 to 2009: age and area-adjusted prevalence rates. Korean J Hepatol 2011;17:44-50. https://doi.org/10.3350/kjhep.2011.17.1.44
  24. Korea Centers for Disease Control and Prevention. Infectious diseases surveillance yearbook, 2015. Cheongju: Korea Centers for Disease Control and Prevention; 2016.
  25. Recommended immunization schedule for adults in Korea, by the Korean Society of Infectious Diseases, 2012. Clin Exp Vaccine Res 2014;3:110-2. https://doi.org/10.7774/cevr.2014.3.1.110
  26. Jacobsen KH, Wiersma ST. Hepatitis A virus seroprevalence by age and world region, 1990 and 2005. Vaccine 2010;28:6653-7. https://doi.org/10.1016/j.vaccine.2010.08.037
  27. Yun H, Lee HJ, Yoon Y, Kim K, Kim S, Shin MH, et al. Seroepidemiology of hepatitis a infection in northeastern china, Korea, and Japan. Osong Public Health Res Perspect 2012;3:31-5. https://doi.org/10.1016/j.phrp.2012.01.005
  28. Poovorawan K, Soonthornworasiri N, Sa-Angchai P, Mansanguan C, Piyaphanee W. Hepatitis B vaccination for international travelers to Asia. Trop Dis Travel Med Vaccines 2016;2:14. https://doi.org/10.1186/s40794-016-0031-z
  29. Avazova D, Kurbanov F, Tanaka Y, Sugiyama M, Radchenko I, Ruziev D, et al. Hepatitis B virus transmission pattern and vaccination efficiency in Uzbekistan. J Med Virol 2008;80:217-24. https://doi.org/10.1002/jmv.21035
  30. Davaalkham D, Ojima T, Uehara R, Watanabe M, Oki I, Wiersma S, et al. Impact of the universal hepatitis B immunization program in Mongolia: achievements and challenges. J Epidemiol 2007;17:69-75. https://doi.org/10.2188/jea.17.69
  31. Nurgalieva ZZ, Hollinger FB, Graham DY, Zhangabylova S, Zhangabylov A. Epidemiology and transmission of hepatitis B and C viruses in Kazakhstan. World J Gastroenterol 2007;13:1204-7. https://doi.org/10.3748/wjg.v13.i8.1204
  32. Schweitzer A, Horn J, Mikolajczyk RT, Krause G, Ott JJ. Estimations of worldwide prevalence of chronic hepatitis B virus infection: a systematic review of data published between 1965 and 2013. Lancet 2015;386:1546-55. https://doi.org/10.1016/S0140-6736(15)61412-X
  33. Elgouhari HM, Abu-Rajab Tamimi TI, Carey WD. Hepatitis B virus infection: understanding its epidemiology, course, and diagnosis. Cleve Clin J Med 2008;75:881-9. https://doi.org/10.3949/ccjm.75a.07019
  34. Cho EJ, Kim SE, Suk KT, An J, Jeong SW, Chung WJ, et al. Current status and strategies for hepatitis B control in Korea. Clin Mol Hepatol 2017;23:205-11. https://doi.org/10.3350/cmh.2017.0104
  35. Kim HK, Yoo SH, Cho S, Kwon EJ, Kim SY, Park JY. Health status and associated health risks among female marriage immigrants in Korea. Korean J Health Educ Promot 2010;27:79-89.
  36. Kao JH, Chen PJ, Chen DS. Recent advances in the research of hepatitis B virus-related hepatocellular carcinoma: epidemiologic and molecular biological aspects. Adv Cancer Res 2010;108:21-72.
  37. McMahon BJ. The influence of hepatitis B virus genotype and subgenotype on the natural history of chronic hepatitis B. Hepatol Int 2009;3:334-42. https://doi.org/10.1007/s12072-008-9112-z
  38. Sunbul M. Hepatitis B virus genotypes: global distribution and clinical importance. World J Gastroenterol 2014;20:5427-34. https://doi.org/10.3748/wjg.v20.i18.5427
  39. Petruzziello A, Marigliano S, Loquercio G, Cozzolino A, Cacciapuoti C. Global epidemiology of hepatitis C virus infection: an up-date of the distribution and circulation of hepatitis C virus genotypes. World J Gastroenterol 2016;22:7824-40. https://doi.org/10.3748/wjg.v22.i34.7824
  40. Korean Women's Development Institute. The survey of current state of multicultural family in Korea. Seoul: Ministiry of Gender Equality and Family; 2015.

피인용 문헌

  1. Seroprevalence and incidence of hepatitis A in Southeast Asia: A systematic review vol.16, pp.12, 2021, https://doi.org/10.1371/journal.pone.0258659