Seroprevalence of hepatitis A antibodies in relation to social factors — a preliminary study

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dc.contributor.author de Silva, K.S.H.
dc.contributor.author Weerasuriya, D.C.
dc.contributor.author Peelawattage, Mallika
dc.contributor.author Fernando, Sirimali
dc.date.accessioned 2023-06-04T10:53:18Z
dc.date.available 2023-06-04T10:53:18Z
dc.date.issued 2014
dc.identifier.citation de Silva, K. S. H., Weerasuriya, D. C., Peelawattage, M., & Fernando, S. (2010). Seroprevalence of hepatitis A antibodies in relation to social factors-a preliminary study. Ceylon Medical Journal, 50(2). en_US
dc.identifier.uri http://archive.cmb.ac.lk:8080/xmlui/handle/70130/7111
dc.description.abstract Introduction Hepatitis A is a benign illness in children with the rare possibility of fatal complications. Although an endemic disease, very few studies have been done in children regarding the seroprevalence of hepatitis A antibodies in Sri Lanka. Objectives (i) To document the seropositivity for hepatitis A in a group of children admitted to a paediatric ward. (ii) To determine the relationship of hepatitis A viral infection to social factors in these children. Method A prospective, descriptive, cross-sectional study was carried out in a ward at the Lady Ridgeway Hospital for 7 months from September 2001. Children admitted on predetermined days, needing venepuncture for their presenting illness, were studied while those who were seriously ill were excluded. Written consent was obtained and a questionnaire with details of socio-economic conditions, personal hygiene practices of the mother, access to water and sanitation and health related behaviour was administered. Total antibodies to hepatitis A were detected by ELISA on a sample of blood taken from each patient. Results Two hundred and eighty eight samples of blood were analysed. None of the children were immunised against hepatitis A. There were 158 boys (54.9%). Thirty one (10.8%) of the 288 patients had antibodies against hepatitis A. The seroprevalence was 11.6% in children under 10 years of age. Majority (78%) were from families with a monthly income of less than Rs 10,000/-. Fifteen (48.4%) of the 31 seropositive children were from families earning less than Rs 5000/- per month. Belonging to social classes IV and V and having mothers with only primary education were factors significantly associated with seropositivity. No significant difference in the presence of antibodies was observed regarding the personal hygiene practices analysed and access to basic amenities. Health related behaviour practices analysed were significantly associated with the presence of hepatitis A antibodies. Conclusions Seroprevalence of 10.8% was observed in a selected group of children. Factors such as poor socioeconomic background and having mothers with only primary education were associated with hepatitis A virus (HAV) antibodies as were certain health related behaviour practices of children. en_US
dc.language.iso en en_US
dc.publisher Ceylon Medical Journal en_US
dc.subject Children en_US
dc.subject hepatitis A infection en_US
dc.subject hospital based study en_US
dc.subject Sri Lanka en_US
dc.subject seroprevalence of antibodies en_US
dc.title Seroprevalence of hepatitis A antibodies in relation to social factors — a preliminary study en_US
dc.type Article en_US


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