Population-based survey of hepatitis A virus infection in the Republic of San Marino |
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Authors: | Tommaso Stroffolini Stefano Pretolani Federico Miglio Maria Rapicetta Umbertina Villano Fiorenza Bonvicini Lorenzo Baldini Francesca Sampogna Giuliana Giulianelli Maria Loredana Stefanelli Alberto Carloni Antonella Sorcinelli Giancarlo Ghironzi Giovanni Gasbarrini |
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Institution: | (1) Laboratorio di Epidemiologia, ISS, Roma;(2) Medicina d'Urgenza, Policlinico S. Orsola, Bologna;(3) Laboratorio di Virologia, I.S.S, Roma;(4) I Patologia Medica, Università di Bologna, Bologna;(5) Direzione Sanitaria, Ospedale di Stato, RSM, Italy;(6) Medicina Interna II, Università Cattolica, S. Cuore, Roma, Italy |
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Abstract: | In 1990–1991, the prevalence of antibodies to hepatitis A virus infection (anti-HAV) was assayed by the ELISA method among 1528 apparently healthy subjects, 20–85 years old in the Republic of San Marino. Subjects were selected from the list of residents by a random stratified sampling procedure with a proportional allocation by age, sex and district of residence. The overall anti-HAV prevalence was 64.7%; it increased from 28.6% in subjects 20–30 years old to 97% in those > 60 years (p < 0.01). No gender difference was observed. At the multivariate analysis age > 40 years (OR: 39.5; 95% CI: 12.4–126) and lowest level of schooling (OR: 1.8; 95% CI: 1.1–2.9), which is a good indirect indicator of socio-economic status, resulted both independent predictors of anti-HAV seroposi-tivity. These findings reflect the improved sanitation standards in this area and indicate that the proportion of non-immune adults is increasing with a higher risk of symptomatic infection in the near future. |
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Keywords: | Epidemiology Hepatitis A San Marino |
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