Hepatitis A infection: a seroepidemiological study in young adults in North-East Italy

Eur J Epidemiol. 1997 Dec;13(8):875-8. doi: 10.1023/a:1007450416869.

Abstract

During the period from January to May 1994, the prevalence of antibodies to hepatitis A virus infection (anti-HAV) was tested by immunoenzyme assay in the serum samples of 620 apparently healthy subjects (81% males, 19% females), from 10 to 29 years old, resident in North-East Italy (Pordenone and surrounding district). The overall prevalence of anti-HAV was 3.7%. There was a significant lower prevalence in the group aged 10-19 than in the one aged 20-29 years (0.7% vs 6%; p < 0.001). Moreover, a significant sex difference was observed for the 20-29 year age group (p < 0.001). Among the various risk factors considered, family size and travelling abroad to endemic areas were significantly associated with HAV infection. Since a valid and effective vaccine against HAV infection has recently become available, anti-HAV vaccination campaigns can feasibly be programmed. However, different geographical regions present different epidemiological situations, so its use should be adapted to each region, with special attention to the cost-effectiveness of the immunisation programme. Our data suggest that in our region such vaccination could initially be proposed to high-risk subjects such as those travelling to endemic areas.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Child
  • Cost-Benefit Analysis
  • Diet
  • Endemic Diseases
  • Family Characteristics
  • Feasibility Studies
  • Female
  • Hepatitis A / epidemiology*
  • Hepatitis A / prevention & control
  • Hepatitis A Antibodies
  • Hepatitis A Vaccines
  • Hepatitis A Virus, Human / immunology
  • Hepatitis Antibodies / blood
  • Humans
  • Immunization / economics
  • Immunoenzyme Techniques
  • Incidence
  • Italy / epidemiology
  • Male
  • Prevalence
  • Risk Factors
  • Seroepidemiologic Studies
  • Sex Factors
  • Shellfish
  • Travel
  • Vaccination / economics
  • Vaccines, Inactivated / administration & dosage
  • Viral Hepatitis Vaccines / administration & dosage
  • Water Supply

Substances

  • Hepatitis A Antibodies
  • Hepatitis A Vaccines
  • Hepatitis Antibodies
  • Vaccines, Inactivated
  • Viral Hepatitis Vaccines