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Epidemiologic and socioeconomic factors impacting hepatitis B virus and related hepatocellular carcinoma

Journal

WORLD JOURNAL OF GASTROENTEROLOGY
Volume 28, Issue 29, Pages 3793-3802

Publisher

BAISHIDENG PUBLISHING GROUP INC
DOI: 10.3748/wjg.v28.i29.3793

Keywords

Hepatitis B; Epidemiology; Hepatocellular carcinoma; Socioeconomic status; Healthcare disparity; Hepatitis B vaccine

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Chronic Hepatitis B is a globally prevalent disease that poses a significant healthcare burden, especially in low-resource regions where access to diagnosis, vaccination, screening, and treatment is limited. Mitigating the impact of the disease includes increasing screening in high-risk groups, improving health literacy in vulnerable populations, and developing robust vaccination programs in underserved areas.
Chronic Hepatitis B is a highly prevalent disease worldwide and is estimated to cause more than 800000 annual deaths from complications such as cirrhosis and hepatocellular carcinoma (HCC). Although universal hepatitis B vaccination programs may have reduced the incidence and prevalence of chronic hepatitis B and related HCC, the disease still imposes a significant healthcare burden in many endemic regions such as Africa and the Asia-Pacific region. This is especially concerning given the global underdiagnosis of hepatitis B and the limited availability of vaccination, screening, and treatment in low-resource regions. Demographics including male gender, older age, ethnicity, and geographic location as well as low socioeconomic status are more heavily impacted by chronic hepatitis B and related HCC. Methods to mitigate this impact include increasing screening in high-risk groups according to national guidelines, increasing awareness and health literacy in vulnerable populations, and developing more robust vaccination programs in under-served regions.

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