The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.
Risk factors for horizontal transmission of hepatitis B virus in a rural district in Ghana.
Abstract
Most hepatitis B virus (HBV) infections in sub-Saharan African infants and children are acquired through horizontal transmission, but the exact mechanisms of spread have not been documented. The authors conducted a study in rural Ghana which determined seroprevalence in a probability sample of 1,385 individuals of all ages, and evaluated risk factors for horizontal transmission of HBV in a subsample of 547 children aged 1-16 years who were not hepatitis B surface antigen (HBsAg) carriers. Most residents in this district live in compounds which typically contain 2-4 households each. Overall prevalence of HBV seropositives (any HBV marker) was 74.7% (95% confidence interval (CI) 72.5%-76.9%). Prevalence of HBsAg was 20.9% (95% CI 18.8%-23.1%). The data suggest a continuous nonuniform acquisition of HBV infection with advancing age predominantly through horizontal transmission in childhood, with the household, rather than the domestic compound, being the primary place for transmission. The behaviors most strongly associated with prevalence of HBV were sharing of bath towels (OR = 3.1, 95% CI 2.1-4.5), sharing of chewing gum or partially eaten candies (OR = 3.4, 95% CI 2.3-5.0), sharing of dental cleaning materials (OR = 2.5, 95% CI 1.3-4.6), and biting of fingernails in conjunction with scratching the backs of carriers (OR = 2.5, 95% CI 1.6-4.3).
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“In addition, studies have demonstrated other modes of HBV transmission, including premastication and lapses in health care infection control procedures, as less common sources of transmission (1314–1317).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [1316]
Citations
Cites
RE: “ESTIMABILITY AND ESTIMATION IN CASE-REFERENT STUDIES”
Halperin, M. (1977) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a112409 · Cited by 1,546
Vaccine-induced escape mutant of hepatitis B virus
Carman, W. F., Karayiannis, P., Waters, J. A., Thomas, H. C., Zanetti, Â. R., Manzillo, G., & Zuckerman, A. J. (1990) · The Lancet · doi:10.1016/0140-6736(90)91874-a · Cited by 1,070
Tiollais, P., & Buendia, M. (1991) · Scientific American · doi:10.1038/scientificamerican0491-116 · Cited by 830
Krugman, S. (1967) · JAMA · doi:10.1001/jama.200.5.365 · Cited by 556
Liebetrau, A. M. (1983) · Sage eBooks · doi:10.4135/9781412984942 · Cited by 486
Wong, V. W., Reesink, H. W., Ip, H. M. H., Lelie, P. N., Reerink‐Brongers, E. E., Yeung, C. Y., & Ma, H. K. (1984) · The Lancet · doi:10.1016/s0140-6736(84)92388-2 · Cited by 479
Horizontal transmission of hepatitis B virus.
Gray Davis, L., Weber, D., & Lemon, S. (1989) · The Lancet · doi:10.1016/s0140-6736(89)92876-6 · Cited by 208
Self-citationFamilial Clustering of Hepatitis B Infection
Szmuness, W., Prince, A. M., Hirsch, R. L., & Brotman, B. (1973) · New England Journal of Medicine · doi:10.1056/nejm197311292892203 · Cited by 149
HEPATITIS B VIRUS INFECTION IN TWO GAMBIAN VILLAGES
Whittle, H., Mclauchlan, K., Bradley, A. K., Ajdukiewicz, A. B., Howard, C. R., Zuckerman, A. J., & McGregor, I. A. (1983) · The Lancet · doi:10.1016/s0140-6736(83)92477-7 · Cited by 143
Sobĕslavský, O. (1980) · Europe PMC (PubMed Central) · Cited by 141
Cited by
Sorted by citations
Sexually Transmitted Infections Treatment Guidelines, 2021
Workowski, K. A., Bachmann, L. H., Chan, P. A., Johnston, C. M., Muzny, C. A., Park, I., Reno, H., Zenilman, J. M., & Bolan, G. A. (2021) · MMWR. Recommendations and Reports · doi:10.15585/mmwr.rr7004a1 · Cited by 3,018
Sexually Transmitted Diseases Treatment Guidelines, 2010
Workowski, K., & BOLAN, G. A. (2011) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2011.04.006 · Cited by 2,074
Shouval, D. (2003) · Journal of Hepatology · doi:10.1016/s0168-8278(03)00152-1 · Cited by 474
Epidemiology of hepatitis B virus in Africa, its genotypes and clinical associations of genotypes
Kramvis, A., & Kew, M. C. (2007) · Hepatology Research · doi:10.1111/j.1872-034x.2007.00098.x · Cited by 351
Clinical implications of HIV and hepatitis B co-infection in Asia and Africa
Hoffmann, C. J., & Thio, C. L. (2007) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(07)70135-4 · Cited by 347
Metadata
- Authors
- Martinson, F. E. A., Weigle, K. A., Royce, R. A., Weber, D. J., Suchindran, C. M., & Lemon, S. M.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- ORCID
- Lemon, S. M.
- Venue
- American Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 1998-03-01
- Volume
- 147
- Issue
- 5
- Pages
- 478-487
- ISSN
- 0002-9262 (ISSN-L)
- 1476-6256
- OpenAlex
- W2118373714
- Cited by
- 168
- References
- 25
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 5 · 2023: 6 · 2022: 7 · 2021: 14 · 2020: 8 · 2019: 6 · 2018: 5 · 2017: 7 · 2016: 6 · 2015: 3 · 2014: 7 · 2013: 11 · 2012: 11
- FWCI
- 2.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Rockefeller Foundation
- Topics
- Health Sciences › Medicine › Epidemiology › Hepatitis B Virus Studies
- Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- hepatitis B virus, horizontal transmission, household transmission, HBsAg prevalence, children, risk factors, shared personal items, oral hygiene habits, rural Ghana, sub-Saharan Africa
- MeSH terms
- Adolescent, Adult, Aged, Child, Child Welfare, Child, Preschool, Family Characteristics, Female, Ghana, Hepatitis Antibodies, Hepatitis B, Hepatitis B virus, Humans, Infant, Male, Middle Aged, Risk Factors, Rural Health, Prevalence, Disease Transmission, Infectious
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review