Seroprevalence and Associated Risk Factors of Hepatitis B Virus Infection among Students of the University of Bamenda, Northwest Region, Cameroon
Sr No:
Page No:
1-13
Language:
English
Authors:
Azenwi Vera*, Bissong Calvin Ebia, PhD, Mary Bi suh Atanga, PhD, Ishmael Gumbo, Ngongpan Scott Nchatkang, Shey Fortune Ndzi, Nomene Tiwa Darios Wilson
Received:
2025-07-09
Accepted:
2025-10-28
Published Date:
2025-11-09
Abstract:
Background: Hepatitis B virus (HBV) infection is a major cause of liver inflammation and
remains a significant global health challenge. The infection can manifest as either acute or
chronic disease, leading to severe complications such as cirrhosis and hepatocellular carcinoma.
HBV is transmitted through exposure to infected blood and body fluids, sexual contact, and
vertical transmission from mother to child. Despite global control efforts, the disease burden
remains disproportionately high in low- and middle-income countries. In Cameroon, HBV
prevalence exhibits substantial geographic and demographic variability, underscoring the need
for context-specific epidemiological studies and tailored public health strategies to mitigate
transmission and improve disease management.
Objectives: This study aimed at determining the Seroprevalence and risk factors of viral
hepatitis B infection among students at the University of Bamenda in order to intensify
awareness, preventive measures and the need of proper immunization
Methods: This was a school-based cross-sectional study conducted at the University of
Bamenda, located in the North West Region of Cameroon. A total of 200 students were
enrolled. Data on socio-demographic characteristics and potential transmission modes were
collected using self-administered questionnaires. Rapid diagnostic tests were employed to
detect hepatitis B surface antigen (HBsAg) in each participant. Furthermore, Statistical analysis
was performed using the Statistical Package for Social Sciences (SPSS) version 20.0 in order to
determine seroprevalence and to assess associations between infection and selected risk factors.
Results: Of the 200 participants sampled, females recorded the highest prevalence of HBV
infection (7.6%), while the highest infection rate by age group was observed among students
aged 30 years and above (10.2%). The Faculty of Science (FS) exhibited the highest
institutional prevalence (22.2%). Infection was more common among single (7.7%) and
Christian (7.6%) participants. Homosexuality was the only risk factor significantly associated
with HBsAg positivity. However, elevated prevalence rates were also observed among
participants with a history of blood transfusion, unprotected sexual activity, sharing of fomites,
longer campus stay, and limited knowledge about HBV
Conclusion: This study found the seroprevalence of HBV infection among students of the
University of Bamenda to be 7.7%, suggesting that the infection is highly endemic in this
population according to WHO standards. These findings highlight the urgent need for
intensified awareness campaigns, routine screening, and vaccination programs among students
to enhance HBV prevention and control in university and community settings.
Keywords:
Seroprevalence, associated risk factors, hepatitis B, university of Bamenda