An assessment of the effect of hepatitis B vaccine in decreasing the amount of hepatitis B disease in Italy
2008

Impact of Hepatitis B Vaccine in Italy

publication Evidence: moderate

Author Information

Author(s): La Torre Giuseppe, Nicolotti Nicola, de Waure Chiara, Chiaradia Giacomina, Specchia Maria Lucia, Mannocci Alice, Ricciardi Walter

Primary Institution: Catholic University of the Sacred Heart, Institute of Hygiene, Rome, Italy

Hypothesis

The study aims to evaluate time trends of HBV incidence rates to assess the health impact of compulsory vaccination.

Conclusion

The introduction of compulsory vaccination has contributed to a significant decrease in HBV incidence rates in Italy.

Supporting Evidence

  • The joinpoint analysis showed statistically significant decreasing trends in all age groups.
  • The incidence rate decreased from 12 per 100,000 to 1.6 per 100,000 from 1985 to 2006.
  • Vaccination coverage reached about 95% since 1991.

Takeaway

The hepatitis B vaccine helps reduce the number of people getting sick from hepatitis B in Italy.

Methodology

Data on HBV incidence rates were collected from the SEIEVA system and analyzed using joinpoint regression.

Potential Biases

The use of SEIEVA data may not fully represent the national epidemiological setting.

Limitations

Lack of data before 1985 limits the ability to estimate time trend changes in HBV incidence rates.

Participant Demographics

Data were stratified by age groups: 0–14, 15–24, and ≥25 years.

Statistical Information

P-Value

<0.001

Confidence Interval

95% CI: -59.3; -8.4

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1743-422X-5-84

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