Seroprevalence of Hepatitis C Virus Infection in North Korean Defectors Residing in Korea

J Korean Med Sci. 2023 Aug 28;38(34):e270. doi: 10.3346/jkms.2023.38.e270.

Abstract

Background: This study aimed to investigate the prevalence rate of hepatitis C virus (HCV) infection and identify the demographic, and sociological characteristics and changes in awareness of HCV infection by participating the study for North Korean defectors residing in South Korea.

Methods: This study prospectively enrolled participants. Demographic, sociological and clinical data, and questionnaire surveys focused on awareness of HCV infection were collected.

Results: In total, 211 North Korean defectors participated in this study from September 2020 until June 2021. There were 174 women (82.5%), and the overall mean age was 48.9 years (range, 20 to 80 years). Of these participants, 112 (53.1%) had immigrated to South Korea since 2011. The overall prevalence of anti-HCV antibody among North Korean defectors was 1.9%. Thirty participants (14.2%) had hepatitis B surface antigens. A huge lack of awareness regarding HCV infection has been observed among North Korean defectors.

Conclusion: This is the first prospective study to investigate the prevalence rate of HCV infection among North Korean defectors residing in South Korea. As North Korean defectors are a vulnerable group concerning HCV infection, they may benefit from HCV screening policies and educational interventions for HCV infection.

Keywords: Awareness; Hepatitis C Virus; North Korean Defectors; Prevalence.

MeSH terms

  • Democratic People's Republic of Korea / epidemiology
  • Female
  • Hepacivirus*
  • Hepatitis C* / epidemiology
  • Humans
  • Middle Aged
  • Prospective Studies
  • Republic of Korea / epidemiology
  • Seroepidemiologic Studies