2021年埃塞俄比亚南部阿瓦萨市公立医院产前门诊孕妇乙型肝炎病毒血清流行率及相关因素横断面研究

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摘要

由乙型肝炎病毒(HBV)引起的病毒性肝炎现在被认为是一个日益严重的全球健康问题。一个重大的全球公共卫生问题是,估计有3.5亿人被诊断为慢性乙型肝炎病毒感染,每年有68.6万人死亡。由于感染乙型肝炎病毒的孕妇有将病毒传染给婴儿的危险,因此了解该地区乙型肝炎病毒的流行情况及其危险因素非常重要。提供特定地区乙型肝炎负担数据,使卫生政策制定者能够制定适当和具有成本效益的乙型肝炎感染预防战略。目的:本研究的目的是确定2021年在哈瓦萨市医院接受ANC治疗的孕妇血清HBV患病率及相关因素。方法:于2021年5月20日至7月30日在哈瓦萨市公立医院对320名孕妇进行了以医院为基础的横断面研究。采用SPSS 25.0版本进行数据录入和分析。采用描述性统计确定HBV患病率;采用双变量和多变量logistic回归分析寻找HBV状态的独立预测因子,p值<0.05。结果:HBV感染的总体血清患病率为[6.9% (95% CI(6.6%, 7.2%)]。输血史、外阴溃疡史、接触黄疸患者均是研究区HBV的独立预测因素(AOR = 19, 95%CI, (2.1 ~ 27.1), AOR = 14.8 (95%CI, 1.12 ~ 19.4), AOR = 12.7.6[12 ~ 13.4])。结论:研究区存在乙型肝炎病毒的中间流行区。为了降低HBV的流行,提高对HBV传播的认识,特别是黄疸个体的接触史、外阴溃疡和输血前在献血点进行早期筛查是至关重要的
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sero-Prevalence of Hepatitis B Virus and Associated Factors among Pregnant Women’s Attending Antenatal Clinics in Public Hospitals of Hawassa City, Southern, Ethiopia, 2021. Cross Sectional Study
Introduction: Viral hepatitis caused by the hepatitis B virus (HBV) is now recognized as a growing worldwide health issue. A significant global public health issue is the estimated 350 million people who have been diagnosed with chronic HBV infection and the 686,000 deaths that occur each year. Since HBV infected pregnant women are at risk of transmitting virus to their babies, knowing prevalence of HBV and its risky factors in the area is very essential. Providing area-specific hepatitis B burden data to enable health policymakers to develop suitable and cost-effective HBV infection prevention strategies. Objective: The objective of this study was to determine the sero-prevalence of HBV and related factors in pregnant women attending ANC at hospitals in Hawassa City, 2021. Method: From May 20 to July 30/2021, 320 pregnant women were the subjects of a hospital-based cross-sectional research at the Public Hospital in Hawassa City. SPSS version 25.0 was used to enter and analyze the data. HBV prevalence was determined using descriptive statistics; bivariate and multivariate logistic regression analysis was utilized to find independent predictors of HBV status at p-value <0.05. Results: Overall Sero-prevalence of HBV infection was [6.9% (95% CI (6.6%, 7.2%)]. History of transfusion, history of vulvar ulcer, and contact with patients who had jaundice were all independently predictive of HBV in the study area (AOR = 19, 95%CI, (2.1-27.1), AOR = 14.8 (95%CI, 1.12-19.4), and AOR = 12.7.6[12-13.4], respectively). Conclusion: In the studied area, intermediate endemicity of HBV prevalence was found. To decrease HBV endemicity, it is crucial to raise awareness about HBV transmission specially contact history of jaundice individual, vulvar ulcer and conduct early screenings at blood donor sites before transfusion
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