在尼日利亚奥索博一家公共卫生机构就诊的孕妇中乙型肝炎病毒的血清阳性率和相关危险因素

Olaniyan Olayinka Olaolu, Odewusi Odeyinka Olufunso, Oyekanmi Bolape Adeola, Joseph Gregory Uchechukwu
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摘要

背景乙型肝炎病毒(HBV)感染在孕妇中具有很高的垂直传播率和对胎儿和新生儿结局的影响。本研究的目的是确定在尼日利亚奥索博接受产前保健服务的孕妇中感染的患病率和相关危险因素。方法本研究以医院为基础,对2021年4月至6月在常规产前保健诊所就诊的孕妇进行横断面研究。采用系统随机抽样的方法,对240名孕妇进行问卷调查,采用面对面访谈的方式收集资料,同时无菌采血,采用酶联免疫吸附试验试剂盒检测乙型肝炎表面抗原。采用单因素和多因素logistic回归检验解释变量与结果变量之间的相关性。结果研究人群的平均年龄为27.50±4.4岁,血清患病率为5.8%。HBV感染的显著危险因素为文身(aOR = 5.22;95% ci = 0.52-8.01;p = 0.0000)、多个性伴侣史(aOR = 2.88;95% ci = 1.92-12.42;P = 0.0044);与HBV患者有接触史(aOR = 2.17;95% ci = 1.21-15.32;p = 0.0310)是HBV感染的显著预测因子。结论本研究HBV血清阳性率为中等地方性。因此,我们提倡在产前保健诊所继续开展关于乙肝病毒传播方式、高危行为和预防方法的健康教育项目,以提高母亲的认识,限制感染的传播。卢旺达医学卫生科学[J]; 2023;6(2):199-207
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Seroprevalence and Associated Risk Factors for Hepatitis B Virus among Pregnant Women Attending a Public Health Facility in Osogbo, Nigeria
BackgroundHepatitis B virus (HBV) infection among pregnant women has a high rate of vertical transmission and consequential effects on fetal and neonatal outcomes. The aim of this study was to determine the prevalence and associated risk factors of infection among pregnant women attending antenatal care services in Osogbo, Nigeria.MethodologyThis hospital based cross-sectional study was conducted among pregnant women attending routine antenatal care clinic between April and June 2021. Systematic random sampling technique was used to recruit 240 pregnant women, their data were collected by face to face interview using a pretested questionnaire, while blood sample was collected aseptically to determine hepatitis B surface antigen by enzyme linked immunosorbent assay test kit. Univariate and multivariate logistic regression were used to examine the association between explanatory variables and outcome variable.ResultsThe mean age and seroprevalence of the study population were 27.50 ± 4.4 years and 5.8% respectively. The significant risk factors for HBV infection were tattooing (aOR = 5.22; 95% CI = 0.52–8.01; p = 0.0000), history of multiple sexual partners (aOR = 2.88; 95% CI = 1.92–12.42; p = 0.0044); and past history of contact with HBV patient (aOR = 2.17; 95% CI = 1.21–15.32; p = 0.0310) were significant predictors of HBV infection.ConclusionThe seroprevalence of HBV from this study was of intermediate endemicity. We therefore, advocate for continuous health education programs on the mode of HBV transmission, high-risk behaviors and methods of preventions at antenatal care clinics to raise the awareness of mothers and limit the spread of infection.Rwanda J Med Health Sci 2023;6(2):199-207
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