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高流行地区孕妇乙型肝炎感染知识。

Knowledge on hepatitis B infection among pregnant women in a high endemicity area.

机构信息

Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Hong Kong, People's Republic of China.

出版信息

Patient Educ Couns. 2011 Dec;85(3):516-20. doi: 10.1016/j.pec.2010.11.006. Epub 2010 Dec 16.

DOI:10.1016/j.pec.2010.11.006
PMID:21167671
Abstract

OBJECTIVE

To assess the knowledge on hepatitis B virus (HBV) infection and associated factors among expectant mothers in an endemic region.

METHODS

A questionnaire was administered to pregnant Chinese women (n=1623) attending the antenatal clinic to examine their knowledge on HBV infection, and correlating this with socio-demographic, medical and obstetric factors.

RESULTS

Independent factors associated with insufficient reduced HBV knowledge include women outside the healthcare sector, lower education level, and no previous HBV testing. The majority of respondents could provide correct responses about the common aspects of HBV infection, including screening, blood-borne and perinatal transmissions, prevention by vaccination, and sequelae of HBV infection, but 47.1% did not know that HBV is transmissible by sexual intercourse. Over 75% respondents misunderstood the fact that HBV cannot be transmitted through food, or prevented by a balanced life style and nutrition.

CONCLUSIONS

Misconceptions about HBV transmission are still common among the obstetric population, and the provision of appropriate and correct information is warranted to improve further the control of HBV infection to the target group.

PRACTICE IMPLICATIONS

Appropriate emphasis should be given to educating the general population about horizontal transmission of HBV.

摘要

目的

评估在乙型肝炎病毒(HBV)感染流行地区,孕妇对 HBV 感染的认知及其相关因素。

方法

采用问卷调查的方式,对在产前门诊就诊的中国孕妇(n=1623)进行 HBV 感染相关知识调查,分析其与社会人口学、医疗和产科因素的相关性。

结果

与 HBV 知识不足相关的独立因素包括从事医疗行业以外的女性、较低的教育水平和之前未进行 HBV 检测。大多数受访者能够正确回答 HBV 感染的常见方面,包括筛查、血液传播和围产期传播、疫苗接种预防以及 HBV 感染的后遗症,但 47.1%的人不知道 HBV 可以通过性接触传播。超过 75%的受访者误解了 HBV 不能通过食物传播,也不能通过均衡的生活方式和营养来预防的事实。

结论

HBV 传播的误解在产科人群中仍然很常见,需要提供适当和正确的信息,以进一步提高目标人群对 HBV 感染的控制。

实践意义

应适当强调对普通人群进行 HBV 水平传播的教育。

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