Shah Syed A, Chen Kelsey, Marneni Shashidhar, Benchekroune Ghizlane, Ariganjoye Rafiu, Purswani Murli, Adeniyi Ayoade O, Bainbridge Ronald, Timoney Maria T, Hagmann Stefan
Department of Pediatrics, Bronx-Lebanon Hospital Center, 1650 Selwyn Ave. Suite 6D, Bronx, NY, 10457, USA.
J Immigr Minor Health. 2015 Feb;17(1):302-5. doi: 10.1007/s10903-013-9914-5.
An increasing proportion of foreign-born residents in the Bronx, New York are African immigrants from West Africa, a region with a very high hepatitis B surface antigen (HBsAg) prevalence. Charts of 114 HBsAg positive parturients who gave birth between 2004 and 2008 in a community hospital in the Bronx were retrospectively reviewed. Most were of West-African origin (88%). Acute hepatic inflammation was rare (4%). Active viral replication (Hepatitis B e-antigen positivity) was noted in a minority (7%), but in 3/5 (60%) HIV co-infected women. Among the West-African immigrant women who agreed to be interviewed (n = 39), only half (54%) had ever heard of hepatitis B virus (HBV) infection, and their knowledge of HBV was mostly incomplete. This study shows that pregnancy-related health interventions may offer unique opportunities to link such women to specialist care and initiate culturally sensitive HBV-relevant education for the index case and her family.
纽约布朗克斯区出生于国外的居民中，来自西非的非洲移民比例日益增加，而西非地区的乙肝表面抗原（HBsAg）流行率非常高。对2004年至2008年间在布朗克斯区一家社区医院分娩的114名HBsAg阳性产妇的病历进行了回顾性研究。大多数产妇来自西非（88%）。急性肝脏炎症很少见（4%）。少数产妇（7%）存在病毒活跃复制（乙肝e抗原阳性），但在同时感染艾滋病毒的女性中，五分之三（60%）存在这种情况。在同意接受访谈的西非移民女性（n = 39）中，只有一半（54%）听说过乙肝病毒（HBV）感染，而且她们对HBV的了解大多不完整。这项研究表明，与妊娠相关的健康干预措施可能提供独特的机会，让这些女性获得专科护理，并为产妇及其家人开展具有文化敏感性的、与HBV相关的教育。
