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在埃塞俄比亚提格雷北部的医疗机构中,接受产前保健的孕妇中乙型肝炎病毒感染及相关危险因素。

Hepatitis B virus infection and associated risk factors among pregnant women attending antenatal care in health facilities of Tigray, Northern Ethiopia.

机构信息

Department of Microbiology and Immunology, Institute of Biomedical Sciences, College of Health Science, Mekelle University, Mek'ele, Ethiopia.

Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia.

出版信息

J Med Virol. 2018 Mar;90(3):503-509. doi: 10.1002/jmv.24987. Epub 2017 Nov 14.

Abstract

Hepatitis B virus infection is one of the leading causes of liver disease in the world. This study was conducted to determine the prevalence of HBV infection and associated risk factors among pregnant women in Northern Ethiopia using a cross-sectional study design. A total of 328 pregnant women were included in this study. Clinical and socio-demographic data of the pregnant women were collected using a structured questionnaire by nurses or midwives during their ANC visit. For the detection of HBsAg, 5 mL of venous blood was collected from the pregnant women; serum was separated in the health facilities from the whole blood and was transported to Tigray Public Health Research Institute for analysis using. The data were analyzed using SPSS software version 20.0. (IBM). Association of variables with HBV infection was determined with multivariate analysis and P < 0.05 was considered statistically significant. The mean age of the study participants was 25.45 ± 5.067. The overall prevalence rate of HBV infection among the pregnant women was 5.5%. A statistical association of HBV infection with risk factors was seen on participants, who were making unprotected sexual practices with multiple partners (AoR = 6.4, 95%CI, 2-21, P = 0.03), on those who had HBV-infected person in their family (AoR = 8, 95%CI, 1-58, P = 0.02), and on those who had undergone surgical procedures (AoR = 6.8, 95%CI, 1-32, P = 0.022).

摘要

乙型肝炎病毒感染是世界上导致肝病的主要原因之一。本研究采用横断面研究设计,旨在确定在埃塞俄比亚北部孕妇中乙型肝炎病毒感染的流行率及其相关危险因素。本研究共纳入 328 名孕妇。护士或助产士在 ANC 就诊期间使用结构化问卷收集孕妇的临床和社会人口统计学数据。为了检测 HBsAg,从孕妇采集 5 毫升静脉血;在卫生机构中,从全血中分离血清,并运往提格雷公共卫生研究所进行分析。使用 SPSS 软件版本 20.0(IBM)对数据进行分析。使用多变量分析确定变量与乙型肝炎病毒感染的关联,P<0.05 被认为具有统计学意义。研究参与者的平均年龄为 25.45±5.067。孕妇中乙型肝炎病毒感染的总流行率为 5.5%。在参与者中,与乙型肝炎病毒感染有统计学关联的危险因素包括与多个性伴侣发生无保护性行为(AoR=6.4,95%CI,2-21,P=0.03)、家中有乙型肝炎病毒感染者(AoR=8,95%CI,1-58,P=0.02)和接受过手术的人(AoR=6.8,95%CI,1-32,P=0.022)。

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