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孕妇中乙型肝炎表面抗原的血清流行率及相关危险因素

Seroprevalence of hepatitis B surface antigen and associated risk factors among pregnant women.

作者信息

Cetin Sirin, Cetin Meryem, Turhan Ebru, Dolapcioglu Kenan

机构信息

Ondokuzmayis University, Samsun, Turkey.

Mustafa Kemal University, Antakya, Turkey.

出版信息

J Infect Dev Ctries. 2018 Oct 31;12(10):904-909. doi: 10.3855/jidc.10018.

Abstract

INTRODUCTION

Hepatitis B infection is a serious global public health problem. The aim of the study was to assess the seroprevalance of hepatitis B surface antigen (HBsAg), as well as the risk factors associated with hepatitis B virus (HBV) infection among pregnant women attending antenatal care clinics of the University Hospital in Antioch, Turkey.

METHODOLOGY

This descriptive cross-sectional study was carried out between May 2016 and December 2016. The Chi-squared was utilized to estimate the statistical significance of the association between socio-demographic variables and HBsAg status. The results were generated as proportions odds ratio (OR) with their 95% confidence intervals (Cl) and calculated by using both univariate and multivariate logistic regression analysis.

RESULTS

The seroprevalence of HBsAg was found to be 2.1%. A significant association was observed between age and HBsAg seropositivity (p = 0.027). History of blood transfusion (AOR = 9.51, 95% CI = 1.92-46.80, p = 0.006), history of hepatitis (AOR = 11.13, 95% CI = 2.02-61.28, p = 0.006), tattooing (AOR = 13.64, 95% CI = 2.52-73.76, p = 0.002) and a history of household/close contact (AOR = 11.10, 95% CI = 1.56-78.65, p = 0.016) were significantly associated with the risk of HBV infection.

CONCLUSIONS

Data regarding the seroprevalence of HBsAg and risk factors associated with HBV infection in pregnant women plays a crucial role in evaluating the effectiveness of the public health protection policies and the strategies to control the disease.

摘要

引言

乙型肝炎感染是一个严重的全球公共卫生问题。本研究的目的是评估土耳其安塔基亚大学医院产前护理诊所孕妇中乙型肝炎表面抗原(HBsAg)的血清流行率,以及与乙型肝炎病毒(HBV)感染相关的危险因素。

方法

本描述性横断面研究于2016年5月至2016年12月进行。采用卡方检验来评估社会人口统计学变量与HBsAg状态之间关联的统计学显著性。结果以比例比值比(OR)及其95%置信区间(Cl)表示,并通过单变量和多变量逻辑回归分析计算得出。

结果

发现HBsAg的血清流行率为2.1%。观察到年龄与HBsAg血清阳性之间存在显著关联(p = 0.027)。输血史(调整后比值比[AOR]=9.51,95%置信区间[CI]=1.92 - 46.80,p = 0.006)、肝炎病史(AOR = 11.13,95% CI = 2.02 - 61.28,p = 0.006)、纹身(AOR = 13.64,95% CI = 2.52 - 73.76,p = 0.002)和家庭/密切接触史(AOR = 11.10,95% CI = 1.56 - 78.65,p = 0.016)与HBV感染风险显著相关。

结论

关于孕妇中HBsAg血清流行率及与HBV感染相关危险因素的数据,在评估公共卫生保护政策和疾病控制策略的有效性方面起着关键作用。

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