Gebrecherkos Teklay, Girmay Getu, Lemma Mulualem, Negash Markos
Department of Medical Microbiology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Ethiopia.
Department of Medical Microbiology and Immunology, School of Medicine, College of Health Sciences, Mekelle University, Ethiopia.
Int J Hepatol. 2020 Jan 15;2020:5617603. doi: 10.1155/2020/5617603. eCollection 2020.
Hepatitis B virus (HBV) infection remains a serious public health concern worldwide. Mother-to-child transmission (MTCT) is the major mode in endemic areas, including Ethiopia, where little is known about pregnant women's knowledge, attitudes, and practice towards HBV infection and MTCT. Therefore, the study is aimed at determining the knowledge, attitude, and practice towards HBV among pregnant women attending antenatal care.
A cross-sectional study was conducted from February to April 2018, at the University of Gondar Comprehensive Specialized Hospital. A total of 354 pregnant women were selected by systematic random sampling and included in this study. KAP of participants on HBV MTCT was assessed using a structured questionnaire. Data was analyzed using SPSS version 22 software.
The total response rate was 100% (354/354). Out of the 354 participants, 73.4% were within the poor knowledge. Only 18.9% of the respondents know HBV can be transmitted from mother to child during pregnancy. Less than half (43.8) of the participants think that they will never be infected with HBV, and 47.7% of them go to traditional healers when they have symptoms of HBV. Majority of the respondents (85.87%) had never screened for HBV, and only 28.5% of the participants believed that hepatitis B can cause liver cancer. In multivariable analysis, residence, income, and educational level were associated with mean score knowledge and attitude.
Knowledge about HBV among pregnant women was found to be poor, and their attitude and practice were also limited. Therefore, extensive health education program should be given to the pregnant women to increase their awareness towards HBV infection. All pregnant women should be screened for HBV as part of ANC follow-up.
乙型肝炎病毒（HBV）感染仍是全球严重的公共卫生问题。母婴传播（MTCT）是包括埃塞俄比亚在内的流行地区的主要传播方式，而在该国，对于孕妇对HBV感染及母婴传播的知识、态度和行为了解甚少。因此，本研究旨在确定接受产前护理的孕妇对HBV的知识、态度和行为。
2018年2月至4月在贡德尔大学综合专科医院进行了一项横断面研究。通过系统随机抽样选取了354名孕妇纳入本研究。使用结构化问卷评估参与者对HBV母婴传播的知识、态度和行为。数据采用SPSS 22版软件进行分析。
总应答率为100%（354/354）。在354名参与者中，73.4%的人知识水平较差。只有18.9%的受访者知道HBV可在孕期母婴传播。不到一半（43.8%）的参与者认为自己不会感染HBV，47.7%的人在出现HBV症状时会去找传统治疗师。大多数受访者（85.87%）从未接受过HBV筛查，只有28.5%的参与者认为乙肝可导致肝癌。在多变量分析中，居住地、收入和教育水平与知识和态度的平均得分相关。
发现孕妇对HBV的知识较差，其态度和行为也有限。因此，应向孕妇开展广泛的健康教育项目，以提高她们对HBV感染的认识。作为产前检查随访的一部分，所有孕妇都应接受HBV筛查。
