Trauma and Specialist Hospital, Winneba, Ghana.
Department of Population, Family and Reproductive Health, University of Ghana School of Public Health, Accra, Ghana.
PLoS One. 2020 Apr 22;15(4):e0232208. doi: 10.1371/journal.pone.0232208. eCollection 2020.
Hepatitis B virus infection is a global public health problem. Though, the disease is endemic in sub-Saharan Africa, little is known about its epidemiology among pregnant women in Ghana. This study sought to determine the seroprevalence of Hepatitis B virus infection and associated factors among pregnant women attending antenatal care at Korle-Bu Teaching Hospital; Ghana's largest hospital.
We conducted a facility-based cross-sectional survey among 232 antenatal attendants. Participants were recruited using systematic random sampling technique and screened with HBsAg Rapid Test. Data was analyzed with the aid of Statistical Package for Social Sciences (SPSS), version 23.0. Results were presented using descriptive statistics, Fisher's Exact test and Logistic Regression analysis.
Two hundred and twenty-one (221) of the total sample (n = 232) agreed to participate in this study; representing a response rate of 95%. The mean age of the participants was 31 years and standard deviation of 5.3. The mean gestational period at recruitment was 28 weeks and standard deviation of 6.8. Majority of the participants were married (83.3%), parous (69.6%), educated (91.4%) and employed (90.5%). The prevalence of HBsAg was 7.7%. We found no significant association between socio-demographic characteristics of the participants and HBV infection.
Seroprevalence of 7.7% indicates moderate endemicity. Socio-demographic characteristics did not influence HBV infection among pregnant women attending antenatal care at Korle-Bu Teaching Hospital. The findings provide empirical evidence that will contribute to knowledge of HBV epidemiology in Ghana.
乙型肝炎病毒感染是一个全球性的公共卫生问题。尽管该疾病在撒哈拉以南非洲流行,但人们对加纳孕妇中乙型肝炎病毒的流行病学知之甚少。本研究旨在确定科勒布教学医院(加纳最大的医院)产前护理孕妇中乙型肝炎病毒感染的血清流行率及其相关因素。
我们对 232 名产前护理人员进行了基于机构的横断面调查。采用系统随机抽样技术招募参与者,并使用 HBsAg 快速检测进行筛查。使用社会科学统计软件包(SPSS)版本 23.0 进行数据分析。结果采用描述性统计、Fisher 确切检验和逻辑回归分析进行呈现。
在总共 232 名样本(n=232)中,有 221 名(221)同意参与本研究;代表回应率为 95%。参与者的平均年龄为 31 岁,标准差为 5.3。招募时的平均妊娠周期为 28 周,标准差为 6.8。大多数参与者已婚(83.3%)、多产(69.6%)、受过教育(91.4%)和有工作(90.5%)。HBsAg 的流行率为 7.7%。我们没有发现参与者的社会人口统计学特征与乙型肝炎病毒感染之间存在显著关联。
7.7%的血清流行率表明存在中度地方性。社会人口统计学特征并未影响到科勒布教学医院产前护理孕妇的乙型肝炎病毒感染。这些发现提供了有助于了解加纳乙型肝炎病毒流行病学的经验证据。