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孕妇对乙型肝炎感染的知识、态度和行为的社会人口学决定因素:约旦的一项跨国研究

Sociodemographic Determinants of Knowledge, Attitudes, and Practices Toward Hepatitis B Infection Among Pregnant Women: A Cross-National Study in Jordan.

作者信息

Alaridah Nader, Abu-Mutaw' Sara, Abu-Assaf Ghayda, Al Dwikat Leen, F Jarrar Raba'a, Abuhani Haneen O, Al-Hawadi Basmalah, Alhawadi Saif, Al Shdifat Mohammad, Joudeh Rayan M

机构信息

Department of Pathology, Microbiology, and Forensic Medicine, The University of Jordan, Amman, JOR.

College of Medicine, The University of Jordan, Amman, JOR.

出版信息

Cureus. 2024 Apr 11;16(4):e58053. doi: 10.7759/cureus.58053. eCollection 2024 Apr.

DOI:10.7759/cureus.58053
PMID:38738093
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11088395/
Abstract

Background Mother-to-child transmission (MTCT) of the hepatitis B virus (HBV) is significant, as most infants infected at birth go on to develop chronic hepatitis B. Vaccination and antiviral treatment during pregnancy could primarily prevent vertical transmission. Therefore, the purpose of this study is to assess pregnant Jordanian females' knowledge, attitude, and practices (KAP) toward HBV. In addition, to explore the relationship between the level of KAP toward HBV infection and its predictors. Methods Our cross-sectional study was conducted among pregnant women in Jordan. We enrolled 621 participants between January and April 2023. Our survey was derived from a previously validated tool that was used to investigate a similar aim as our study. The survey was done via Google Forms (Google LLC, Mountain View, California, United States) and it contained questions divided into four main sections: participants' demographics, knowledge section, attitudes section, and practices section. Results The majority of participants have neither a personal nor family history of HBV, and only 91 (14.7%) of the participants had a medical degree. The overall knowledge, attitude, and practice (KAP) scores were low, as only 176 (28.3%), 315 (50.7%), and 244 (39.3%) of participants achieved high levels of knowledge, attitude, and practice scores, respectively. A significant association was found between knowledge level, practice assessment, and the following variables: age, educational level, job, study field, history of HBV in the family, and source of knowledge. Regarding attitude, a significant association was found with the job, study field, and source of knowledge. Conclusion This study found that pregnant women in Jordan had a low level of awareness of HBV infection. Thus, more efforts should be made to raise awareness about HBV among high-risk groups, especially pregnant women.

摘要

背景 乙型肝炎病毒(HBV)的母婴传播意义重大,因为大多数在出生时感染的婴儿会发展为慢性乙型肝炎。孕期接种疫苗和抗病毒治疗可主要预防垂直传播。因此,本研究的目的是评估约旦孕妇对HBV的知识、态度和行为(KAP)。此外,探讨对HBV感染的KAP水平与其预测因素之间的关系。方法 我们在约旦的孕妇中进行了横断面研究。2023年1月至4月,我们招募了621名参与者。我们的调查问卷源自一个先前经过验证的工具,该工具用于调查与我们的研究类似的目标。调查通过谷歌表单(谷歌有限责任公司,美国加利福尼亚州山景城)进行,包含分为四个主要部分的问题:参与者的人口统计学信息、知识部分、态度部分和行为部分。结果 大多数参与者既没有HBV的个人史也没有家族史,只有91名(14.7%)参与者拥有医学学位。知识、态度和行为(KAP)的总体得分较低,只有176名(28.3%)、315名(50.7%)和244名(39.3%)参与者分别达到了高水平的知识、态度和行为得分。在知识水平、行为评估与以下变量之间发现了显著关联:年龄、教育水平、工作、研究领域、家族中HBV病史以及知识来源。关于态度,在工作、研究领域和知识来源方面发现了显著关联。结论 本研究发现约旦的孕妇对HBV感染的知晓水平较低。因此,应做出更多努力,提高高危人群尤其是孕妇对HBV的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/406e/11088395/3b6928f63e26/cureus-0016-00000058053-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/406e/11088395/7aea6a6f7ae7/cureus-0016-00000058053-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/406e/11088395/06161daec17a/cureus-0016-00000058053-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/406e/11088395/cef5c116c07f/cureus-0016-00000058053-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/406e/11088395/3b6928f63e26/cureus-0016-00000058053-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/406e/11088395/7aea6a6f7ae7/cureus-0016-00000058053-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/406e/11088395/06161daec17a/cureus-0016-00000058053-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/406e/11088395/cef5c116c07f/cureus-0016-00000058053-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/406e/11088395/3b6928f63e26/cureus-0016-00000058053-i04.jpg

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Front Glob Womens Health. 2023 Apr 27;4:1056488. doi: 10.3389/fgwh.2023.1056488. eCollection 2023.
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J Clin Lab Anal. 2023 Jan;37(2):e24837. doi: 10.1002/jcla.24837. Epub 2023 Jan 5.
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