摘要
目的了解首次产检孕妇对乙型肝炎病毒(HBV)感染和母婴传播相关知识的认知度及其影响因素。方法调查对象为2019年01~12月在海南医学院第二附属医院产科门诊首次产检的孕妇,匿名填写HBV母婴传播知识的调查问卷。调查内容包括对HBV感染和母婴传播相关知识的知晓情况,以及对HBV母婴阻断措施的态度。当受访孕妇的知识题目总分≥8分,同时满足态度题目总分≥4分时作为高分组(181人),反之作为低分组(312人),采用多因素Logistics回归分析法分析影响其知识和态度的因素。结果(1)发放调查问卷共526份,回收有效问卷493份,回收率为93.7%。(2)HBV相关知识的题目共11项,总分11分,受访孕妇的得分中位数为6(1,9)分。对HBV相关并发症及母婴传播会导致并发症风险增加的知晓率约为36.3%;对HBV传播的4种主要途径,即母婴传播、不安全的针头或锐器传播、血液传播、无保护的性行为传播的知晓率分别为62.7%、56.4%、54.8%和38.7%;对接种疫苗预防乙肝的知晓率为62.1%。(3)对HBV母婴阻断措施态度题目6题,总分6分,受访孕妇的得分中位数为6(5,6)分。受访孕妇中86.4%愿意在妊娠期间筛查乙肝,92.1%愿意新生儿出生时注射乙肝免疫球蛋白,86.0%愿意在妊娠中晚期接受药物治疗,以阻断母婴传播。(4)经多因素Logistic回归分析结果显示,受教育程度和收入情况是影响孕产妇取得HBV知识和母婴传播认知度的影响因素(P<0.05)。结论首次产检孕妇对HBV母婴传播的相关知识普遍认识不足,受教育程度和收入情况是影响孕妇对HBV知识知晓度和母婴阻断措施态度的主要因素,对孕妇应进一步加强妊娠期HBV相关知识的宣教。
Objective To investigate the awareness and influencing factors of pregnant women during the first prenatal checkup on the knowledge of hepatitis B virus(HBV)infection and mother-to-child transmission(MTCT).Methods Pregnant women who had their first prenatal checkup at the Outpatient Department of Obstetrics,the Second Affiliated Hospital of Hainan Medical University from January to December 2019 were included in the study,and anonymously filled out the HBV MTCT questionnaire.The contents included knowledge about HBV infection and MTCT,and attitudes towards MTCT blocking measures of HBV.When the interviewed pregnant women had a total score of≥8 on knowledge topics and at the same time met a total score of≥4 on attitude topics,they were included in the high-score group(181 women),otherwise they were included in the low-score group(312 women).Multiple logistic regression analysis was used to analyze the factors affecting these women’s knowledge and attitudes.Results(1)A total of 526 questionnaires were distributed,and 493 valid questionnaires were returned,with a recovery rate of 93.7%.(2)There were a total of 11 HBV-related knowledge topics,with a total score of 11 points.The median score of the interviewed pregnant women was 6(1,9).The awareness rate of HBV-related complications and MTCT increasing the risk of complications was about 36.3%.The awareness rates of the four ways of HBV transmission were 62.7%(MTCT),56.4%(percutaneous exposures to needles and other sharp objects),54.8%(blood transmission)and 38.7%(unprotected sexual transmission).The awareness rate of vaccination to prevent HBV was 62.1%.(3)There were a total of 6 questions on attitudes towards MTCT blocking measures of HBV,with a total score of 6 points.The median score of the participants was 6(5,6).Among the interviewed pregnant women,86.4%were willing to be screened for HBV during pregnancy,92.1%were willing to let their neonate injected with HBV immunoglobulin,and 86.0%were willing to receive drug treatment in the middle and late stages of
作者
王洪伟
林娟
符娟
高慧
陈丽
杜姗菱
吴彪
WANG Hong-wei;LIN Juan;FU Juan;GAO Hui;CHEN Li;DU Shan-ling;WU Biao(Department of Obstetrics and Gynecology,the Second Affiliated Hospital of Hainan Medical University,Haikou 570311,Hainan,CHINA;Medical Center for Infectious Diseases,Hainan General Hospital(Hainan Affiliated Hospital of Hainan Medical University),Haikou 570311,Hainan,CHINA)
出处
《海南医学》
CAS
2021年第16期2156-2159,共4页
Hainan Medical Journal
基金
海南省卫生健康行业科研项目(编号:18A200011、19A200110)
北京医卫健康基金会医学科学项目(编号:YWJKJJHKYJJ-B17318)。
关键词
乙型肝炎病毒
母婴传播
妊娠
认知度
影响因素
Hepatitis B virus
Mother-to-child transmission
Pregnancy
Awareness
Influencing factors
