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- PMID: 30685596
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Article: Pattern and predictors of medical care received by hepatitis B carriers during pregnancy and after delivery
Title | Pattern and predictors of medical care received by hepatitis B carriers during pregnancy and after delivery |
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Authors | |
Keywords | Hepatitis B virus Infection Infectious disease transmission Vertical Pregnancy |
Issue Date | 2019 |
Publisher | WB Saunders Co Ltd. The Journal's web site is located at http://www.elsevier.com/locate/puhe |
Citation | Public Health, 2019, v. 168, p. 36-42 How to Cite? |
Abstract | Objective:
The objective of the study is to evaluate the pattern and predictors of medical care received by hepatitis B virus (HBV) carriers during pregnancy and after delivery in Hong Kong.
Study design:
The study is a retrospective analysis.
Methods:
Pregnant HBV carriers and their infants were followed up for 9–12 months after delivery. Face-to-face interviews were conducted to investigate what medical care they received for HBV before, during and after pregnancy.
Results:
Data were available for 412 HBV carriers. A total of 375 (91.0%) women were known HBV carriers before pregnancy. Routine antenatal screening picked out the remaining 37 (9.0%) HBV carriers; these women were younger, more likely to be smokers and had a lower level of education (P < 0.05) than known HBV carriers. In total, 356 of 412 (86.4%) HBV carriers did not receive any medical care for HBV during pregnancy. Known HBV carrier status, history of medical check-up and the use of antiviral treatment before pregnancy were significant predictors for HBV medical care during pregnancy (P < 0.05). The results show that 217 of 412 (52.6%) HBV carriers did not receive medical care for HBV after delivery. HBV medical care before pregnancy, use of antiviral treatment before pregnancy and a higher level of education were significant predictors for postpartum HBV medical care (P < 0.05). Multivariate analysis showed that HBV medical care before pregnancy (odds ratio [OR], 7.73; 95% confidence interval [CI], 3.21–18.65; P < 0.001) and the use of antiviral treatment (OR, 5.02; 95% CI, 1.41–17.81; P = 0.013) were associated with medical care during pregnancy. Medical care before pregnancy was also associated with postpartum HBV medical care (OR, 5.05; 95% CI, 3.29–7.51; P < 0.001).
Conclusions:
A significant proportion of HBV carriers did not receive HBV-related medical check-ups during and after pregnancy in Hong Kong despite the majority being aware of their carrier status. Medical care before pregnancy predicted antenatal and postpartum HBV medical care. |
Persistent Identifier | http://hdl.handle.net/10722/277776 |
ISSN | 2023 Impact Factor: 3.9 2023 SCImago Journal Rankings: 1.203 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Cheung, KW | - |
dc.contributor.author | Seto, MTY | - |
dc.contributor.author | Wong, D | - |
dc.contributor.author | Mak, ASL | - |
dc.contributor.author | So, PL | - |
dc.contributor.author | Lau, WL | - |
dc.contributor.author | Wang, W | - |
dc.contributor.author | Kan, ASY | - |
dc.contributor.author | Lee, CP | - |
dc.contributor.author | Ng, EHY | - |
dc.date.accessioned | 2019-10-04T08:01:08Z | - |
dc.date.available | 2019-10-04T08:01:08Z | - |
dc.date.issued | 2019 | - |
dc.identifier.citation | Public Health, 2019, v. 168, p. 36-42 | - |
dc.identifier.issn | 0033-3506 | - |
dc.identifier.uri | http://hdl.handle.net/10722/277776 | - |
dc.description.abstract | Objective: The objective of the study is to evaluate the pattern and predictors of medical care received by hepatitis B virus (HBV) carriers during pregnancy and after delivery in Hong Kong. Study design: The study is a retrospective analysis. Methods: Pregnant HBV carriers and their infants were followed up for 9–12 months after delivery. Face-to-face interviews were conducted to investigate what medical care they received for HBV before, during and after pregnancy. Results: Data were available for 412 HBV carriers. A total of 375 (91.0%) women were known HBV carriers before pregnancy. Routine antenatal screening picked out the remaining 37 (9.0%) HBV carriers; these women were younger, more likely to be smokers and had a lower level of education (P < 0.05) than known HBV carriers. In total, 356 of 412 (86.4%) HBV carriers did not receive any medical care for HBV during pregnancy. Known HBV carrier status, history of medical check-up and the use of antiviral treatment before pregnancy were significant predictors for HBV medical care during pregnancy (P < 0.05). The results show that 217 of 412 (52.6%) HBV carriers did not receive medical care for HBV after delivery. HBV medical care before pregnancy, use of antiviral treatment before pregnancy and a higher level of education were significant predictors for postpartum HBV medical care (P < 0.05). Multivariate analysis showed that HBV medical care before pregnancy (odds ratio [OR], 7.73; 95% confidence interval [CI], 3.21–18.65; P < 0.001) and the use of antiviral treatment (OR, 5.02; 95% CI, 1.41–17.81; P = 0.013) were associated with medical care during pregnancy. Medical care before pregnancy was also associated with postpartum HBV medical care (OR, 5.05; 95% CI, 3.29–7.51; P < 0.001). Conclusions: A significant proportion of HBV carriers did not receive HBV-related medical check-ups during and after pregnancy in Hong Kong despite the majority being aware of their carrier status. Medical care before pregnancy predicted antenatal and postpartum HBV medical care. | - |
dc.language | eng | - |
dc.publisher | WB Saunders Co Ltd. The Journal's web site is located at http://www.elsevier.com/locate/puhe | - |
dc.relation.ispartof | Public Health | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.subject | Hepatitis B virus | - |
dc.subject | Infection | - |
dc.subject | Infectious disease transmission | - |
dc.subject | Vertical | - |
dc.subject | Pregnancy | - |
dc.title | Pattern and predictors of medical care received by hepatitis B carriers during pregnancy and after delivery | - |
dc.type | Article | - |
dc.identifier.email | Cheung, KW: kawang@HKUCC-COM.hku.hk | - |
dc.identifier.email | Seto, MTY: mimiseto@HKUCC-COM.hku.hk | - |
dc.identifier.email | Mak, ASL: makasl@HKUCC-COM.hku.hk | - |
dc.identifier.email | Lau, WL: lauwl@hkucc.hku.hk | - |
dc.identifier.email | Wang, W: ericawlw@hku.hk | - |
dc.identifier.email | Kan, ASY: kansya@hkucc.hku.hk | - |
dc.identifier.email | Lee, CP: chinpeng@hkucc.hku.hk | - |
dc.identifier.email | Ng, EHY: nghye@hku.hk | - |
dc.identifier.authority | Lee, CP=rp01862 | - |
dc.identifier.authority | Ng, EHY=rp00426 | - |
dc.description.nature | postprint | - |
dc.identifier.doi | 10.1016/j.puhe.2018.12.008 | - |
dc.identifier.pmid | 30685596 | - |
dc.identifier.scopus | eid_2-s2.0-85060351105 | - |
dc.identifier.hkuros | 306757 | - |
dc.identifier.volume | 168 | - |
dc.identifier.spage | 36 | - |
dc.identifier.epage | 42 | - |
dc.identifier.isi | WOS:000460143700006 | - |
dc.publisher.place | United Kingdom | - |
dc.identifier.issnl | 0033-3506 | - |