The Prevalence and Risk Factors for Hepatitis B Surface Ag Positivity in Pregnant Women in Eastern Region of Ghana
Identifieur interne : 000691 ( Main/Exploration ); précédent : 000690; suivant : 000692The Prevalence and Risk Factors for Hepatitis B Surface Ag Positivity in Pregnant Women in Eastern Region of Ghana
Auteurs : Younmo Cho [Corée du Sud] ; George Bonsu [Ghana] ; Arko Akoto-Ampaw [Ghana] ; Grace Nkrumah-Mills [Ghana] ; Julia J. A. Nimo [Ghana] ; Jin Kyung Park [Corée du Sud] ; Moran Ki [Corée du Sud]Source :
- Gut and Liver [ 1976-2283 ] ; 2012.
Abstract
The aim of this study was to evaluate the prevalence and risk factors for hepatitis B surface antigen (HBsAg) positivity in pregnant Ghanaian women.
We surveyed 1,500 pregnant women in Eastern region of Ghana. Direct interviews were performed by trained nurses using standardized questionnaires. Pregnant women were screened for human immunodeficiency virus (HIV) and hepatitis B infections, hemoglobin levels and sickle cell anemia as part of the antenatal check-up.
The overall HBsAg positive rate was 10.6%, which varied among districts (13.8% for Kwahu West, 12.4% for Upper Manya, and 2.2% for Yilo Krobo). HBsAg positivity was significantly higher in women with depression (odds ratio [OR], 3.74; 95% confidence interval [CI], 2.13 to 6.57) and HIV (OR, 2.03; 95% CI, 1.06 to 3.89). Age, education, and gravidity were not related to HBsAg positivity. Anti-hepatitis B immunoglobulin for newborns of HBsAg-positive mothers is not provided at birth in public health facilities in Ghana. However, hepatitis B vaccination is provided as part of a routine vaccination schedule starting at 6 weeks of age.
To prevent mother-to-child transmission of hepatitis B, screening tests for HBsAg in pregnant women and hepatitis B vaccination of newborns immediately after birth need to be performed in this region.
Url:
DOI: 10.5009/gnl.2012.6.2.235
PubMed: 22570754
PubMed Central: 3343163
Affiliations:
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Region Public Health Division, Koforidua, Ghana.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Ghana</country><wicri:regionArea>Eastern Region Public Health Division, Koforidua</wicri:regionArea><wicri:noRegion>Koforidua</wicri:noRegion></affiliation></author><author><name sortKey="Akoto Ampaw, Arko" sort="Akoto Ampaw, Arko" uniqKey="Akoto Ampaw A" first="Arko" last="Akoto-Ampaw">Arko Akoto-Ampaw</name><affiliation wicri:level="1"><nlm:aff id="A3">Asesewa Government Hospital and Upper Manya Krobo District Health Administration, Asesewa, Ghana.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Ghana</country><wicri:regionArea>Asesewa Government Hospital and Upper Manya Krobo District Health Administration, Asesewa</wicri:regionArea><wicri:noRegion>Asesewa</wicri:noRegion></affiliation></author><author><name sortKey="Nkrumah Mills, Grace" sort="Nkrumah Mills, Grace" uniqKey="Nkrumah Mills G" first="Grace" last="Nkrumah-Mills">Grace Nkrumah-Mills</name><affiliation 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A." last="Nimo">Julia J. A. Nimo</name><affiliation wicri:level="1"><nlm:aff id="A5">Holy Family Hospital and Kwahu West District Health Administration, Nkawkaw, Ghana.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Ghana</country><wicri:regionArea>Holy Family Hospital and Kwahu West District Health Administration, Nkawkaw</wicri:regionArea><wicri:noRegion>Nkawkaw</wicri:noRegion></affiliation></author><author><name sortKey="Park, Jin Kyung" sort="Park, Jin Kyung" uniqKey="Park J" first="Jin Kyung" last="Park">Jin Kyung Park</name><affiliation wicri:level="3"><nlm:aff id="A6">Translational Research Division, International Vaccine Institute, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Translational Research Division, International Vaccine Institute, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Ki, Moran" sort="Ki, Moran" uniqKey="Ki M" first="Moran" last="Ki">Moran Ki</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Preventive Medicine, Eulji University School of Medicine, Daejeon, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Preventive Medicine, Eulji University School of Medicine, Daejeon</wicri:regionArea><wicri:noRegion>Daejeon</wicri:noRegion></affiliation></author></analytic><series><title level="j">Gut and Liver</title><idno type="ISSN">1976-2283</idno><idno type="eISSN">2005-1212</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background/Aims</title><p>The aim of this study was to evaluate the prevalence and risk factors for hepatitis B surface antigen (HBsAg) positivity in pregnant Ghanaian women.</p></sec><sec><title>Methods</title><p>We surveyed 1,500 pregnant women in Eastern region of Ghana. Direct interviews were performed by trained nurses using standardized questionnaires. Pregnant women were screened for human immunodeficiency virus (HIV) and hepatitis B infections, hemoglobin levels and sickle cell anemia as part of the antenatal check-up.</p></sec><sec><title>Results</title><p>The overall HBsAg positive rate was 10.6%, which varied among districts (13.8% for Kwahu West, 12.4% for Upper Manya, and 2.2% for Yilo Krobo). HBsAg positivity was significantly higher in women with depression (odds ratio [OR], 3.74; 95% confidence interval [CI], 2.13 to 6.57) and HIV (OR, 2.03; 95% CI, 1.06 to 3.89). Age, education, and gravidity were not related to HBsAg positivity. Anti-hepatitis B immunoglobulin for newborns of HBsAg-positive mothers is not provided at birth in public health facilities in Ghana. However, hepatitis B vaccination is provided as part of a routine vaccination schedule starting at 6 weeks of age.</p></sec><sec><title>Conclusions</title><p>To prevent mother-to-child transmission of hepatitis B, screening tests for HBsAg in pregnant women and hepatitis B vaccination of newborns immediately after birth need to be performed in this region.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Adu Sarkodie, Y" uniqKey="Adu Sarkodie Y">Y Adu-Sarkodie</name></author><author><name sortKey="Matke, P" uniqKey="Matke P">P Matke</name></author><author><name sortKey="Tetteh, C" uniqKey="Tetteh C">C Tetteh</name></author><author><name sortKey="Appiah Denkyira, E" uniqKey="Appiah Denkyira E">E Appiah-Denkyira</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Martinson, Fe" uniqKey="Martinson 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Skolasky</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li><li>Ghana</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><country name="Corée du Sud"><noRegion><name sortKey="Cho, Younmo" sort="Cho, Younmo" uniqKey="Cho Y" first="Younmo" last="Cho">Younmo Cho</name></noRegion><name sortKey="Ki, Moran" sort="Ki, Moran" uniqKey="Ki M" first="Moran" last="Ki">Moran Ki</name><name sortKey="Park, Jin Kyung" sort="Park, Jin Kyung" uniqKey="Park J" first="Jin Kyung" last="Park">Jin Kyung Park</name></country><country name="Ghana"><noRegion><name sortKey="Bonsu, George" sort="Bonsu, George" uniqKey="Bonsu G" first="George" last="Bonsu">George Bonsu</name></noRegion><name sortKey="Akoto Ampaw, Arko" sort="Akoto Ampaw, Arko" uniqKey="Akoto Ampaw A" first="Arko" last="Akoto-Ampaw">Arko Akoto-Ampaw</name><name sortKey="Nimo, Julia J A" sort="Nimo, Julia J A" uniqKey="Nimo J" first="Julia J. A." last="Nimo">Julia J. A. Nimo</name><name sortKey="Nkrumah Mills, Grace" sort="Nkrumah Mills, Grace" uniqKey="Nkrumah Mills G" first="Grace" last="Nkrumah-Mills">Grace Nkrumah-Mills</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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