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Article: Pattern and predictors of medical care received by hepatitis B carriers during pregnancy and after delivery

TitlePattern and predictors of medical care received by hepatitis B carriers during pregnancy and after delivery
Authors
KeywordsHepatitis B virus
Infection
Infectious disease transmission
Vertical
Pregnancy
Issue Date2019
PublisherWB 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?
AbstractObjective: 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 Identifierhttp://hdl.handle.net/10722/277776
ISSN
2019 Impact Factor: 1.774
2015 SCImago Journal Rankings: 0.758

 

DC FieldValueLanguage
dc.contributor.authorCheung, KW-
dc.contributor.authorSeto, MTY-
dc.contributor.authorWong, D-
dc.contributor.authorMak, ASL-
dc.contributor.authorSo, PL-
dc.contributor.authorLau, WL-
dc.contributor.authorWang, W-
dc.contributor.authorKan, ASY-
dc.contributor.authorLee, CP-
dc.contributor.authorNg, EHY-
dc.date.accessioned2019-10-04T08:01:08Z-
dc.date.available2019-10-04T08:01:08Z-
dc.date.issued2019-
dc.identifier.citationPublic Health, 2019, v. 168, p. 36-42-
dc.identifier.issn0033-3506-
dc.identifier.urihttp://hdl.handle.net/10722/277776-
dc.description.abstractObjective: 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.languageeng-
dc.publisherWB Saunders Co Ltd. The Journal's web site is located at http://www.elsevier.com/locate/puhe-
dc.relation.ispartofPublic Health-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectHepatitis B virus-
dc.subjectInfection-
dc.subjectInfectious disease transmission-
dc.subjectVertical-
dc.subjectPregnancy-
dc.titlePattern and predictors of medical care received by hepatitis B carriers during pregnancy and after delivery-
dc.typeArticle-
dc.identifier.emailCheung, KW: kawang@HKUCC-COM.hku.hk-
dc.identifier.emailSeto, MTY: mimiseto@HKUCC-COM.hku.hk-
dc.identifier.emailMak, ASL: makasl@HKUCC-COM.hku.hk-
dc.identifier.emailLau, WL: lauwl@hkucc.hku.hk-
dc.identifier.emailWang, W: ericawlw@hku.hk-
dc.identifier.emailKan, ASY: kansya@hkucc.hku.hk-
dc.identifier.emailLee, CP: chinpeng@hkucc.hku.hk-
dc.identifier.emailNg, EHY: nghye@hku.hk-
dc.identifier.authorityLee, CP=rp01862-
dc.identifier.authorityNg, EHY=rp00426-
dc.description.naturepostprint-
dc.identifier.doi10.1016/j.puhe.2018.12.008-
dc.identifier.pmid30685596-
dc.identifier.scopuseid_2-s2.0-85060351105-
dc.identifier.hkuros306757-
dc.identifier.volume168-
dc.identifier.spage36-
dc.identifier.epage42-
dc.publisher.placeUnited Kingdom-

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