Knowledge, attitudes, and practices toward preventing and controlling hepatitis B virus infection among pregnant women attending antenatal care at a University Hospital in Central Ethiopia: a cross-sectional study.

IF 3.8 Q2 INFECTIOUS DISEASES Therapeutic Advances in Infectious Disease Pub Date : 2024-10-09 eCollection Date: 2024-01-01 DOI:10.1177/20499361241285342
Yilma Markos Larebo, Abebe Alemu Anshebo, Sujit Kumar Behera, Natarajan Gopalan
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Abstract

Background: Ethiopia is a country with a high endemicity of the hepatitis B virus, and the primary mode of transmission for this virus is mother-to-child transmission. However, the country lacks a comprehensive plan for viral hepatitis surveillance, prevention, and control.

Objectives: To assess the knowledge, attitudes, and practices toward preventing and controlling hepatitis B virus infection among pregnant women attending antenatal care at a University Hospital in Central Ethiopia.

Design: A hospital-based cross-sectional study was conducted among pregnant women from October to November 2023 at a University Hospital in Central Ethiopia.

Methods: A total of 412 pregnant women were selected and included in the study using a systematic random sampling technique. An interviewer-administered questionnaire was used to collect the data. The collected data were imported into Epi-data version 3.1 and then exported to the Statistical Package for Social Sciences version 25 for analysis. In the bivariate analysis, variables with a p-value less than 0.25 were included in the multivariate analysis. A logistic regression model was used. A p-value <0.05 indicated statistical significance.

Results: The overall response rate was 94.1%. Of the total 412 respondents, 37.6% exhibited good practices. Notably, pregnant women within the age categories of 29-39 years (adjusted odds ratio (AOR): 0.31; 95% confidence interval (CI): 0.15, 0.64) and ⩾40 years (AOR: 0.17; 95% CI: 0.06, 0.50), residing in rural areas (AOR: 0.35; 95% CI: 0.17, 0.70), with smaller family sizes (AOR: 0.13; 95% CI: 0.07, 0.25), lacking information about hepatitis B virus infection (AOR: 5.15; 95% CI: 2.91, 9.13), having a positive attitude (AOR: 0.03; 95% CI: 0.02, 0.06), and possessing good knowledge (AOR: 0.38; 95% CI: 0.20, 0.71) were significantly associated with poor practice.

Conclusion: This study revealed that pregnant women had a low level of knowledge, attitudes, and practices related to hepatitis B virus infection prevention and control. A greater understanding is necessary to effectively prevent and control the spread of infection through prioritized health education programs targeting pregnant women. These programs must focus on raising awareness through campaigns that promote knowledge and immunization for their children.

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在埃塞俄比亚中部一所大学医院接受产前护理的孕妇对预防和控制乙型肝炎病毒感染的知识、态度和做法:一项横断面研究。
背景:埃塞俄比亚是一个乙型肝炎病毒高度流行的国家,该病毒的主要传播方式是母婴传播。然而,该国缺乏病毒性肝炎监测、预防和控制的全面计划:评估在埃塞俄比亚中部一所大学医院接受产前检查的孕妇对预防和控制乙型肝炎病毒感染的知识、态度和做法:设计:2023 年 10 月至 11 月,在埃塞俄比亚中部一所大学医院对孕妇进行了一项基于医院的横断面研究:采用系统随机抽样技术,共抽取了 412 名孕妇参与研究。采用访谈员发放的问卷收集数据。收集到的数据被导入 Epi-data 3.1 版,然后导出到社会科学统计软件包 25 版进行分析。在双变量分析中,P 值小于 0.25 的变量被纳入多变量分析。采用的是逻辑回归模型。结果总回复率为 94.1%。在总共 412 名受访者中,37.6% 的人表现出良好的做法。值得注意的是,年龄在 29-39 岁(调整赔率 (AOR):0.31;95% 置信区间 (CI):0.15, 0.64)和 ⩾40 岁(AOR:0.17;95% CI:0.06, 0.50)、居住在农村地区(AOR:0.35;95% CI:0.17, 0.70)、家庭规模较小(AOR:0.13;95% CI:0.07,0.25)、缺乏有关乙型肝炎病毒感染的信息(AOR:5.15;95% CI:2.91,9.13)、态度积极(AOR:0.03;95% CI:0.02,0.06)、知识丰富(AOR:0.38;95% CI:0.20,0.71)与不良实践显著相关:本研究显示,孕妇对乙型肝炎病毒感染预防和控制的相关知识、态度和实践水平较低。要想通过针对孕妇的优先健康教育计划来有效预防和控制感染的传播,就必须加深了解。这些计划的重点必须是通过宣传活动提高人们的认识,为她们的孩子普及相关知识并进行免疫接种。
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来源期刊
CiteScore
5.30
自引率
8.80%
发文量
64
审稿时长
9 weeks
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