Prevalence and epidemiological profile of Hepatitis B in pregnant women: a population study in a Brazilian Western Amazon city from 2007 to 2015

Abstract Objectives: this study aimed to describe the epidemiological profile and prevalence of hepatitis B infection in pregnant women living in Rio Branco, Acre, Brazil. Methods: this was a cross-sectional study concerning the prevalence of Hepatitis B in a cohort of women who gave birth in Rio Branco from 2007 to 2015. Data were obtained through health information systems. Pregnant women presenting one or more serological markers or positive molecular biology examination were considered confirmed cases of infections. Infection prevalence, the odds ratio (5% significance) and sociodemographic, clinical, obstetric and neonatal variable frequency distributions were calculated. The student's t-test and Mann Whitney test were applied, as well as the chi-square test or Fisher's exact test, at a significance level of 5%. Results: a total of 62,100 pregnant women were identified for the study period. The prevalence of Hepatitis B in the group was of 0.38% (206 cases), and only 12,5% were diagnosed during the first gestation trimester. A significant difference (p=0.034) in the mean age of infected women was observed when compared to those without infection. The chance of an infected pregnant woman giving birth to a child with a 1st Apgar minute <7 was of 2.01 (CI95%= 1.09-3.71; p=0.995), higher than observed for healthy pregnant woman. Concerning infected patients, the most reported risk exposure was dental treatment (19.2%). Conclusions: the prevalence of Hepatitis B among pregnant women was lower than reported in other national studies. Low Hepatitis B detection during the first gestation trimester was identified, which reinforces the need to intensify early diagnosis during prenatal follow-up, especially due to the severity of the disease and the possibility of vertical transmission.

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KONSUMSI TABLET FE DAN PENGETAHUAN BERHUBUNGAN DENGAN ANEMIA PADA IBU HAMIL TRIMESTER III

JURNAL MEDIA KESEHATAN ◽

10.33088/jmk.v11i2.371 ◽

2019 ◽

Vol 11 (2) ◽

pp. 17-28

Author(s):

Eka Ratna Sari ◽

Lusi Andriani ◽

PS. Kurniawati

Keyword(s):

Pregnant Woman ◽

Pregnant Women ◽

Health Workers ◽

Survey Design ◽

Sampling Technique ◽

World Health ◽

Dominant Factor ◽

Third Trimester ◽

Cross Sectional ◽

Significance Level

Anemia in pregnancy is a condition of pregnant woman with hemoglobin (Hb) <11 gr% in the first and third trimesters while in the second trimester hemoglobin level <10,5 gr%. World Health Organization (WHO) in 2012, reported that the prevalence of anemia in pregnant women in the world ranges an average of 14%, in industrialized countries 56% and in developing countries between 35% -75%. This study aims to determined the factors of the occurrence of anemia in third trimester pregnant women in Kampung Melayu sub-district Bengkulu City 2017. This research uses Analytical Survey design with Cross Sectional Approach. Population in this research is third trimester pregnant woman in Kampung Melayu sub-district as many as 106 people, using sample total sampling technique. The analysis used Chi square test with significance level p <0,05.The results of this study indicate that there is a relationship between adherence of Fe (p = 0,000) and knowledge (p = 0,000) with anemia occurrence in third trimester pregnant women, no relationship between age (p = 0,346), parity (p = 0,949) , Education (p = 0.198), occupation (p = 1,000) with anemia and the most dominant factor with anemia was the consumption of Fe tablet (OR = 78,803). Health workers are expected to provide routine counseling on the causes, symptoms, and effects of anemia for pregnant women and screening anemia by checking Hb at least twice during pregnancy.

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Disability retirement among university public servants: epidemiological profile and causes

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2016-0653 ◽

2018 ◽

Vol 71 (2) ◽

pp. 289-296

Author(s):

Aline Aparecida Oliveira Moreira ◽

Júlia Trevisan Martins ◽

Maria Lucia do Carmo Cruz Robazzi ◽

Renata Perfeito Ribeiro ◽

Maria do Carmo Fernandez Haddad Lourenço ◽

...

Keyword(s):

Descriptive Study ◽

Public University ◽

Degenerative Diseases ◽

Public Servants ◽

Cross Sectional ◽

Significance Level ◽

Significant Difference ◽

Level Function ◽

Epidemiological Profile ◽

Mental And Behavioral Disorders

ABSTRACT Objective: To identify the epidemiological profile and causes of disability pensions for university public servants. Method: A cross-sectional and descriptive study, carried out with 40 retired employees due to disability of a public university. Sociodemographic, occupational and clinical data were obtained. The analyses were stratified according to gender, considering a significance level of 5%. Results: Disability pensions were more frequent among women (72.5%), aged up to 60 years (77.5%). Mental and behavioral disorders were mainly responsible for pensions (35%). There was a significant difference between the sexes (p ≤ 0.05) for the variables: educational level, function performed by the worker and presence of dependents. Conclusion: The epidemiological profile showed a higher frequency of female, married/stable marital status, aged between 51 and 60 years and up to 12 years of schooling. Chronic degenerative diseases were predominant among the causes for disability pensions.

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Analisis faktor keikutsertaan screening hepatitis “B” pada ibu hamil

Jurnal SAGO Gizi dan Kesehatan ◽

10.30867/gikes.v3i1.717 ◽

2022 ◽

Vol 3 (1) ◽

pp. 51

Author(s):

Dedi Apriadi

Keyword(s):

Hepatitis B ◽

Pregnant Women ◽

Health Workers ◽

Screening Program ◽

Dominant Factor ◽

Bivariate Analysis ◽

Cross Sectional ◽

Significance Level ◽

Hepatitis B Screening ◽

The Impact

Background: Nagan Raya Regency is included in the top 5 districts/cities with the fourth highest number of hepatitis in Aceh Province. The hepatitis B screening program has not been implemented properly. The impact of the low coverage of this program affects public ignorance about the spread of hepatitis B from sufferers to other communities.Objective: This study aims to analyze the participation factors for Hepatitis B screening in pregnant women in the working area of the Ujong Patihah Health Center.Method: This research design is cross sectional study, in 2021. Data were collected using a questionnaire with a sample size of 220 pregnant women. Data collection was carried out by direct interviews with respondents, using a questionnaire instrument. Data analysis used the Cgi-square statistical test with a significance level of 95%, and continued with multivariate analysis using the Binary Logistics Regression test.Results: Bivariate analysis showed that there was a relationship between knowledge (p= 0.022), mother's attitude (p= 0.010), husband's role (p = 0.018), role of health workers (p = 0.028) and participation in hepatitis B screening, while education did not affect participation in hepatitis B screening (p= 0.668). Multivariate results showed that the mother's attitude was the dominant factor for participation in hepatitis B screening (OR= 2.24).Conclusion: Positive attitudes had a 2.24 times relationship to the participation of pregnant women in hepatitis B screening than negative attitudes.

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INFLUENCE OF INDIVIDUAL DETERMINANTS ON SELF-REFERRALS AMONG PREGNANT WOMEN SEEKING DELIVERY SERVICES IN COAST GENERAL REFERRAL AND TEACHING HOSPITAL MOMBASA, KENYA (CGTRH)

Journal of Health, Medicine and Nursing ◽

10.47604/jhmn.1247 ◽

2021 ◽

Vol 6 (2) ◽

pp. 13-22

Author(s):

Elizabeth Kivuva ◽

Kezia Njoroge ◽

Wanja Tenambergen

Keyword(s):

Pregnant Women ◽

Tertiary Education ◽

Univariate Analysis ◽

Unique Contribution ◽

Sampling Frame ◽

Cross Sectional ◽

Significance Level ◽

Significant Difference ◽

Individual Determinants ◽

Delivery Services

Purpose: The purpose of this study was to establish the influence of individual determinants on self-referrals among pregnant women seeking delivery services in CGTRH Materials and Methods: The study adopted a descriptive cross-sectional research. The study target population was all pregnant women seeking delivery services in coast general teaching and referral hospital at the maternity unit. Therefore, 6,420 formed the study population as it is from this sampling frame that a sample of mothers was obtained. A sample of 376 pregnant women was obtained. Systematic random sampling was used to select the pregnant women to be included in the sample. Data was collected using a structured questionnaire. The data collected were cleaned and coded, quantified and analyzed quantitatively. Quantitative data were analyzed using IBM SPSS where descriptive and inferential statistics were used to capture the data in order to understand the pattern and nature of relationships. Univariate analysis was done using descriptive statistics (frequencies and percentages,) in order to summarize the data, and the results were presented using charts, graph and tables. Results: The findings indicated a significant relationship between education status and self-referrals whereby, the more educated the pregnant women were the more likely they were to make self-referrals at the referral facility. In particular, pregnant women with tertiary level of education were 4.2 times more likely to make self-referrals compared to those with no education. Further analysis using multivariable logistic regression at a significance level of 0.05 established that there was a significant difference between pregnant women with no education and those with tertiary education, with the latter being 4.4 times more likely to make self-referrals compared to the former. Unique contribution to theory, practice and policy: The study recommends that hospitals ought to enhance their CRM policies so as to deliver quality services that satisfy Information technology infrastructure can revolutionize healthcare with the right policy choices. IT can foster new human connectivity thresholds and is a powerful tool of global convergence through the cross-border provision of services and can as well provide new opportunities for the production of knowledge and skills.

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RISK FACTORS;

The Professional Medical Journal ◽

10.29309/tpmj/2009.16.04.2730 ◽

2009 ◽

Vol 16 (04) ◽

pp. 518-525

Author(s):

SHAHNAZ ANWER ◽

MUHAMMAD YOUNIS KHAN ◽

SHEIKH ATIQ-UR- REHMAN

Keyword(s):

Risk Factors ◽

Blood Transfusion ◽

Hepatitis B ◽

Pregnant Women ◽

Dental Treatment ◽

Significant Risk ◽

Carrier State ◽

Carrier Status ◽

Cross Sectional ◽

History Of

O b j e c t i v e : To determine the risk factors associated with hepatitis B and C carriers versus healthy pregnant women. Materiala n d M e t h o d s : It was a single center based, cross sectional comparative study, conducted at Gynae ward II, B-V hospital Bahawalpur. Durationof study was from March to August 2008.100 patients were enrolled in the two groups, 50 HbsAg/Anti HCV positive women (cases) to comparewith 50 healthy women (controls) match for parity. The data were recorded on a proforma. R e s u l t s : 100 pregnant women were enrolled. Sixtyeight (68.0%) were aged 25 years or less with a mean age ± S.D of 24.62 ± 3.40. Ten (20%) women had HBV and 40(80%) were HCV positive.The risk factors were compared between the two groups by uni-variate and multivariate analysis which showed that history of dental treatment,blood transfusion, surgery, parenteral treatment and jaundice were significant risk factors for hepatitis B and C carrier status. C o n c l u s i o n :There appears to be a strong co-relation of history of blood transfusion and dental treatment with HbsAg/ Anti HCV carrier state in pregnantwomen. The anti HCV seropositivity was appreciably high (80%) as compared to HbsAg (20%) in carrier pregnant women.

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The High Prevalence of Negative Hepatitis B Surface Antibody (Anti-HBs) among Pregnant Women in Bandung, Indonesia: A Community-Based Study

International Journal of Hepatology ◽

10.1155/2020/3414869 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8

Author(s):

Dolvy Girawan ◽

Raden T. D. Judistiani ◽

Nelly A. Risan ◽

Muhammad B. Bestari ◽

Eka S. Nugraha ◽

...

Keyword(s):

Hepatitis B ◽

Pregnant Women ◽

Cross Sectional Study ◽

Hbv Infection ◽

Infection Prevalence ◽

World Population ◽

Cross Sectional ◽

Positive Hbsag ◽

Hbv Vaccination ◽

Determinant Factor

Background. Hepatitis B virus (HBV) infection is a disease that creates a high global burden by affecting approximately 3.5% of the total world population. The main transmission of this disease is from mother to child (MTCT). HBV vaccination program was already initiated in Indonesia in 1987. However, after three decades, the HBV infection prevalence stays stagnant. This study aimed to explore the seroprevalence of HBV markers and the attributable risk factors of pregnant women at risk of transmitting HBV to their offspring. Method. A cross-sectional study was conducted on pregnant women from primary midwifery and obstetric clinics across Bandung, Indonesia, to assess the HBsAg, anti-HBc, and anti-HBs serological markers. Questionnaire-based interviews were used to obtain the sociodemographic determinants. Logistic regression was applied to assess the association of each determinant factor to positive HBsAg or negative anti-HBs as a dependent variable, which was then reported as odds ratios (OR). Results. A total of 196 subjects were recruited with 12/196 (6.1%) of them were positive HBsAg. After exclusions of those with positive HBsAg and anti-HBc, 24/175 (13.7%) women were isolated as positive anti-HBs, leaving 151/175 (86.3%) women with negative anti-HBs who were susceptible to HBV infection. Low body mass index (BMI) less than 18.5 kg/m2 was a risk factor for positive HBsAg with OR = 5.850 (95% CI 1.466-23.34), p = 0.012 . Nevertheless, no significant determinant factor was associated with negative anti-HBs. Conclusion. Most pregnant women in Bandung, Indonesia, are susceptible to HBV infection, as marked by the negative anti-HBs status.

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PENGARUH KELAS IBU HAMIL TERHADAP PENGETAHUAN DAN SIKAP IBU TENTANG PEMERIKSAAN DAN PERAWATAN KEHAMILAN DI WILAYAH KERJA PUSKESMAS BATAM TAHUN 2016

Elisabeth Health Jurnal ◽

10.52317/ehj.v1i2.203 ◽

2016 ◽

Vol 1 (2) ◽

pp. 61-70

Author(s):

R.Oktaviance Simorangkir ◽

Lilis Sumardiani

Keyword(s):

Pregnant Women ◽

Health Workers ◽

Community Health Center ◽

Average Score ◽

Maternal Knowledge ◽

Class Effect ◽

Cross Sectional ◽

Significance Level ◽

Average Value ◽

Total Range

In the Working Area of Pancur Batu Puskesmas class, pregnant women begin to be implemented in 2016, but still found the low knowledge of pregnant women about the ideal pregnancy examination and there are pregnant women who show unimportant attitude checking pregnancy to health workers. Goals : The purpose of this research is to know the influence of maternal class on pregnant mother's knowledge and attitude about pregnancy examination and treatment. Methods : The study used a quantitative method with cross sectional design. The population of 151 pregnant women in Pancur Batu Community Health Center and 132 of them (63 pregnant women who had attended pregnant mother class and 69 pregnant women who never attended maternal class) were used as samples. Data analysis using independent t test at significance level α = 0,05. Result : The results showed the total range of knowledge scores of mothers who had followed the class of pregnant women is 7-13 with an average value of 10.08 ± 1.82, while the total range of scores of mothers who never follow the pregnant women's class is 1-9 with an average value 4,97,1,94. There is a maternal class effect on maternal knowledge of examination and treatment of pregnancy (p <3,82. There is a maternal class effect on maternal attitudes about examination and treatment of pregnancy (p3.13, while the total range of maternal scores that never follow the class of pregnant women is 27-47 with an average value of 35 , 410.001). The total score of attitudes of mothers who have attended the class of pregnant women is 41-56 with an average score of 48.24 <0.001). Conclution : It is expected that the Health Office to schedule Pancur Batu Puskesmas to carry out pregnant women's classes regularly and carried out 2 periods a year. Pancur Batu Puskesmas is expected to maintain the quality of pregnant women's classes and counseling invites all pregnant women to follow the class of pregnant women.

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Is there an association between skeletal asymmetry and tooth absence?

Dental Press Journal of Orthodontics ◽

10.1590/2177-6709.21.4.073-079.oar ◽

2016 ◽

Vol 21 (4) ◽

pp. 73-79 ◽

Cited By ~ 3

Author(s):

Guilherme Thiesen ◽

Bruno Frazão Gribel ◽

Keila Cristina Rausch Pereira ◽

Maria Perpetua Mota Freitas

Keyword(s):

Cross Sectional Study ◽

Midsagittal Plane ◽

Chi Square ◽

Cross Sectional ◽

Posterior Teeth ◽

Significance Level ◽

Posterior Tooth ◽

Mandibular Asymmetry ◽

Significant Difference ◽

Skeletal Asymmetry

ABSTRACT Introduction: Facial skeletal asymmetry is commonly found in humans and its main characteristic is menton deviation. The literature suggests that occlusal and masticatory problems arising from tooth absence could be related to the development of such asymmetries. Objective: The aim of this cross-sectional study was to estimate the prevalence of mandibular skeletal asymmetries and to investigate its association with posterior tooth absences. Methods: Tomographic images of 952 individuals aged from 18 to 75 years old were used. Asymmetry was the analyzed outcome, and it was categorized into three groups according to gnathion displacement in relation to the midsagittal plane (relative symmetry, moderate asymmetry, and severe asymmetry). Patients were sorted by the presence of all posterior teeth, unilateral posterior tooth absence, or bilateral posterior tooth absence. Chi-square test with a significance level of 5% was used to verify the association between posterior tooth absence and asymmetry. Results: Results show relative symmetry present in 55.3% of the sample, as well as the prevalence of 27.3% for moderate mandibular asymmetry and 17.4% for severe asymmetry. Moderate and severe mandibular asymmetries occurred in a higher proportion in patients with unilateral posterior tooth absence. However, there was no statistically significant difference between the analyzed groups (p = 0.691). Conclusions: In this study, mandibular asymmetries did not present any association with the absence of teeth on the posterior area of the arch.

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The Impact of Universal Infant Hepatitis B Immunization on Reducing the Hepatitis B Carrier Rate in Pregnant Women

The Journal of Infectious Diseases ◽

10.1093/infdis/jiy706 ◽

2018 ◽

Vol 220 (7) ◽

pp. 1118-1126 ◽

Cited By ~ 3

Author(s):

Wei-Ju Su ◽

Shu-Fong Chen ◽

Chin-Hui Yang ◽

Pei-Hung Chuang ◽

Hsiu-Fang Chang ◽

...

Keyword(s):

Hepatitis B ◽

Pregnant Women ◽

Screening Program ◽

Hepatitis B Surface Antigen ◽

Carrier Rate ◽

Cross Sectional ◽

Hbv Vaccine ◽

Hbv Vaccination ◽

The Impact ◽

Universal Infant

Abstract Background The hepatitis B virus (HBV) status of pregnant women affects HBV vaccine failure in their offspring. This study is aimed to investigate the impact of the universal infant HBV vaccination program on the long-term hepatitis B surface antigen (HBsAg) rate in pregnant women. Methods Using the National Immunization Information System, we examined a 32-year period of cross-sectional data on a maternal HBsAg and hepatitis B e antigen (HBeAg) screening program launched in July 1984. An age-period-cohort model analysis of 940 180 pregnant women screened for July 1996–June 1997 and the years 2001, 2006, 2011, and 2016 was applied. Results The annual HBsAg- and HBeAg-seropositive rates decreased from 13.4% and 6.4%, respectively, for the period 1984–1985 to 5.9% and 1.0% in 2016 (P for both trends < .0001). Pregnant women with birth years after July 1986 (the HBV vaccination cohort) had the lowest relative risk (0.27 [95% confidence interval, .26–.28]) of HBsAg positivity compared with birth years before June 1984. Conclusions The birth cohort effect in relation to the universal infant HBV immunization program has effectively reduced the HBV carrier rate in pregnant women and the burden of perinatal HBV infection on the next generation.

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Family Health Strategies: Profile/quality of life of people with diabetes

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2018-0037 ◽

2018 ◽

Vol 71 (6) ◽

pp. 2899-2906 ◽

Cited By ~ 2

Author(s):

Claudete Moreschi ◽

Claudete Rempel ◽

Daiana Foggiato de Siqueira ◽

Dirce Stein Backes ◽

Luis Felipe Pissaia ◽

...

Keyword(s):

Quality Of Life ◽

Women Elderly ◽

Family Income ◽

Family Health ◽

Cross Sectional Study ◽

Care Process ◽

Cross Sectional ◽

Significant Difference ◽

Epidemiological Profile

ABSTRACT Objective: To evaluate the quality of life and to analyze the epidemiological profile of people with diabetes treated in Family Health Strategies. Method: A cross-sectional study carried out with 350 people with diabetes. Results: Most people with diabetes are women, elderly, married, white, with low educational level, retired/pensioners, family income of up to two minimum wages. As the time of people with the disease increases, their quality of life decreases. People with complications from diabetes have a lower quality of life, with a statistically significant difference. Conclusion: Knowledge of the sociodemographic characteristics, clinical evaluation and quality of life of people with diabetes can improve the care process provided to this population.

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