Pattern and predictors of medical care received by hepatitis B carriers during pregnancy and after delivery
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. The study is a retrospective analysis. Pregnant HBV carriers and their infants were followed up for 9–12 months after de...
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| Veröffentlicht in: | Public health (London) 2019-03, Vol.168, p.36-42 |
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| creator | Cheung, K.W. Seto, M.T.Y. Wong, D. Mak, A.S.L. So, P.L. Lau, W.L. Wang, W. Kan, A.S.Y. Lee, C.P. Ng, E.H.Y. |
| description | 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.
The study is a retrospective analysis.
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.
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 |
| doi_str_mv | 10.1016/j.puhe.2018.12.008 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2179474220</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0033350618303974</els_id><sourcerecordid>2179474220</sourcerecordid><originalsourceid>FETCH-LOGICAL-c384t-29f5b1784322e00ace294047f4a35849312c0a2a8620cf61aeacc9fd088c772f3</originalsourceid><addsrcrecordid>eNp9kT2P1DAURS0EYoeFP0CBLNHQJDw_O7Ej0cCKL2klKKC2PM7zrodMEuxkpfn3OMxCQUFlWb73yDqXsecCagGifX2o5_WWagRhaoE1gHnAdkLptmpa0T5kOwApK9lAe8Ge5HwAANSyecwuJLSmabp2x358dctCaeRu7PmcqI9-mVLmU-DH7eIG7l0inshTvKOe70_8lma3xCVm_m57TJFKoV9THG82xM3oRn_6DXShsHlPQ6mm01P2KLgh07P785J9__D-29Wn6vrLx89Xb68rL41aKuxCsxfaKIlIAM4TdgqUDsrJxqhOCvTg0JkWwYdWOHLed6EHY7zWGOQle3Xmzmn6uVJe7DFmT8PgRprWbFHoTmmFCCX68p_oYVrTWH5nEQUYrTuzpfCc8mnKOVGwc4pHl05WgN2msAe7TWG3KaxAW6YopRf36HVfVP6t_HFfAm_OASou7opEm32k0RftxfZi-yn-j_8L_SeaLQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2210877980</pqid></control><display><type>article</type><title>Pattern and predictors of medical care received by hepatitis B carriers during pregnancy and after delivery</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>ScienceDirect Journals (5 years ago - present)</source><creator>Cheung, K.W. ; Seto, M.T.Y. ; Wong, D. ; Mak, A.S.L. ; So, P.L. ; Lau, W.L. ; Wang, W. ; Kan, A.S.Y. ; Lee, C.P. ; Ng, E.H.Y.</creator><creatorcontrib>Cheung, K.W. ; Seto, M.T.Y. ; Wong, D. ; Mak, A.S.L. ; So, P.L. ; Lau, W.L. ; Wang, W. ; Kan, A.S.Y. ; Lee, C.P. ; Ng, E.H.Y.</creatorcontrib><description>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.
The study is a retrospective analysis.
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.
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).
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.
•There is a deficiency in multidisciplinary care for hepatitis B virus (HBV) carriers during pregnancy.•There is a lack of continuity of HBV medical care after delivery.•HBV medical care before pregnancy predicts the antenatal and postpartum medical care to be received.</description><identifier>ISSN: 0033-3506</identifier><identifier>EISSN: 1476-5616</identifier><identifier>DOI: 10.1016/j.puhe.2018.12.008</identifier><identifier>PMID: 30685596</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Antiviral drugs ; Carriers ; Confidence intervals ; Education ; Health care ; Health services ; Hepatitis ; Hepatitis B ; Hepatitis B virus ; Infants ; Infection ; Infectious disease transmission ; Multivariate analysis ; Postpartum ; Postpartum period ; Postpartum women ; Pregnancy ; Prenatal care ; Prenatal testing ; Smoking ; Vertical ; Viruses ; Young women</subject><ispartof>Public health (London), 2019-03, Vol.168, p.36-42</ispartof><rights>2018 The Royal Society for Public Health</rights><rights>Copyright © 2018 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Mar 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-29f5b1784322e00ace294047f4a35849312c0a2a8620cf61aeacc9fd088c772f3</citedby><cites>FETCH-LOGICAL-c384t-29f5b1784322e00ace294047f4a35849312c0a2a8620cf61aeacc9fd088c772f3</cites><orcidid>0000-0003-1207-6494</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.puhe.2018.12.008$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,30999,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30685596$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cheung, K.W.</creatorcontrib><creatorcontrib>Seto, M.T.Y.</creatorcontrib><creatorcontrib>Wong, D.</creatorcontrib><creatorcontrib>Mak, A.S.L.</creatorcontrib><creatorcontrib>So, P.L.</creatorcontrib><creatorcontrib>Lau, W.L.</creatorcontrib><creatorcontrib>Wang, W.</creatorcontrib><creatorcontrib>Kan, A.S.Y.</creatorcontrib><creatorcontrib>Lee, C.P.</creatorcontrib><creatorcontrib>Ng, E.H.Y.</creatorcontrib><title>Pattern and predictors of medical care received by hepatitis B carriers during pregnancy and after delivery</title><title>Public health (London)</title><addtitle>Public Health</addtitle><description>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.
The study is a retrospective analysis.
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.
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).
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.
•There is a deficiency in multidisciplinary care for hepatitis B virus (HBV) carriers during pregnancy.•There is a lack of continuity of HBV medical care after delivery.•HBV medical care before pregnancy predicts the antenatal and postpartum medical care to be received.</description><subject>Antiviral drugs</subject><subject>Carriers</subject><subject>Confidence intervals</subject><subject>Education</subject><subject>Health care</subject><subject>Health services</subject><subject>Hepatitis</subject><subject>Hepatitis B</subject><subject>Hepatitis B virus</subject><subject>Infants</subject><subject>Infection</subject><subject>Infectious disease transmission</subject><subject>Multivariate analysis</subject><subject>Postpartum</subject><subject>Postpartum period</subject><subject>Postpartum women</subject><subject>Pregnancy</subject><subject>Prenatal care</subject><subject>Prenatal testing</subject><subject>Smoking</subject><subject>Vertical</subject><subject>Viruses</subject><subject>Young women</subject><issn>0033-3506</issn><issn>1476-5616</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp9kT2P1DAURS0EYoeFP0CBLNHQJDw_O7Ej0cCKL2klKKC2PM7zrodMEuxkpfn3OMxCQUFlWb73yDqXsecCagGifX2o5_WWagRhaoE1gHnAdkLptmpa0T5kOwApK9lAe8Ge5HwAANSyecwuJLSmabp2x358dctCaeRu7PmcqI9-mVLmU-DH7eIG7l0inshTvKOe70_8lma3xCVm_m57TJFKoV9THG82xM3oRn_6DXShsHlPQ6mm01P2KLgh07P785J9__D-29Wn6vrLx89Xb68rL41aKuxCsxfaKIlIAM4TdgqUDsrJxqhOCvTg0JkWwYdWOHLed6EHY7zWGOQle3Xmzmn6uVJe7DFmT8PgRprWbFHoTmmFCCX68p_oYVrTWH5nEQUYrTuzpfCc8mnKOVGwc4pHl05WgN2msAe7TWG3KaxAW6YopRf36HVfVP6t_HFfAm_OASou7opEm32k0RftxfZi-yn-j_8L_SeaLQ</recordid><startdate>20190301</startdate><enddate>20190301</enddate><creator>Cheung, K.W.</creator><creator>Seto, M.T.Y.</creator><creator>Wong, D.</creator><creator>Mak, A.S.L.</creator><creator>So, P.L.</creator><creator>Lau, W.L.</creator><creator>Wang, W.</creator><creator>Kan, A.S.Y.</creator><creator>Lee, C.P.</creator><creator>Ng, E.H.Y.</creator><general>Elsevier Ltd</general><general>Elsevier Science Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7QL</scope><scope>7T2</scope><scope>7U9</scope><scope>ASE</scope><scope>C1K</scope><scope>FPQ</scope><scope>H94</scope><scope>K6X</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1207-6494</orcidid></search><sort><creationdate>20190301</creationdate><title>Pattern and predictors of medical care received by hepatitis B carriers during pregnancy and after delivery</title><author>Cheung, K.W. ; Seto, M.T.Y. ; Wong, D. ; Mak, A.S.L. ; So, P.L. ; Lau, W.L. ; Wang, W. ; Kan, A.S.Y. ; Lee, C.P. ; Ng, E.H.Y.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-29f5b1784322e00ace294047f4a35849312c0a2a8620cf61aeacc9fd088c772f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Antiviral drugs</topic><topic>Carriers</topic><topic>Confidence intervals</topic><topic>Education</topic><topic>Health care</topic><topic>Health services</topic><topic>Hepatitis</topic><topic>Hepatitis B</topic><topic>Hepatitis B virus</topic><topic>Infants</topic><topic>Infection</topic><topic>Infectious disease transmission</topic><topic>Multivariate analysis</topic><topic>Postpartum</topic><topic>Postpartum period</topic><topic>Postpartum women</topic><topic>Pregnancy</topic><topic>Prenatal care</topic><topic>Prenatal testing</topic><topic>Smoking</topic><topic>Vertical</topic><topic>Viruses</topic><topic>Young women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cheung, K.W.</creatorcontrib><creatorcontrib>Seto, M.T.Y.</creatorcontrib><creatorcontrib>Wong, D.</creatorcontrib><creatorcontrib>Mak, A.S.L.</creatorcontrib><creatorcontrib>So, P.L.</creatorcontrib><creatorcontrib>Lau, W.L.</creatorcontrib><creatorcontrib>Wang, W.</creatorcontrib><creatorcontrib>Kan, A.S.Y.</creatorcontrib><creatorcontrib>Lee, C.P.</creatorcontrib><creatorcontrib>Ng, E.H.Y.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Virology and AIDS Abstracts</collection><collection>British Nursing Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>British Nursing Index</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Public health (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cheung, K.W.</au><au>Seto, M.T.Y.</au><au>Wong, D.</au><au>Mak, A.S.L.</au><au>So, P.L.</au><au>Lau, W.L.</au><au>Wang, W.</au><au>Kan, A.S.Y.</au><au>Lee, C.P.</au><au>Ng, E.H.Y.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pattern and predictors of medical care received by hepatitis B carriers during pregnancy and after delivery</atitle><jtitle>Public health (London)</jtitle><addtitle>Public Health</addtitle><date>2019-03-01</date><risdate>2019</risdate><volume>168</volume><spage>36</spage><epage>42</epage><pages>36-42</pages><issn>0033-3506</issn><eissn>1476-5616</eissn><abstract>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.
The study is a retrospective analysis.
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.
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).
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.
•There is a deficiency in multidisciplinary care for hepatitis B virus (HBV) carriers during pregnancy.•There is a lack of continuity of HBV medical care after delivery.•HBV medical care before pregnancy predicts the antenatal and postpartum medical care to be received.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>30685596</pmid><doi>10.1016/j.puhe.2018.12.008</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-1207-6494</orcidid></addata></record> |
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| ispartof | Public health (London), 2019-03, Vol.168, p.36-42 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); ScienceDirect Journals (5 years ago - present) |
| subjects | Antiviral drugs Carriers Confidence intervals Education Health care Health services Hepatitis Hepatitis B Hepatitis B virus Infants Infection Infectious disease transmission Multivariate analysis Postpartum Postpartum period Postpartum women Pregnancy Prenatal care Prenatal testing Smoking Vertical Viruses Young women |
| title | Pattern and predictors of medical care received by hepatitis B carriers during pregnancy and after delivery |
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