Characteristics of women presenting with hepatitis B at antenatal care services in London, 2008–2018

Characteristics of women presenting with hepatitis B at antenatal care services in London, 2008–2018

Abstract Background To support interventions to prevent mother-to-child transmission of hepatitis B and fill gaps in surveillance, the Enhanced Surveillance of Antenatal Hepatitis B (ESAHB) programme was implemented in London from 2008 to 2018 to collect demographic information on women who tested p...

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Veröffentlicht in:Journal of public health (Oxford, England) England), 2023-08, Vol.45 (3), p.584-592
Hauptverfasser: Wilson, A, Anderson, C, Mindlin, M, Sawyer, C, Verlander, N Q, Hiironen, I, Forde, J, Paranthaman, K, Chandra, N L
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container_end_page 592
container_issue 3
container_start_page 584
container_title Journal of public health (Oxford, England)
container_volume 45
creator Wilson, A
Anderson, C
Mindlin, M
Sawyer, C
Verlander, N Q
Hiironen, I
Forde, J
Paranthaman, K
Chandra, N L
description Abstract Background To support interventions to prevent mother-to-child transmission of hepatitis B and fill gaps in surveillance, the Enhanced Surveillance of Antenatal Hepatitis B (ESAHB) programme was implemented in London from 2008 to 2018 to collect demographic information on women who tested positive for hepatitis B during antenatal screening. We describe the epidemiology of hepatitis B in pregnancy, as reported to ESAHB. Methods The characteristics of pregnant women living with hepatitis B were described and rates were calculated by year, local authority and residence deprivation decile (1 being most deprived). Poisson regression tested the association between pregnant women living with hepatitis B and deprivation decile. Results Between 2008 and 2018, 8879 women living with hepatitis B in London (0.35 per 1000 women) reported 11 193 pregnancies. Annual hepatitis B rates remained stable, but there was strong evidence for an inverse association between rate and deprivation decile (P 
doi_str_mv 10.1093/pubmed/fdad031
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We describe the epidemiology of hepatitis B in pregnancy, as reported to ESAHB. Methods The characteristics of pregnant women living with hepatitis B were described and rates were calculated by year, local authority and residence deprivation decile (1 being most deprived). Poisson regression tested the association between pregnant women living with hepatitis B and deprivation decile. Results Between 2008 and 2018, 8879 women living with hepatitis B in London (0.35 per 1000 women) reported 11 193 pregnancies. Annual hepatitis B rates remained stable, but there was strong evidence for an inverse association between rate and deprivation decile (P &lt; 0.001). The majority of women in the cohort presented late to antenatal care, were born outside the UK in a hepatitis B endemic area or required an interpreter for consultations. Conclusions ESAHB provided important data to inform service quality improvements for women living with hepatitis B. This analysis highlights the link between deprivation and hepatitis B.</description><identifier>ISSN: 1741-3842</identifier><identifier>EISSN: 1741-3850</identifier><identifier>DOI: 10.1093/pubmed/fdad031</identifier><identifier>PMID: 37061977</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><ispartof>Journal of public health (Oxford, England), 2023-08, Vol.45 (3), p.584-592</ispartof><rights>Crown copyright 2023. 2023</rights><rights>Crown copyright 2023.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c284t-97c8b027bdd5464021d4312c70397e5b7dc70a563b1da3304443f01461a2ea583</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1578,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37061977$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wilson, A</creatorcontrib><creatorcontrib>Anderson, C</creatorcontrib><creatorcontrib>Mindlin, M</creatorcontrib><creatorcontrib>Sawyer, C</creatorcontrib><creatorcontrib>Verlander, N Q</creatorcontrib><creatorcontrib>Hiironen, I</creatorcontrib><creatorcontrib>Forde, J</creatorcontrib><creatorcontrib>Paranthaman, K</creatorcontrib><creatorcontrib>Chandra, N L</creatorcontrib><title>Characteristics of women presenting with hepatitis B at antenatal care services in London, 2008–2018</title><title>Journal of public health (Oxford, England)</title><addtitle>J Public Health (Oxf)</addtitle><description>Abstract Background To support interventions to prevent mother-to-child transmission of hepatitis B and fill gaps in surveillance, the Enhanced Surveillance of Antenatal Hepatitis B (ESAHB) programme was implemented in London from 2008 to 2018 to collect demographic information on women who tested positive for hepatitis B during antenatal screening. We describe the epidemiology of hepatitis B in pregnancy, as reported to ESAHB. Methods The characteristics of pregnant women living with hepatitis B were described and rates were calculated by year, local authority and residence deprivation decile (1 being most deprived). Poisson regression tested the association between pregnant women living with hepatitis B and deprivation decile. Results Between 2008 and 2018, 8879 women living with hepatitis B in London (0.35 per 1000 women) reported 11 193 pregnancies. Annual hepatitis B rates remained stable, but there was strong evidence for an inverse association between rate and deprivation decile (P &lt; 0.001). The majority of women in the cohort presented late to antenatal care, were born outside the UK in a hepatitis B endemic area or required an interpreter for consultations. Conclusions ESAHB provided important data to inform service quality improvements for women living with hepatitis B. 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We describe the epidemiology of hepatitis B in pregnancy, as reported to ESAHB. Methods The characteristics of pregnant women living with hepatitis B were described and rates were calculated by year, local authority and residence deprivation decile (1 being most deprived). Poisson regression tested the association between pregnant women living with hepatitis B and deprivation decile. Results Between 2008 and 2018, 8879 women living with hepatitis B in London (0.35 per 1000 women) reported 11 193 pregnancies. Annual hepatitis B rates remained stable, but there was strong evidence for an inverse association between rate and deprivation decile (P &lt; 0.001). The majority of women in the cohort presented late to antenatal care, were born outside the UK in a hepatitis B endemic area or required an interpreter for consultations. Conclusions ESAHB provided important data to inform service quality improvements for women living with hepatitis B. This analysis highlights the link between deprivation and hepatitis B.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>37061977</pmid><doi>10.1093/pubmed/fdad031</doi><tpages>9</tpages></addata></record>
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title Characteristics of women presenting with hepatitis B at antenatal care services in London, 2008–2018
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