Changing patterns of cytomegalovirus seroprevalence among pregnant women in Norway between 1995 and 2009 examined in the Norwegian Mother and Child Cohort Study and two cohorts from Sor-Trondelag County: a cross-sectional study

Changing patterns of cytomegalovirus seroprevalence among pregnant women in Norway between 1995 and 2009 examined in the Norwegian Mother and Child Cohort Study and two cohorts from Sor-Trondelag County: a cross-sectional study
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DOI:
10.1136/bmjopen-2013-003066
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发表时间:
2013-01-01
期刊:
影响因子:
2.9
通讯作者:
Iversen, Ann-Charlotte
Iversen, Ann-Charlotte
中科院分区:
医学3区
文献类型:
--
作者:
Odland, Maria Lisa;Strand, Kristin M.;Iversen, Ann-Charlotte

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目的:研究挪威孕妇巨细胞病毒(CMV)血清阳性率及相关危险因素。设计:横断面研究。设置:挪威母亲和儿童队列研究(MoBa),以及挪威Sor-Trondelag县孕妇的两个随机样本。参与者:研究组1为1000名孕妇,从MoBa(1999-2006)的46 127例妊娠中随机选择妊娠17/18周的孕妇。非挪威族裔妇女被排除在外。研究组2(n=1013从1995年)和3(n=979从2009年)是孕妇在12周的妊娠期从Sor-Trondelag County. Results措施:CMV血清阳性的血液样本从孕妇Norwegianwomen.Results:CMV-IgG抗体检测到59.9%和CMV-IgM抗体在1.3%的挪威孕妇在研究组1。来自挪威北部的妇女表现出更高的CMV-IgG血清阳性率(72.1%)比挪威南部的妇女(58.5%)(OR 1.83,95% CI 1.17至2.88)。低学历妇女CMV IgG阳性率(70.5%)高于高学历妇女(OR 2.20,95%CI 1.24 ~ 3.90)。1995年至2009年间,Sor-Trondelag县孕妇中CMV-IgG血清阳性率从63.1%上升至71.4%(研究组2和3; p
Objectives: To examine cytomegalovirus (CMV) seroprevalence and associated risk factors for CMV seropositivity in pregnant Norwegian women.Design: Cross-sectional study.Setting: The Norwegian Mother and Child Cohort Study (MoBa) in addition to two random samples of pregnant women from Sor-Trondelag County in Norway.Participants: Study group 1 were 1000 pregnant women, randomly selected among 46 127 pregnancies in the MoBa (1999-2006) at 17/18 week of gestation. Nonethnic Norwegian women were excluded. Study groups 2 (n=1013 from 1995) and 3 (n=979 from 2009) were pregnant women at 12 weeks of gestation from Sor-Trondelag County.Outcome measures: CMV seropositivity in blood samples from pregnant Norwegian women.Results: CMV-IgG antibodies were detected in 59.9% and CMV-IgM antibodies in 1.3% of pregnant Norwegian women in study group 1. Women from North Norway demonstrated a higher CMV-IgG seroprevalence (72.1%) than women from South Norway (58.5%) (OR 1.83, 95% CI 1.17 to 2.88). The CMV-IgG seroprevalence was higher among women with low education (70.5%) compared to women with higher education (OR 2.20, 95% CI 1.24 to 3.90). Between 1995 and 2009 the CMV-IgG seroprevalence increased from 63.1% to 71.4% in pregnant women from Sor-Trondelag County (study groups 2 and 3; p