Low knowledge about hepatitis B prevention among pregnant women in Kinshasa, Democratic Republic of Congo.
Low knowledge about hepatitis B prevention among pregnant women in Kinshasa, Democratic Republic of Congo.
复制标题
DOI：
10.1371/journal.pgph.0000450
复制
发表时间：
2022
期刊：
影响因子：
--
通讯作者：
中科院分区：
文献类型：
--
作者：
围产期感染乙型肝炎（HBV）的婴儿发生慢性肝炎及相关后遗症的风险最高。预防乙型肝炎母婴传播（PMTCT）需要改进对该疾病的筛查和认识。本研究评估了在刚果民主共和国金沙萨城市妇产中心参与两项乙肝研究的280名孕妇的现有乙肝知识。所有孕妇在入组研究时都回答了三个知识问题。所有参与者对乙肝传播、治疗、预防和症状相关知识的基线水平都较低：68.8%的人不知道乙肝是如何传播的，70.7%的人不知道如何预防或治疗乙肝母婴传播，79.6%的人不知道乙肝的体征和症状。超过一半的参与者对所有问题都回答“我不知道”。参与两项研究的乙肝阳性女性（n = 46）在两项研究期间都被问到相同的问题，并且在筛查和治疗后知识水平有所提高，尽管两项研究中都没有正式的教育内容（p < 0.001）。这些发现强调了在高流行地区加强教育举措以改进母婴传播预防工作的必要性。
Infants infected perinatally with hepatitis B (HBV) are at the highest risk of developing chronic hepatitis and associated sequelae. Prevention of mother-to-child transmission (PMTCT) of HBV requires improved screening and awareness of the disease. This study evaluated existing HBV knowledge among pregnant mothers (n = 280) enrolled in two HBV studies in urban maternity centers in Kinshasa, Democratic Republic of the Congo. All mothers responded to three knowledge questions upon study enrollment. Baseline levels of knowledge related to HBV transmission, treatment, prevention, and symptoms were low across all participants: 68.8% did not know how HBV was transmitted, 70.7% did not know how to prevent or treat HBV MTCT, and 79.6% did not know signs and symptoms of HBV. Over half of participants responded “I don’t know” to all questions. HBV-positive women who participated in both studies (n = 46) were asked the same questions during both studies and showed improved knowledge after screening and treatment, despite no formal educational component in either study (p < 0.001). These findings highlight the need for intensified education initiatives in highly endemic areas to improve PMTCT efforts.