海南省某院产前检查孕妇对乙肝母婴阻断认知、态度及影响因素  

Analysis of the cognition,the attitude,and the influencing factors of mother-to-child block of hepatitis B virus of pregnant women in Hainan province

作　　者：黄燕 汪洪林 孙立莉 HUANG Yan;WANG Honglin;SUN Lili(Hainan Women and Childrens Medical Center,Haikou,Hainan Province,570100)

机构地区：[1]海南省妇女儿童医学中心,海口570100

出　　处：《中国计划生育学杂志》2023年第7期1512-1517,共6页Chinese Journal of Family Planning

基　　金：海南省妇女儿童医学中心青年项目基金(2021YJ02)。

摘　　要：目的:分析孕妇对乙肝母婴阻断的认知情况及其影响因素。方法:选取2021年9月—2022年9月于本院产科初次产前检查孕妇1064例作为研究对象,发放乙型肝炎病毒(HBV)母婴传播知识调查问卷,收集孕妇人口学特征及乙肝母婴阻断认知情况,采用多因素logistic回归模型分析孕妇乙肝母婴阻断认知影响因素。结果:调查对象乙肝母婴传播防治知识得分中位数为7(3,9)分,对乙肝母婴阻断开始时间、乙肝母婴阻断方法、乙肝母婴阻断相关知识了解途径、乙肝产妇可母乳喂养等知晓率均<50%,其中乙肝产妇可母乳喂养知晓率最低,仅为32.2%;乙肝母婴传播防治态度得分中位数为6(5,6)分,对乙肝母婴传播防治态度各项内容接受率均>80%;经多因素分析,初中及以下文化程度、农民及非HBV携带者是孕妇乙肝母婴阻断认知影响因素(P<0.05)。结论:孕妇乙肝母婴阻断认知水平偏低,且受文化程度、职业及HBV携带情况等因素影响,应针对性开展乙肝母婴阻断相关知识宣传教育,提高妇女乙肝防治态度和依从性。Objective:To analyze the cognition status and the influencing factors of mother-to-child block of hepatitis B virus(HBV)of pregnant women.Methods:1064pregnant women who underwent initial antenatal examination in hospital were selected as research subjects from September 2021to September 2022.Questionnaires of the knowledge on mother-to-child transmission of HBV were issued for these women.The demographic characteristics of these women and their cognition status of mother-to-child block of HBV were collected.Multivariate Logistic regression model was used to analyze the influencing factors of the cognition of mother-to-child block of HBV of the women.Results:The median score of knowledge on the prevention and treatment of mother-to-child transmission of HBV of the women was 7(3,9)points.The awareness rates of the beginning time,the method,and the way to know about the knowledge of mother-to-child block of HBV of the women,and the available breastfeeding of the women with hepatitis B were all lower than 50%.The awareness rate(32.2%)of the available breastfeeding of the women with hepatitis B was the lowest.The median score of the attitude toward prevention and treatment of mother-to-child transmission of HBV of the women was 6(5,6)points.The acceptance rates of all the items about the attitude toward prevention and treatment of mother-to-child transmission of HBV of the women were higher than 80%.Multivariate Logistic regression analysis showed that the junior high school and below education level,farmers,and non-HBV carriers of the pregnant women were the factors influencing for their cognition of mother-to-child block of HBV(P<0.05).Conclusion:The cognition level about mother-to-child block of HBV of the pregnant women is low,and which is affected by the educational level,the occupation,and the HBV carrier status of the women.It is necessary to carry out targeted education on the related knowledge of mother-to-child block of HBV to improve the attitude and compliance of the women for preventing and treating their

关 键 词：孕妇 乙肝母婴阻断 认知 态度 影响因素 

分 类 号：R714.251[医药卫生—妇产科学] R193[医药卫生—临床医学]