Yuen M-F , Chen D-S , Dusheiko GM , Janssen HLA , Lau DTY , Locarnini SA , Petters MG , Lai C-L , 2018. Hepatitis B virus infection. Nat Rev Dis Primers 4: 18036.
European Association for the Study of the Liver , 2017. EASL 2017 clinical practice guidelines on the management of hepatitis B virus infection. J Hepatol 67: 370–398.
Lin CL , Kao JH , 2018. Review article: the prevention of hepatitis B-related hepatocellular carcinoma. Aliment Pharmacol Ther 48: 5–14.
Cheung KW , Lao TT , 2020. Hepatitis B: vertical transmission and the prevention of mother-to-child transmission. Best Pract Res Clin Obstet Gynaecol 68: 78–88.
Pan CQ et al., 2016. Tenofovir to prevent hepatitis B transmission in mothers with high viral load. N Engl J Med 374: 2324–2334.
Chen ZX , Gu GF , Bian ZL , Cai WH , Shen Y , Hao YL , Zhang S , Shao JG , Qin G , 2017. Clinical course and perinatal transmission of chronic hepatitis B during pregnancy: a real-world prospective cohort study. J Infect 75: 146–154.
Pan X et al., 2020. Efficacy and safety of continuous antiviral therapy from preconception to prevent perinatal transmission of hepatitis B virus. Sci Rep 10: 13631.
Kim HS , Rotundo L , Yang JD , Kim D , Kothari N , Feurdean M , Ruhl C , Unapl-Arida A , 2017. Racial/ethnic disparities in the prevalence and awareness of Hepatitis B virus infection and immunity in the United States. J Viral Hepat 24: 1052–1066.
Hu Y , Dai X , Zhou YH , Yang H , 2013. A knowledge survey of obstetrics and gynecology staff on the prevention of mother-to-child transmission of Hepatitis B virus. J Infect Dev Ctries 7: 391–397.
Adjei CA , Asamoah R , Atibila F , Ti-Enkawol GN , Ansah-Nyarko M , 2016. Mother-to-child transmission of hepatitis B: extent of knowledge of physicians and midwives in Eastern region of Ghana. BMC Public Health 16: 537.
Han Z , Yin Y , Zhang Y , Ehrhardt S , Thio CL , Nelson KE , Bai X , Hou H , 2017. Knowledge of and attitudes towards hepatitis B and its transmission from mother to child among pregnant women in Guangdong Province, China. PLoS One 12: e0178671.
Baramzina SV , 2019. Chronic hepatitis B and C as stigma: is the problem relevant for Russian society?]. Ter Arkh 91: 4–9.
Adibi P , Zavareh J , Mohseni M , Zamani A , 2010. Attitudes towards maternal screening for Hepatitis B virus infection in Iran. Trop Gastroenterol 31: 180–183.
Cheng A , Jose J , Larsen-Reindorf R , Small C , Nde H , Dugas L , Ehrhardt S , Nelson K , Ezeanolue E , Layden J , 2015. A survey study of pregnant women and healthcare practitioners assessing the knowledge of attitudes and practices of hepatitis b management at a teaching hospital in Kumasi, Ghana, West Africa. Open Forum Infect Dis 2: ofv122.
Fulginiti VA , Eller JJ , Downie AW , Kempe CH , 1967. Altered reactivity to measles virus: atypical measles in children previously immunized with inactivated measles virus vaccines. JAMA 202: 1075–1080.
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Pregnant women and women of childbearing age were enrolled in our study and their knowledge about the Hepatitis B virus (HBV) and chronic hepatitis B (CHB) was evaluated. A questionnaire was distributed to every woman in the cross-sectional study. The questionnaire was answered by all participants before they received health education and advice about HBV and CHB from the doctors visited. Data collected from all answers were analyzed using the χ2 test and logistic regression models. A total of 206 pregnant women and women of childbearing age with CHB infection were enrolled in the study during their first visit to the Infectious Diseases Clinic of the Third Affiliated Hospital of Guangzhou Medical University. Some women of childbearing age (40.8%) and pregnant women with CHB infection (30.6%) still believed HBV could be transmitted through diet and/or mosquito bites. Some women of childbearing age and pregnant women with CHB infection had limited knowledge of the prevention of HBV transmission (111 of 206, 53.9%). Women with higher levels of education had more knowledge about HBV (senior middle school, P = 0.02; university, P <0.01). The majority of participants were willing to take antiviral medicine to decrease the mother-to-child transmission (MTCT) rate of HBV. Some women of childbearing age and/or pregnant women with CHB infection have relatively limited knowledge about HBV or CHB. This situation contributes to the timeliness, or lack thereof, of these women with CHB to see a doctor and receive antiviral therapy. As a result, the morbidity and mortality of HBV-related complications could increase along with the rate of MTCT of HBV.
Financial support: This study was funded by research grants from the
Disclosure: The study protocol was approved by the ethics committee of the Third Affiliated Hospital of Guangzhou Medical University. Written informed consent was obtained from every participant in the study.
Data availability: The data sets used and/or analyzed during this study are available from the corresponding authors on reasonable request.
Authors’ addresses: Liyang Zhou, Xueting Ou, and Xingfei Pan, Department of Infectious Diseases, Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, China, E-mails: zliy1990h@163.com, ouxueting@126.com, and panxf0125@163.com. Xitao Liu, Qiongyu Sheng, and Bing Situ, Department of Clinical Research Management Office, Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, China, E-mails: gy2018xitao@163.com, sakurasheng@126.com, and situbing@gz.gov.cn. Fang He, Department of Obstetrics and Gynecology, Third Affiliated Hospital, Guangzhou Obstetrics Critical Care Center, and Guangzhou Obstetrics Critical Care Center, Key Laboratory for Major Obstetric Diseases of Guangdong Province, Guangzhou Medical University, Guangzhou, China, E-mail: hefangjnu@126.com.
Yuen M-F , Chen D-S , Dusheiko GM , Janssen HLA , Lau DTY , Locarnini SA , Petters MG , Lai C-L , 2018. Hepatitis B virus infection. Nat Rev Dis Primers 4: 18036.
European Association for the Study of the Liver , 2017. EASL 2017 clinical practice guidelines on the management of hepatitis B virus infection. J Hepatol 67: 370–398.
Lin CL , Kao JH , 2018. Review article: the prevention of hepatitis B-related hepatocellular carcinoma. Aliment Pharmacol Ther 48: 5–14.
Cheung KW , Lao TT , 2020. Hepatitis B: vertical transmission and the prevention of mother-to-child transmission. Best Pract Res Clin Obstet Gynaecol 68: 78–88.
Pan CQ et al., 2016. Tenofovir to prevent hepatitis B transmission in mothers with high viral load. N Engl J Med 374: 2324–2334.
Chen ZX , Gu GF , Bian ZL , Cai WH , Shen Y , Hao YL , Zhang S , Shao JG , Qin G , 2017. Clinical course and perinatal transmission of chronic hepatitis B during pregnancy: a real-world prospective cohort study. J Infect 75: 146–154.
Pan X et al., 2020. Efficacy and safety of continuous antiviral therapy from preconception to prevent perinatal transmission of hepatitis B virus. Sci Rep 10: 13631.
Kim HS , Rotundo L , Yang JD , Kim D , Kothari N , Feurdean M , Ruhl C , Unapl-Arida A , 2017. Racial/ethnic disparities in the prevalence and awareness of Hepatitis B virus infection and immunity in the United States. J Viral Hepat 24: 1052–1066.
Hu Y , Dai X , Zhou YH , Yang H , 2013. A knowledge survey of obstetrics and gynecology staff on the prevention of mother-to-child transmission of Hepatitis B virus. J Infect Dev Ctries 7: 391–397.
Adjei CA , Asamoah R , Atibila F , Ti-Enkawol GN , Ansah-Nyarko M , 2016. Mother-to-child transmission of hepatitis B: extent of knowledge of physicians and midwives in Eastern region of Ghana. BMC Public Health 16: 537.
Han Z , Yin Y , Zhang Y , Ehrhardt S , Thio CL , Nelson KE , Bai X , Hou H , 2017. Knowledge of and attitudes towards hepatitis B and its transmission from mother to child among pregnant women in Guangdong Province, China. PLoS One 12: e0178671.
Baramzina SV , 2019. Chronic hepatitis B and C as stigma: is the problem relevant for Russian society?]. Ter Arkh 91: 4–9.
Adibi P , Zavareh J , Mohseni M , Zamani A , 2010. Attitudes towards maternal screening for Hepatitis B virus infection in Iran. Trop Gastroenterol 31: 180–183.
Cheng A , Jose J , Larsen-Reindorf R , Small C , Nde H , Dugas L , Ehrhardt S , Nelson K , Ezeanolue E , Layden J , 2015. A survey study of pregnant women and healthcare practitioners assessing the knowledge of attitudes and practices of hepatitis b management at a teaching hospital in Kumasi, Ghana, West Africa. Open Forum Infect Dis 2: ofv122.
Fulginiti VA , Eller JJ , Downie AW , Kempe CH , 1967. Altered reactivity to measles virus: atypical measles in children previously immunized with inactivated measles virus vaccines. JAMA 202: 1075–1080.
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