Awareness of Infectious Disease Screening During Early Pregnancy and Knowledge About its Vertical Transmission in Japan: A Report from the Pregnant Women Health Initiative
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Published:2023-02-08
Issue:5
Volume:27
Page:933-943
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ISSN:1092-7875
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Container-title:Maternal and Child Health Journal
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language:en
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Short-container-title:Matern Child Health J
Author:
Odagami Mizuha, Iwata Akiko, Kubota Kazumi, Kurasawa Kentaro, Okuda Mika, Aoki Shigeru, Hirabuki Tomoo, Tujie Tomoko, Saji Haruya, Hasegawa Tetsuya, Kobayashi Natsuko, Ueda Yutaka, Ishioka Shinichi, Enomoto Takayuki, Tsuji Makoto, Shigeta Hiroyuki, Koike Kumi, Tanaka Hiroaki, Tsukinaga Rie, Hasegawa Yoshimi, Numazaki Reiko, Ota Hajime, Kase Hiroaki, Ishikawa Hiroshi, Saito Yoshihiro, Yamawaki Takaharu, Miyagi EtsukoORCID
Abstract
Abstract
Objectives
We aimed to clarify the accuracy of pregnant women’s knowledge and understanding regarding infectious disease screening in early pregnancy and clarify the roles that should be played by health care providers in promoting the health of pregnant women and their children.
Methods
A cross-sectional questionnaire survey was conducted in 25 hospitals across Japan from May 2018 to September 2019. We compared the agreement rates regarding screening results for hepatitis B virus (HBV), hepatitis C virus (HCV), syphilis, human T-cell leukemia virus-1 (HTLV-1), and cervical cytology in the medical records and understanding of their results by pregnant women. We then investigated whether participants had knowledge regarding the risk of mother-to child transmission in these diseases and factors associated with their knowledge.
Results
We enrolled 2,838 respondents in this study. The rates of agreement for HBV and cervical cancer screening related to human papillomavirus infection were “substantial,” those for syphilis was “moderate,” and those for HCV and HTLV-1 were “fair,” according to the Kappa coefficient. The rate of knowledge regarding mother-to-child transmission of syphilis was highest (37.0%); this rate for the other items was approximately 30%. Increased knowledge was associated with higher educational level and higher annual income.
Conclusions for Practice
Pregnant women in Japan had generally good levels of understanding regarding their results in early-pregnancy infectious disease screening. However, they had insufficient knowledge regarding mother-to-child transmission of these diseases. Health care providers should raise awareness in infectious disease prevention among pregnant women and the general public, providing appropriate measures and implementing effective perinatal checkups and follow-ups for infectious diseases.
Funder
ministry of health, labour and welfare
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health,Obstetrics and Gynecology,Pediatrics, Perinatology and Child Health,Epidemiology
Reference25 articles.
1. Ando, Y., Ekuni, Y., Matsumoto, Y., Nakano, S., Saito, K., Kakimoto, K., et al. (2004). Long-term serological outcome of infants who received frozen-thawed milk from human T-lymphotropic virus type-1 positive mothers. Journal of Obstetrics and Gynaecology Research, 30, 436–438. 2. Arakawa, A., Ichikawa, H., Kubo, T., Motoi, N., Kumamoto, T., Nakajima, M., et al. (2021). Vaginal transmission of cancer from mothers with cervical cancer to infants. New England Journal of Medicine, 384(1), 42–50. 3. Chotta, N., Msutyaa, S., Mgongo, M., Hashim, T., & Stray-Pedersen, A. (2020). Mother’s knowledge on HIV, syphilis, rubella, and associated factors in Northern Tanzania: Implications for MTCT elimination strategies. Hindawi International Journal of Pediatrics. https://doi.org/10.1155/2020/7546954 4. Herskovic, E., Ryan, M., Weinstein, J., & Wadfwani, N. (2014). Maternal to fetal transmission of cervical carcinoma. Pediatric Radiology, 44, 1035–1038. 5. Hossain, M., Islam, R., & Sarker, A. (2017). Factors associated with awareness about syphilis and gonorrhoea among women in Bangladesh. F1000Research. https://doi.org/10.12688/f1000research.10982.1
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