Exploring How Knowledge of Hepatitis B Influences Pregnant Women's Preventive Attitudes toward Vertical Transmission
DOI:
https://doi.org/10.64621/hjns.v1i1.15Keywords:
knowledge level, preventive attitude, hepatitis B, pregnant womenAbstract
Background: Pregnant women infected with Hepatitis B face the risk of vertical transmission, meaning the disease can pass from mother to child. Adequate care and knowledge of Hepatitis B among pregnant women are crucial to prevent this transmission. Objective: This study aimed to examine the relationship between pregnant women's knowledge of Hepatitis B and their preventive attitudes toward vertical transmission in North Kuta, Bali. Methods: A cross-sectional correlational study was conducted on 90 pregnant women screened for Hepatitis B at the North Kuta Health Center UPTD from February to March 2024. Consecutive sampling was used to select respondents. Data on Hepatitis B knowledge and preventive attitudes were collected using a validated questionnaire based on the WHO Protocol for MTCT. Analysis was performed using the Spearman-Rho test. Results: Among the respondents, 55.6% demonstrated low knowledge of Hepatitis B, and 44.4% displayed inadequate preventive attitudes. A significant positive correlation was found between knowledge and preventive attitudes (r = 0.229, p = 0.000), indicating that higher knowledge levels were associated with better attitudes. Conclusion: The study indicates that low knowledge and poor attitudes in pregnant women heighten the risk of Hepatitis B transmission to their children. Continuous education by healthcare providers is essential to foster positive preventive attitudes among pregnant women, thereby reducing mother-to-child transmission rates of Hepatitis B.
Downloads
References
Adeyemi, A. B., Enabor, O. O., Ugwu, I. A., Bello, F. A., & Olayemi, O. O. (2013). Knowledge of hepatitis B virus infection, access to screening and vaccination among pregnant women in Ibadan, Nigeria. In Journal of Obstetrics and Gynaecology (Vol. 33, Issue 2, pp. 155–159). https://doi.org/10.3109/01443615.2012.711389
Alemu, A. A., Zeleke, L. B., Aynalem, B. Y., & Kassa, G. M. (2020). Hepatitis B Virus Infection and Its Determinants among Pregnant Women in Ethiopia: A Systematic Review and Meta-Analysis. In Infectious Diseases in Obstetrics and Gynecology (Vol. 2020). https://doi.org/10.1155/2020/9418475
Antuamwine, B. B., Herchel, E. D., & Bawa, E. M. (2022). Comparative prevalence of hepatitis B virus infection among pregnant women accessing free maternal care in a tertiary hospital in Ghana. In PLoS ONE (Vol. 17, Issue 3 March). https://doi.org/10.1371/journal.pone.0263651
Dwiartama, A., Nirbayati, W. F., Giri-Rachman, E. A., Niloperbowo, W., Tan, M. I., & Anin, A. (2022). Knowledge, Attitude, and Practice towards Hepatitis B Infection Prevention and Screening among Indonesians. In International Journal of Environmental Research and Public Health (Vol. 19, Issue 8). https://doi.org/10.3390/ijerph19084644
Gunardi, H., Zaimi, L. F., Soedjatmiko, Turyadi, Harahap, A. R., & Muljono, D. H. (2014). Current prevalence of hepatitis B infection among parturient women in Jakarta, Indonesia. In Acta medica Indonesiana (Vol. 46, Issue 1, pp. 3–9).
Iannacone, M., & Guidotti, L. G. (2022). Immunobiology and pathogenesis of hepatitis B virus infection. In Nature Reviews Immunology (Vol. 22, Issue 1, pp. 19–32). https://doi.org/10.1038/s41577-021-00549-4
Kemenkes RI. (2008). Permenkes No 52 Tahun 2017 Tentang Eliminasi Penularan HIV, Sifilis dan Hepatitis B dari Ibu ke Anak. 1969(1), 1–24.
Kemenkes RI. (2018). Profil Kesehatan Indonesia. Jakarta: Kementerian Kesehatan Republik Indonesia.
Kementerian Kesehatan Republik Indonesia. (2023). Profil Kesehatan Indonesia 2023. Jakarta: Kementerian Kesehatan Republik Indonesia.
Kementerian Kesehatan Republik Indonesia. (2023). Laporan deteksi dini Hepatitis B pada ibu hamil, 2022-2023. Direktorat Jenderal Pencegahan dan Pengendalian Penyakit. Jakarta: Kementerian Kesehatan Republik Indonesia.
Liaw, Y. F., & Chu, C. M. (2009). Hepatitis B virus infection. In The Lancet (Vol. 373, Issue 9663, pp. 582–592). https://doi.org/10.1016/S0140-6736(09)60207-5
Lisker-Melman, M., Khalili, M., Belle, S. H., Terrault, N. A., Lin, H. H. S., Smith, C. I., Chung, R. T., Tsai, N., Bzowej, N. H., Tran, T. T., & Schwarzenberg, S. J. (2020). Maternal knowledge of the risk of vertical transmission and offspring acquisition of hepatitis B. In Annals of Hepatology (Vol. 19, Issue 4, pp. 388–395). https://doi.org/10.1016/j.aohep.2020.04.006
Nguyen, M. H., Wong, G., Gane, E., Kao, J. H., & Dusheiko, G. (2020). Hepatitis B virus: Advances in prevention, diagnosis, and therapy. In Clinical Microbiology Reviews (Vol. 33, Issue 2). https://doi.org/10.1128/CMR.00046-19
Nokhodian, Z., Adibi, P., & Ataei, B. (2014). Prevalence of hepatitis B virus infection in Isfahan province. In International Journal of Preventive Medicine (Vol. 2014, pp. 193–199).
Ott, J. J., Stevens, G. A., Groeger, J., & Wiersma, S. T. (2012). Global epidemiology of hepatitis B virus infection: New estimates of age-specific HBsAg seroprevalence and endemicity. In Vaccine (Vol. 30, Issue 12, pp. 2212–2219). https://doi.org/10.1016/j.vaccine.2011.12.116
Sagnelli, C., Pisaturo, M., Curatolo, C., Codella, A. V., Coppola, N., & Sagnelli, E. (2021). Hepatitis B virus/hepatitis D virus epidemiology: Changes over time and possible future influence of the SARS-CoV-2 pandemic. In World Journal of Gastroenterology (Vol. 27, Issue 42, pp. 7271–7284). https://doi.org/10.3748/wjg.v27.i42.7271
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Putu Wulandari Dewisepitri, Ni Luh Putu Dian Yunita Sari, I Gede Wirajaya, Gede Harsa Wardana (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
