Study on the risk factors for intrauterine infection of hepatitis B virus among pregnant women

目的探讨厦门市孕妇乙型肝炎病毒(hepatitis B virus,HBV)感染情况和HBV宫内感染的影响因素。方法在1; 064名孕妇第一次到医院建立孕产妇保健卡时进行问卷调查并检测其血清乙肝标志物,根据检测结果选择外周血乙型肝炎表面抗原(hepatitis B; surface antigen,HBsAg)阳性的产妇179例随访至其分娩,并采集其分娩时的脐血和胎盘组织。对脐血进行HBsAg和HBV; DNA的检测,对胎盘组织进行HBsAg的检测。采用chi~2检验和非条件Logistic回归分析相关因素与HBV宫内感染的关系。结果被调查的1; 064名孕妇中,HBsAg阳性的孕妇共179名,感染率为16.8%。对179名HBsAg阳性的孕妇的脐血进行检测发现,发生HBV宫内感染的孕妇共; 34名,感染率为19.0%。孕妇HBV宫内感染的危险因素为胎盘HBsAg阳性、孕妇血清乙型肝炎E抗原(hepatitis B e; antigen,HBeAg)阳性、孕前超重,OR分别为5.123(95% CI:1.422 ~ 18.413)、4.619(95%; CI:1.225 ~ 17.534)、 3.343(95% CI:1.233 ~; 9.092)。结论对于HBsAg和HBeAg双阳性的超重/肥胖孕妇,其新生儿可能发生HBV宫内感染,应加强自身防护措施,合理规避HBV宫内感染风; 险。Objective To investigate the prevalence of hepatitis B virus (HBV); infection in pregnant women and the risk factors for Intrauterine; infection of HBV among pregnant women in Xiamen. Methods Total 1 064; pregnant women were included in this study. A questionnaire was; performed to collect the general information of the subjects and HBV; infection status was tested on the first day when they came to the; hospital. Then HBsAg positive pregnant women were selected and followed; until delivery. We collected their cord blood and placenta tissue when; they delivery. HBsAg and HBV DNA in cord blood and HBsAg in placental; tissue were detected. Chi-square test and the non-conditional Logistic; regression analysis were conducted to investigate the correlation; between HBV intrauterine infection and risk factors. Results 179 out of; the 1 064 pregnant women were HBsAg positive. The infection rate was; 16.8%. 34 out of 179 HBsAg positive pregnant women were found; intrauterine transmission with a rate of 19.0%. The risk factors for the; occurrence of HBV intrauterine transmission were placenta HBsAg positive; (OR = 5.123, 95% CI:1.422-18.413),mothers with hepatitis B e; antigen(HBeAg) positive (OR = 4.619, 95% CI:1.225-17.534) and; overweight(OR = 3.343, 95% CI:1.233-9.092), respectively. Conclusions; Placenta HBsAg positive,mothers with HBeAg positive and overweight are; independent risk factors for the occurrence of HBV intrauterine; transmission.国家自然科学基金; 厦门市科技计划项

Interaction of benzo[a]pyrene with other risk factors in hepatocellular carcinoma: a case-control study in Xiamen, China

Xiamen Municipal Science and Technology Program [3502Z20073015]Purpose: Large epidemiologic studies about the relationship between benzo[a]pyrene (B[a]P) and hepatocellular carcinoma (HCC) have been limited. B[a]P diol epoxide (BPDE) is a highly reactive metabolite of B[a]P that binds covalently to form DNA adducts. We evaluated the interaction between B[a]P exposure with other risk factors in HCC, in a case-control study of 345 HCC and 961 healthy controls. Methods: Concentration of BPDE-DNA adducts in blood was determined by enzyme-linked immunosorbent assay. The interaction between BPDE-DNA adducts and other risk factors on HCC were evaluated by multivariate logistic regression analysis. Results: Mean concentration of BPDE-DNA adducts in blood of cases was significantly higher than that of the controls. The risk of HCC increased with elevated concentration of BPDE-DNA adducts (x(2) = 203.57, P-trend < .001) and the odds ratio was 7.44 (95% confidence interval, 5.29-10.45) for the first versus fourth quartile of adduct levels. The relative excess risk due to interaction between BPDE-DNA adducts and hepatitis B virus surface antigen and drinking was 34.71 and 54.92, and the attributable proportion due to interaction was 41.53% and 75.59%, respectively. Conclusions: The high level of BPDE-DNA adducts in blood is associated with HCC and that environmental exposure to B[a]P may increase the risk of HCC, especially among drinkers and populations with hepatitis B virus infection. (C) 2014 Elsevier Inc. All rights reserved