Hepatitis B Virus Testing and Care among Pregnant Women Using Commercial Claims Data, United States, 2011–2014

Table 2

Hepatitis B screening among 870,888 pregnancies in commercial insurance claims data, 2011–2014.

		HBsA tested
	Total		Row%	valu
Total	870,88	714,830	82.08
Pregnancy				<0.001
1st pregnancies	795,870	655,218	82.33
2nd pregnancies	73,247	58,359	79.67
3rd pregnancies	1,743	1,236	70.91
4th pregnancies	28	17	60.71
Age group				<0.001
19 or younger	39,067	28612	73.24
20 to 29	356,474	300727	84.36
30 to 39	438,844	363708	82.88
40 or older	36,503	21783	59.67
Census divisio				<0.001
New England	40,403	32,767	81.10
Middle Atlantic	102,312	80,774	78.95
East North Central	161,920	130,865	80.82
West North Central	45,137	38,475	85.24
South Atlantic	153,566	128,662	83.78
East South Central	52,726	45,441	86.18
West South Central	100,916	89,101	88.29
Mountain	56,611	47,470	83.85
Pacific	134,756	103,260	76.63
Other/unknown	22,541	18,015	79.92
Urbanicit				<0.001
Nonurban	106,490	85,273	80.08
Urban	745,585	613,825	82.33
Insurance plan				<0.001
Managed car	207,179	159,265	76.87
PPO or othe	637,739	533,989	83.73

Boldface indicates statistical significance ; BsAg = hepatitis B surface antigen. mong 819,752 women continuously enrolled 42 weeks before and 6 months after first delivery CPT or ICD-9-CM diagnosis code (Table 1).   ogistic regression models with general estimating equations to account for women with multiple pregnancies during the study period. ew England = CT, MN, MA, NH, RI, VA; Middle Atlantic = NJ, NY, PA; East North Central = IN, IL, MI, OH, WI; West North Central = IA, KS, MN, MO, NB, ND, SD; South Atlantic = DC, DE, FL, GA, MD, NC, SC, VA, WV; East South Central = AL, KY, MS, TN; West South Central = AR, LA, OK, TX; Mountain: AZ, CO, ID, NM, MT, UT, NV, WY; Pacific = AK, CA, HI, OR, WA; and other/unknown = Puerto Rico and unknown state of residence. rbanicity was determined by metropolitan statistical area (MSA); 15,732 HBsAg tested of 18,813 (83.6%) were missing urbanicity; 1,576 HBsAg tested of 25,970 (83.1%) were missing insurance plan type. ealth maintenance organizations (HMO), exclusive provider organizations (EPO), and point of Service (POS) plans. referred provider organizations (PPO), high deductible, and comprehensive plans.