Research Article

Hepatitis B Infection and Mother-to-Child Transmission in Haiphong, Vietnam: A Cohort Study with Implications for Interventions

Table 3

Factors associated with infant’s HBV infection at 12-month follow-up ().

Infant’s characteristicsInfant with positive HBsAg, (%)Crude ORa, OR [95% CI]Adjusted ORb, OR [95% CI] valuec

Mother’s HBeAg status at deliveryHBeAg (-)2 (1.7)Ref.Ref.<0.001
HBeAg (+)10 (34.5)31.3 [6.4-154.1]65.8 [7.3-594.1]

Mother’s HBV DNA level at delivery<200,000 IU/mL (106 copies/mL)11 (7.6)Ref.
≥200,000 IU/mL (106 copies/mL)1 (16.7)2.4 [0.3-22.6]

Mother’s HBV peripartum antiviral therapyYes1 (3.4)Ref.
No11 (9.1)2.8 [0.3-22.6]

Having any family members infected with HBVdNo7 (5.5)Ref.Ref.0.119
Yes5 (21.7)4.8 [1.4-16.6]4.0 [0.7-23.4]

Mode of deliveryVaginal8 (8.0)Ref.
Caesarean4 (8.0)1.0 [0.3-3.5]

Infant’s sexFemale7 (9.7)Ref.
Male5 (6.4)1.6 [0.5-5.2]

Infant’s HBV birth dose vaccinationYes11 (7.4)Ref.Ref.0.057
No1 (50.0)12.5 [0.7-212.9]36.1 [0.9-1459.5]

Infant’s HBIG immunizationYes7 (5.7)Ref.Ref.0.181
No5 (18.5)3.8 [1.1-12.9]3.4 [0.6-19.9]

Infant’s scheduled HBV vaccinationCompleted10 (7.0)Ref.Ref.0.593
Uncompleted2 (25.0)4.4 [0.8-24.7]2.1 [0.1-31.2]

Infant feeding (during 12 months of age)Breast-fed only4 (8.5)Ref.
Bottle-fed (and/or other food)3 (5.8)0.7 [0.1-3.1]
Mixed (breast-fed+bottle-fed and/or other food)5 (9.8)1.2 [0.3-4.6]

aUnivariate analysis; bmultiple logistic regression; clikelihood-ratio test; dincluding infant’s father HBV infection status. OR: odds ratio; CI: confidence interval. .