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Table 4 Univariate and multivariate analysis of factors associated with sero-protection among children born to HBsAg-positive mothers in four provinces, China 2016–2017

From: Outcomes of the national programme on prevention of mother-to-child transmission of hepatitis B virus in China, 2016–2017

Characteristics

No. of observations

Anti-HBs Positive

Univariate analysis

Multivariable analysis

n (%)

OR (95% CI)

P-value

aOR (95% CI)

P-value

Maternal age (years)

 18–24

280

272 (97.1)

1.0 (0.4–2.2)

0.8

  

 25–34

2992

2893 (96.7)

0.8 (0.5–1.3)

   

 35–45

840

816 (97.1)

    

Maternal educational level

 Junior middle school or below

1382

1341 (97.0)

1.1 (0.8–1.6)

0.6

  

 High Middle school or above

2730

2640 (96.7)

1

   

Maternal residence rural / urban

 Rural

2818

2731 (96.9)

1.1 (0.8–1.6)

0.6

  

 Urban

1294

1250 (96.6)

1

   

Maternal parity

 1

1732

1679 (96.9)

1.1 (0.8–1.5)

0.7

  

  > 1

2380

2302 (96.7)

1

   

Maternal HBeAg status during this pregnancy

 Positive

1221

1155 (94.6)

0.4 (0.3–0.6)

<  0.001#

0.4 (0.3–0.6)

<  0.001

 Negative

2740

2681 (97.8)

1

 

1

 

 Unknown

151

145 (96.0)

0.5 (0.2–1.3)

 

0.6 (0.2–1.3)

0.2

Maternal antiviral treatment during this pregnancy

 Yes

392

377 (96.2)

0.8 (0.5–1.4)

0.5

  

 No

3720

3604 (96.9)

1

   

Level of delivery hospital

 Prefectural and above

1518

1463 (96.4)

0.8 (0.6–1.1)

0.2

  

 County level and below

2594

2518 (97.1)

1

   

Mode of delivery

 Vaginal delivery

2349

2271 (96.7)

0.9 (0.6–1.3)

0.6

  

 Caesarean section

1763

1710 (97.0)

1

   

Child gender

 Male

2185

2118 (96.9)

1.1 (0.8–1.5)

0.6

  

 Female

1927

1863 (96.7)

1

   

Gestational age (weeks)

  < 37

236

225 (95.3)

0.7 (0.3–1.2)

0.2

  

 37–43

3876

3756 (96.9)

1

   

Child birth weight (g)

  < 2500

131

122 (93.1)

0.4 (0.2–0.9)

0.02*

0.4 (0.2–0.8)

0.01

 2500–5400

3981

3859 (96.9)

1

 

1

 

Type of HBvacc-BD

 10 μg yeast vaccine

3637

3520 (96.8)

1.3 (0.6–2.7)

0.4

  

 20 μg CHO vaccine

285

279 (97.9)

2.0 (0.7–6.0)

   

 10 μg CHO vaccine

190

182 (95.8)

1

   

Interval between birth and HBvacc-BD (hours)

 Within 12

3579

3467 (96.9)

1

0.5*

  

 12–24

466

450 (96.6)

0.9 (0.5–1.5)

   

  > 24

67

64 (95.5)

0.7 (0.2-2.2)

   

Administered HBIG

 Yes

4092

3961 (96.8)

1.0 (0.96–0.97)

1.0*

  

 No

20

20 (100.0)

1

   

Interval between 3rd dose HBvacc and HBV serological marker test (months)

  < 7

1666

1635 (98.1)

2.2 (1.5–3.4)

<  0.001

2.2 (1.5–3.4)

< 0.001

 7–18

2446

2346 (95.9)

1

 

1

 
  1. HBV hepatitis B virus, HBsAg hepatitis B surface antigen, anti-HBs hepatitis B surface antibody, HBvacc hepatitis B vaccine, HBvacc-BD hepatitis B vaccine birth dose, HBIG hepatitis B immunoglobulin, LBW low birth weight, CHO Chinese hamster ovary, #: trend, *: Fisher’s exact test, the factors significant at P < 0.1 in univariate analysis entered into the regression model