A rubella serosurvey in postpartum women in the three regions of Peru

Luis Suárez-Ognio, Ana Adrianzén, Ana Ortiz, Carlos Martínez, Alvaro Whittembury, Edwin Cabezudo, Lucia De Oliveira, Marilda M. Siqueira, Carlos Castillo-Solórzano

Resultado de la investigación: Contribución a una revistaArtículorevisión exhaustiva

8 Citas (Scopus)

Resumen

Objective. To determine the proportion of postpartum women aged 15-49 in Peru who are susceptible to rubella, in order to help address strategies to eliminate rubella and to prevent congenital rubella syndrome (CRS) in the country. Methods. A cross-sectional survey was conducted during March and April 2003 in six main regional hospitals, in the three geographic regions (coast, mountain, and jungle) of Peru. For the postpartum women who provided written informed consent, a questionnaire was administered and a blood specimen was collected. Sera were tested for rubella immunoglobulin G (IgG) antibody, using a commercial enzyme-linked immunosorbent serologic assay (ELISA) kit. Univariate, bivariate, and multivariate analyses were carried out to assess risk factors for susceptibility. Results. In total, 1 236 postpartum women were enrolled. The overall proportion of IgG-antibody negative women was 12.8% (95% confidence interval (CI): 10.9%-14.6%). Bivariate analysis found the following variables associated with susceptibility: living in the jungle region (odds ratio (OR) = 1.65; 95% CI: 1.13-2.42); age < 19 years (OR = 2.02; 95% CI: 1.35-3.03); being a housewife (OR = 1.69; 95% CI: 1.12-2.55); and having ≤ 11 years of education (OR = 2.12; 95% CI -.1.20-3.75). Multivariate analysis found the following variables were associated with susceptibility: living in the jungle region (OR = 1.67; 95% CI: 1.13-2.46); age < 19 years (OR = 1.62; 95% CI: 1.07-2.47); having < 4 children bom alive (OR = 1.85; 95% CI: 1.00-3.40); and having ≤ 11 years of education (OR = 2.07; 95% CI: 1.16-3.71). Conclusions. The proportion of postpartum women at the study sites who were found to be susceptible to rubella was 12.8%>, placing Peru among the countries facing a moderate level of risk for the occurrence of CRS cases. The findings suggest the need to also provide the rubella vaccine to other population groups, especially women of childbearing age.

Idioma originalInglés
Páginas (desde-hasta)110-117
Número de páginas8
PublicaciónRevista Panamericana de Salud Publica/Pan American Journal of Public Health
Volumen22
N.º2
DOI
EstadoPublicada - ago 2007

Huella

Profundice en los temas de investigación de 'A rubella serosurvey in postpartum women in the three regions of Peru'. En conjunto forman una huella única.

Citar esto