Şanlıurfa'da mevsimlik tarım işçilerinin yoğun olarak yaşadıkları bir aile sağlığı merkezi bölgesinde gebelerde HbsAg pozitifliği düzeyi ve etkileyen faktörler/HbsAg seropositivity and other related factors among pregnant women in crowded living condition

Ozet Amac: Bu arastirmada, mevsimlik tarim iscilerinin yogun olarak yasadiklari bir aile sagligi merkezi bolgesinde gebelerde HbsAg pozitifligi duzeyini ve etkileyen faktorleri ortaya koymak amaclanmistir. Yontem: Kesitsel tipteki bu calisma, Şanliurfa Zeliha Oncel Aile Sagligi Merkezi (ASM) bolgesinde Ekim 2011-Ocak 2012 tarihleri arasinda yapilmistir. Calismaya kayitli ve takipli olan tum gebeler(N=261) dahil edilmistir. Gebelere yapilandirilmis soru formu uygulanmistir. HBsAg ve anti-HBs sonuclari ASM kayitlarindan alinmistir. Bulgular: Tum gebelerde Hepatit B sikligi %3.2’ dir.  HBsAg pozitifligi mevsimlik tarim iscilerinde 5.1 kat, ailesinde hepatit B hastaligi bulunan gebelerde 18.9 kat daha fazla gorulmektedir (P<0.05). Sonuc: Mevsimlik tarim iscileri hepatit B acisindan onemli bir risk grubudur. Temel saglik hizmetleri mevsimlik tarim iscileri icin erisilebilir hale getirilmeli ve hizmet taleplerini arttirmak icin saglik egitimleri yapilmalidir. Tum gebelere dogum oncesi bakim hizmeti saglanmali ve hepatit B'ye karsi duyarli olanlara asi onerilmelidir. Anahtar Kelimeler: Gebe, hepatit B sikligi, mevsimlik tarim isciligi Abstract Objective: This study determined the HbsAg seropositivity and other related factors among women living in the Sanliurfa district among seasonal farm workers. Methods: This cross-sectional study was carried out within the service area of the Zeliha Oncel Family Health Center between October 2011-January 2012 in the Sanliurfa district. All pregnant women (N=261) enrolled by a family health center were included in the study. A structured questionnaire was applied. The levels of HBsAg and anti-HBs measures were taken from family health centers records. Results: HbsAg seropositivity was 3.2% in pregnant women. HBsAg seropositivity was 5.1 times in seasonal farmworker and 18.9 times greater in families with a history of hepatitis B (p<0.05). Conclusions: Seasonal farworkers are an important risk group for hepatitis B. Primary health care should be made accessible to seasonal farmworkers and the demands for health care should be increased through health education. Antenatal care should be provided to all pregnant women and hepatitis B vaccine should be advised for those who are susceptible to HBV. Key Words: Seasonal farmworker, primary health care, Hepatitis B risk factors