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. 2021 Jan 4;104(3):1096–1100. doi: 10.4269/ajtmh.20-0804

Table 1.

Questionnaire

Sociodemographic information
Age (years)
 Tribe/ethnicity 1) Mbala
2) Yansi
3) Songo
4) Hungana
5) Humbu
6) Other
 Education 0) No formal education
1) Attended primary school, but no certificate
2) Six years of primary school
3) Attended secondary school, but no diploma
4) State diploma after 6 years of secondary school
5) University
 Marital status 1) Single
2) Married
3) Divorced
4) Widowed
 Type of marriage 1) Monogamous
2) Polygamous
Obstetrical information
 Gravida
1) Primigravida
2) Multigravida
 Past abortion Yes
No
 Pregnancy age (trimester) First trimester
Second trimester
Third trimester
 Past history of surgery Yes/no
 Blood transfusion Yes/no
 Knowledge
  Ever heard of hepatitis B Yes/no
  If yes, what is the source of your information 1) Previous ANC
2) Radio
3) Church
4) Health center/worker
5) Newspaper
6) Friend
7) School
 How does one catch HBV? 1) Sexual route
2) Mother-to-child transmission
3) Blood substance: injections
4) Spiritual or witchcraft
5) Do not know
 When can our child become infected? 1) During pregnancy
2) During childbirth
3) During breastfeeding
 Is there any way to prevent it? 1) Yes
2) No
3) Do not know
 Have you ever undergone HBV serology? Yes/no
 If no, why? 1) I am afraid of knowing a positive result
2) I am not at risk and I cannot have hepatitis
3) I have never been offered testing before
4) The result may be known by others
5) My husband refuses this test
6) No answer
 If yes, what was the result? Which one? 1) Positive
2) Negative
 Hepatitis B serology result? 1) Negative
2) Positive

HBV = hepatitis B.