A comparative study of patients’ knowledge about hepatitis C in the United States and in urban and rural China

Wu, Elizabeth; Chen, Xisui; Guan, Zhe; Cao, Claudia; Rao, Huiying; Feng, Bo; Chan, Melvin; Fu, Sherry; Lin, Anna L.; Wei, Lai; Lok, Anna S.

doi:10.1007/s12072-014-9559-z

Cited by 13 publications

(14 citation statements)

References 34 publications

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“…After adjusting for all other potential confounders in the logistic regression model, education level, occupation, and annual household income were factors associated with a prevalence of low health literacy. Our findings were consistent with several large-scale surveys of adult health literacy, which reported that the most common socio-demographic features associated with health literacy were education level, age, ethnicity, geographic location, and income [8,22,23,24,25,26,27,28]. Our study demonstrated that, after adjusting for potential confounders, the prevalence of low health literacy was significantly associated with occupation, education level, and annual household income.…”

Section: Discussionsupporting

confidence: 91%

Prevalence and Risk Factors of Low Health Literacy: A Community-Based Study in Shanghai, China

Wang

Cai

et al. 2017

IJERPH

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Background: Health literacy is an increasingly important public health concern. However, little is known about the health literacy of general public in China. The aim of this study was to evaluate the prevalence of low health literacy and demographic associations in Shanghai, China. Methods: This study was a community-based cross-sectional health survey utilizing a multi-stage random sampling design. The sample consisted of 1360 individuals aged 15–69 years with the total community-dwelling Chinese as the sample frame. Health literacy was measured by a questionnaire developed on the basis of a national health literacy manual released by the Chinese Ministry of Health. Multiple logistic regression models were used to identify whether common socio-demographic features were associated with health literacy level. Results: The prevalence of low health literacy was 84.49% (95% CI, 82.56% to 86.41%). The prevalence of low health literacy was negatively associated with the level of education, occupation, and annual household income, but was not associated with gender, age, or the presence of non-communicable chronic disease. Conclusions: Simplifying health services, enhancing health education, and promoting interventions to improve health literacy in high-risk populations should be considered as part of the strategies in the making of health policy in China.

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Section: Discussionsupporting

confidence: 91%

Prevalence and Risk Factors of Low Health Literacy: A Community-Based Study in Shanghai, China

Wang

Cai

et al. 2017

IJERPH

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“…Health literacy is defined by the ability of individuals to acquire, analyze, and understand the information and basic health services that they need to make the right decisions about their health issues. If the health literacy of HCV patients is appropriate, the ability to understand and then to put into practice medical advice of health professionals is higher, favoring the process of adherence to treatment …”

Section: Discussionmentioning

confidence: 99%

The challenges of hepatitis C management in Iran: A qualitative study with patients

Behzadifar

Azari

Gorji

et al. 2019

Health Planning & Management

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Background: The patient's perspective concerning the treatment process and the knowledge of the challenges and problems that they encounter can help to improve their treatment conditions. Aim: The present study aimed at analyzing the experiences of hepatitis C virus (HCV) patients in Iran and the challenges encountered during the management and treatment process. Methods: Semi-structured in-depth and face-to-face interviews were conducted. The criteria for selecting patients were as follows: HCV-positive subjects, with confirmed diagnosis of HCV, and under treatment. Content analysis was used to analyze the data. MAXQDA Ver11 software was used to better manage data. This study is based on the "Consolidated Criteria for Reporting Qualitative Research" (COREQ) checklist.Results: Twenty-one HCV patients were interviewed. The mean age of participants was 36.14 ± 11.29 years. Seven themes with 20 subthemes emerged from the content analysis of the interviews, namely, (a) disease-related stigma, (b) lack of knowledge, (c) psychological problems, (d) financial problems, (e) complications of treatment, (f) lack of family and community support, and (g) health-care system. Conclusion:The findings of this study showed that a range of economic, social, and cultural problems could affect the treatment of HCV patients. Health policy and decision

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“…This finding may be explained by the fact that patients with HCV seek to acquire knowledge about the disease after being diagnosed. Previous research has also shown that patients from the United States and China have good knowledge of HCV (WU et al, 2015), however, permanent health education must be way to improve the knowledge level of patients and the population general about viral hepatitis .…”

Section: Discussionmentioning

confidence: 99%

“…Few studies about HCV knowledge have been conducted among patients with chronic HCV infection (MARCHESINI et al, 2007;SHAH;ABU-AMARA, 2013;WU et al, 2015). Therefore, to the best of our knowledge, the aim of this study was to evaluated the knowledge about viral transmission among HCV infected individuals and attitudes regarding toothbrush care.…”

Section: Introductionmentioning

confidence: 97%

A cross sectional study regarding HCV patients’ knowledge about viral transmission and attitudes regarding toothbrush care

Garbín¹,

Souza²,

Moimaz³

et al. 2017

Biosci. J.

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Hepatitis C virus (HCV) is transmitted mainly by parenteral route, although, some studies have pointed the potential of transmission by sharing infected instruments, like toothbrushes. The aim of this study was to investigate the knowledge about viral transmission among HCV infected individuals and attitudes regarding toothbrush care. A cross-sectional study was conducted among 112 HCV-infected individuals from Uberlandia City, Minas Gerais State (Southeast Brazil). Data were collected through a questionnaire containing demographic data and other questions (correct responses were given one point, incorrect and uncertain responses were given zero point) about knowledge of HCV transmission (6 items in total; scores lower than 4 points indicated poor knowledge level and scores equal or higher than 4 indicated good knowledge level); attitudes regarding toothbrush care (7 items; scores 0 to 3 indicated inadequate attitudes, and scores higher than 3 indicated adequate attitudes). The statistical analysis included Chi-square test, Exact Fisher's test and Maximum Likelihood Estimation (p < 0.05 was considered significant). Out of the 112 questionnaires distributed, 85 (response rate: 75.9%) were included. Most individuals were male (60%), Caucasian (69.4%), aged more than 51 years (51.7%), had attended pre-school (35.1%), and had incomes up to $525.2 per month (49.4%). Fifty four percent of individuals showed good Knowledge level of HCV transmission; 43.5% did not identify HCV transmission through toothbrushes and 80% did not believe in HCV transmission by saliva. A significant association were observed between Knowledge level of HCV and age (p= 0.020); and education level (p= 0.000). Forty-five HCV-infected individuals (64.70%) had adequate attitudes regarding toothbrushes care. Significant associations were observed between toothbrush care level and: age (p= 0.005); education level (p= 0.000); and family income (p= 0.038). HCV-infected individuals showed good knowledge level about main aspects of HCV infection and adequate attitudes regarding toothbrush care.

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A comparative study of patients’ knowledge about hepatitis C in the United States and in urban and rural China

Abstract: Knowledge about HCV in the US and Beijing patients was similar and significantly better than in Hebei patients. Our data show that efforts to improve HCV knowledge are necessary for all three cohorts and should be tailored to the education level and health literacy of the patients.

Cited by 13 publications

References 34 publications

Prevalence and Risk Factors of Low Health Literacy: A Community-Based Study in Shanghai, China

Prevalence and Risk Factors of Low Health Literacy: A Community-Based Study in Shanghai, China

The challenges of hepatitis C management in Iran: A qualitative study with patients

A cross sectional study regarding HCV patients’ knowledge about viral transmission and attitudes regarding toothbrush care

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