Hepatitis B Stigma and Knowledge among Vietnamese in Ho Chi Minh City and Chicago

Dam, L.; Cheng, Anita; Tran, Phuong B.; Wong, Shirley; Hershow, Ronald C.; Cotler, Sheldon; Cotler, Scott J.

doi:10.1155/2016/1910292

Cited by 48 publications

(66 citation statements)

References 17 publications

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“…In contrast, in the USA, several studies investigated the knowledge of Asian minorities about HBV. It was found that the knowledge of recruited subject was low about the means of transmission of HBV (19). In agreement of this, 90% of subjects involved in our study claimed that they do not know about the mode of transmission of HBV.…”

Section: Discussionsupporting

confidence: 85%

A Study of Hepatitis B Virus Associated Risk Factors in Patients Attending Hepatitis Unit in Duhok City, Iraq

Hussein

Daniel

2017

Arch Clin Infect Dis

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Background: Infection with HBV is a major public health problem. Determining the risk factors of such an infection is of great importance for a preventive public health plan. Objectives: This study was conducted to determine the clinical presentations of patients with HBV, to assess the knowledge of patients about the mode of transmission of the infection, and to estimate the prevalence of risk factors associated with HBV infection. Methods: A cross-sectional study was performed among patients with HBV attending hepatitis unit in Azadi teaching hospital, Duhok city, Iraq. A total of 423 patients were recruited in the study over the period of January 2013 to December 2015. Data collection was performed by a face-to-face interview using a questionnaire sheet for the collection of personal information, data regarding the knowledge about mode of transmission of HBV, and data about risky behaviors. Results and Conclusions: 287/423 (68%) of the recruited subjects were males, 141/423 (33%) were from the central area in Duhok, and 216/423 (51%) were married. Additionally, 375/423 (88.7%) of the patients were asymptomatic. 383/423 (90.5%) of the recruited subjects claimed that they do not know the risk factors of HBV transmission. 85/423 (20.1%) of the recruited subjects gave a history of previous surgical operation and 73/423 (17.2%) of the patients gave a history of dental surgery. Conclusions: Our study has given an insight into the most common risk factors associated with HBV infection. Furthermore, it has shown a lack in knowledge regarding HBV. A comprehensive population based program is needed to combat the spread of infection and early detection of HBV infection especially in rural and remote areas.

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Section: Discussionsupporting

confidence: 85%

A Study of Hepatitis B Virus Associated Risk Factors in Patients Attending Hepatitis Unit in Duhok City, Iraq

Hussein

Daniel

2017

Arch Clin Infect Dis

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“…One explanation could be because approximately half of the women surveyed believed that HBV can be transmitted through sneezing or coughing, contaminated food and water, or eating or sharing food with chronic HBV patients. The stigma and pattern of knowledge deficits observed in this study regarding HBV was similar to a previous study among adult residents in Ho Chi Minh city in which 55% had the mistaken impression that HBV can be spread by sharing eating utensils and 61% felt that persons with chronic HBV infection put others at risk [14]. It is widely recognized that HBV related stigma can negatively affect health behaviors related to screening, preventive, diagnostic and treatment for HBV infection [15].…”

Section: Discussionsupporting

confidence: 81%

Knowledge, Attitudes and Practices of Hepatitis B Prevention and Immunization of Pregnant Women and Mothers in Viet Nam

Pham

Nguyen

et al. 2018

Preprint

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Background and Aim:Vietnam's high burden of liver cancer is largely attributable to the high prevalence of chronic hepatitis B virus infection (HBV). Infection at birth due to mother-to-child (MTC) transmission is the most common cause of chronic HBV in Vietnam and increases the risk of liver cancer later in life. This study was undertaken to examine the knowledge, attitudes, and practices of pregnant women and mothers in Vietnam concerning HBV prevention and immunization. Methods:A cross-sectional study was conducted in Quang Ninh and Hoa Binh provinces in 2017. A pre-designed questionnaire was administered to women when they received care at primary and tertiary maternal health clinics. Correct responses were summarized as knowledge scores. Data was analyzed using a multivariable regression model across participant demographics.Results: Among the 404 women surveyed, 57.6% were pregnant and 42.4% were postpartum.Despite 73.5% of participants reporting having received information about HBV during their pregnancy, gaps in knowledge and misconceptions are evident. Overall, only 10.6% provided correct answers to all questions regarding HBV transmission routes and prevention measures.Around half of the participants incorrectly believed that HBV is transmitted through sneezing, contaminated water or sharing foods with chronic HBV patients. Although 96.4% of participants believed that HBV vaccination is necessary for infants, only 69.1% were willing to have their own child vaccinated within 24 hours. More than a third of participants expressed concern about having casual contacts or sharing foods with chronic HBV patients. In multivariable analysis, having received information about HBV during their pregnancy were consistently associated with better knowledge score for transmission, prevention and immunization. However, knowledge of women who received information about HBV during their pregnancy was still suboptimal. Conclusions:The results highlight the need to prioritize educating pregnant women and mothers in future public health campaigns in order to increase knowledge, reduce misperception, and improve HBV vaccine coverage in Vietnam.

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“…A total of 17 articles quantitatively examined HBVrelated stigma. [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] and a further six articles provided a qualitative assessment of stigma, typically through either semi-structured interviews or focus group discussions. [35][36][37][38][39][40] The quantitative studies included a total of 15 studies conducted in people living with HBVor in the general population about people living with HBV and two studies that were conducted exclusively in healthcare providers.…”

Section: Literature Search Resultsmentioning

confidence: 99%

“…For example, Cotler et al (2012) 20 constructed the HBV Stigma Instrument, which was developed utilizing previously published surveys of stigma in HIV 41,42 and was subsequently used in two other studies identified in the current review. 21,23 A further two studies, both conducted in China, used the same five questions to assess HBV-related stigma in rural adults or rural migrants to a major Chinese city. 24,32 These questions related to the extent that a person was willing to interact, or let their children interact with someone living with chronic HBV.…”

Section: Quantitative Assessment Of Hbv-related Stigmamentioning

confidence: 99%

“…Stigma was consistently evident across studies conducted in people living with chronic HBV, with several studies showing that people often felt either embarrassed or ashamed, or that their HBV brought shame to their families (Table 1). 20,21,23,27 For example, in Chinese or Vietnamese populations, or Chinese/Vietnamese immigrants to the US between 34% and 58% of the respondents believed that living with chronic HBV would bring trouble to their family. HBV-related stigma a primary concern among 22% respondents Another consistent theme both from individuals living with chronic HBV or those without HBV was the feeling that people with HBV should avoid close contact (such as kissing or hugging) with others (Table 1).…”

Section: Quantitative Assessment Of Hbv-related Stigmamentioning

confidence: 99%

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<p>Impact of Stigma on People Living with Chronic Hepatitis B</p>

Smith-Palmer¹,

Cerri

Sbarigia

et al. 2020

PROM

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Background: People with chronic infectious diseases such as hepatitis B can face stigma, which can influence everyday life as well as willingness to engage with medical professionals or disclose disease status. A systematic literature review was performed to characterize the level and type of stigma experienced by people infected with hepatitis B virus (HBV) as well as to identify instruments used to measure it. Methods: A literature review was performed using the PubMed, Embase and Cochrane Library databases to identify studies describing HBV-related stigma. For inclusion, articles were required to be published in full-text form, in English and report quantitative or qualitative data on HBV-related stigma that could be extracted. Results: A total of 23 (17 quantitative and 6 qualitative) articles examined HBV-related stigma. The scope of the review was global but nearly all identified studies were conducted in countries in the WHO Southeast Asia or Western Pacific regions or within immigrant communities in North America. Several quantitative studies utilized tools specifically designed to assess aspects of stigma. Qualitative studies were primarily conducted via patient interviews. Internalized and social stigma were common among people living with chronic HBV . Some people also perceived structural/institutional stigma, with up to 20% believing that they may be denied healthcare and up to 30% stating they may experience workplace discrimination due to HBV. Conclusion: HBV-related stigma is common, particularly in some countries in Southeast Asia and the Western Pacific region and among Asian immigrant communities, but is poorly characterized in non-Asian populations. Initiatives are needed to document and combat stigma (particularly in settings/jurisdictions where it is poorly described) as well as its clinical and socioeconomic consequences.

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Hepatitis B Stigma and Knowledge among Vietnamese in Ho Chi Minh City and Chicago

Cited by 48 publications

References 17 publications

A Study of Hepatitis B Virus Associated Risk Factors in Patients Attending Hepatitis Unit in Duhok City, Iraq

A Study of Hepatitis B Virus Associated Risk Factors in Patients Attending Hepatitis Unit in Duhok City, Iraq

Knowledge, Attitudes and Practices of Hepatitis B Prevention and Immunization of Pregnant Women and Mothers in Viet Nam

<p>Impact of Stigma on People Living with Chronic Hepatitis B</p>

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