Survey of hepatitis B knowledge and stigma among chronically infected patients and uninfected persons in Beijing, China

Huang, Jiaxin; Guan, Mary; Balch, Jeremy A.; Wu, Elizabeth; Rao, Huiying; Lin, Anna L.; Wei, Lai; Lok, Anna S.

doi:10.1111/liv.13168

Cited by 71 publications

(101 citation statements)

References 21 publications

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“…These misconceptions are well documented among Chinese‐speakers in China and the United States, as well as other East and Southeast Asian populations . On the other hand, shame and blame towards HBV carriers was relatively low, which is also similar to prior studies . Our findings demonstrate that HBV stigma among MSM in China is similar to HBV stigma in the general population.…”

Section: Discussionsupporting

confidence: 88%

“…For our study, we operationalize HBV stigma as a social process involving discrimination at work or at school, devaluation in interpersonal relationships, fear of physical contact, or shame and blame towards persons with HBV. These four domains have been identified in the HBV stigma literature as key attributes and create a framework for assessing HBV stigma.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A crowdsourced intervention to decrease hepatitis B stigma in men who have sex with men in China: A cohort study

Shen

Yang

Huang

et al. 2019

Journal of Viral Hepatitis

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Stigma against people with hepatitis B virus (HBV) is a barrier to prevention, diagnosis and treatment of HBV in China. Our study examined an innovative intervention to reduce HBV stigma among men who have sex with men (MSM) in China. We extracted data from a randomized controlled trial conducted in May 2018, where the intervention consisted of crowdsourced images and videos to promote viral hepatitis testing and reduce HBV stigma. HBV stigma was assessed using a 20-item scale at baseline and four weeks post-enrolment. Participants were divided into three groups based on their exposure to intervention: full exposure, partial exposure and no exposure. Linear regression was used to determine associations between baseline stigma and participant characteristics. Data from 470 MSM were analysed. Mean participant age was 25 years old and 56% had less education than a college bachelor's degree. Full exposure to intervention was associated with significant stigma reduction (adjusted beta = −3.49; 95% CI = −6.11 to −0.87; P = .01), while partial exposure led to stigma reduction that was not statistically significant. The mean stigma score was 50.6 (SD ± 14.7) at baseline, and stigma was most prominent regarding physical contact with HBV carriers. Greater HBV stigma was associated with not having a recent doctor's visit (adjusted beta = 4.35, 95% CI = 0.19 to 8.52; P = .04). In conclusion, crowdsourcing can decrease HBV stigma among MSM in China and may be useful in anti-stigma campaigns for vulnerable populations in low-and middle-income countries. K E Y W O R D S China, crowdsourced, hepatitis B virus, men who have sex with men, stigmatization S U PP O RTI N G I N FO R M ATI O N Additional supporting information may be found online in the Supporting Information section at the end of the article. How to cite this article: Shen K, Yang NS, Huang W, et al. A crowdsourced intervention to decrease hepatitis B stigma in men who have sex with men in China: A cohort study. J Viral

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

A crowdsourced intervention to decrease hepatitis B stigma in men who have sex with men in China: A cohort study

Shen

Yang

Huang

et al. 2019

Journal of Viral Hepatitis

View full text Add to dashboard Cite

show abstract

“…Hepatitis B virus (HBV) infection has been reported worldwide, with an estimated burden of 250 million cases, and has been associated with high mortality rates resulting from complications including cirrhosis and hepatocellular carcinoma (HCC) 1 . There are effective prevention and treatment strategies available, including vaccination and suppressive antiviral therapy, both of which also contribute to prevention of vertical transmission 2 . The Global Hepatitis Health Sector Strategy is aiming for the elimination of viral hepatitis as a public health threat by 2030 3 .…”

Section: Introductionmentioning

confidence: 99%

A blind spot? Confronting the stigma of hepatitis B virus (HBV) infection - A systematic review

Mokaya¹,

McNaughton²,

Burbridge³

et al. 2018

Wellcome Open Res

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The Global Hepatitis Health Sector Strategy is aiming for the Background: elimination of viral hepatitis as a public health threat by 2030. Successful diagnostic, treatment and preventive strategies can reduce incidence and morbidity; it is important to ensure that these interventions and services are not only available, but also accessible. Stigma, poverty, and lack of knowledge may present a substantial barrier, especially in resource limited settings. We therefore set out to assimilate evidence for the nature and impact of stigma on the lives of people with HBV infection and on the community, and to suggest ways to tackle stigma and discrimination.We carried out a literature search in PubMed using the search terms Methods: 'hepatitis B', 'stigma' to identify relevant papers published between 2007 and 2017 (inclusive), with a particular focus on Africa.We identified a total of 34 articles, of which only one study was Results: conducted in Africa. Lack of knowledge on HBV was consistently identified: there were misconceptions about HBV transmission among the public, healthcare workers (HCWs) provided inaccurate information to individuals diagnosed with HBV, and poor understanding resulted in lack of preventive precautions. Stigma negatively impacted on health behaviour such as help-seeking, screening, disclosure, prevention of transmission, and adherence to treatment.Stigma is a potentially major barrier to the successful Conclusion: implementation of preventive, diagnostic and treatment strategies for HBV infection, and yet there is very limited recognition of the magnitude of this challenge, especially in Africa. There is a need for more research in this area, to identify and evaluate interventions that can be used effectively to tackle stigma identify and evaluate interventions that can be used effectively to tackle stigma in HBV, and to inform collaborative efforts between policy makers, HCWs, traditional healers, religious leaders, charity organisations and support groups, to improve awareness and tackle stigma in HBV in Africa.

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“…Prevention requires HBV-infected mothers to be aware of their disease status and to understand the consequences of HBV transmission to their child. Although, many studies have demonstrated that insufficient knowledge of HBV infection in the general public [11, 12, 13, 14, 15, 16] and among health care workers [17, 18, 19] is associated with high prevalence of hepatitis B, only a few studies have assessed knowledge of hepatitis B and MTCT among pregnant women [20, 21, 22]. These studies also indicated similar gaps of knowledge; however, they did not assess the attitudes of the mothers towards methods of preventing MTCT of hepatitis B.…”

Section: Introductionmentioning

confidence: 99%

Knowledge of and attitudes towards hepatitis B and its transmission from mother to child among pregnant women in Guangdong Province, China

et al. 2017

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BackgroundHepatitis B virus (HBV) infection remains a serious public health problem worldwide. Mother-to-child transmission (MTCT) of HBV is the major mode of transmission in HBV-endemic areas, including China, where little is known about pregnant women’s knowledge of and attitudes towards HBV infection and MTCT.MethodsA cross-sectional survey, conducted in pregnant women in Guangdong Province, China, measured HBV knowledge and attitudes using a questionnaire, at one tertiary and two rural hospitals.ResultsThe total response rate was 94.5% (737/780). Of the 11 knowledge questions, the mean score was 6.73 ± 3.04 (mean ± SD). Most pertinent to preventing MTCT, 53.3% of the respondents did not know that HBV can be transmitted through unprotected sexual intercourse and nearly 20% did not know that HBV can be transmitted from mother to infant. The results of the four attitude questions was better with 83% and 85% being willing to be screened for HBV and let their baby receive HBV vaccine and HBIg, respectively. However, only 16.5% of respondents agreed that they would be willing to take drugs that are known not to harm the fetus to prevent MTCT of HBV. In multivariable analysis, higher education level was associated with better knowledge and attitude scores.ConclusionsKnowledge about HBV among pregnant women was poor and needs to be improved to prevent MTCT of HBV. Health education needs to be directed towards pregnant mothers, particularly less educated mothers, in high HBV endemicity settings.

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Survey of hepatitis B knowledge and stigma among chronically infected patients and uninfected persons in Beijing, China

Abstract: Despite high prevalence of CHB in China, our study shows knowledge is limited and there is significant societal and internalized stigma associated with HBV infection.

Cited by 71 publications

References 21 publications

A crowdsourced intervention to decrease hepatitis B stigma in men who have sex with men in China: A cohort study

A crowdsourced intervention to decrease hepatitis B stigma in men who have sex with men in China: A cohort study

A blind spot? Confronting the stigma of hepatitis B virus (HBV) infection - A systematic review

Knowledge of and attitudes towards hepatitis B and its transmission from mother to child among pregnant women in Guangdong Province, China

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