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| Knowledge and behaviors about hepatitis B prevention and control among carriers of hepatitis B surface antigen |
| LI Siwen, ZHOU Tiantian, ZHANG Chao, ZHANG Dan, HU Weijun
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| Shaanxi Provincial Center for Disease Control and Prevention, Xi'an, Shaanxi 710054, China |
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Abstract Objective To investigate the knowledge and behaviors related to hepatitis B prevention and control among carriers of hepatitis B surface antigen (HBsAg), so as to provide the basis for conducting health education and interventions for HBsAg carriers. Methods Based on the seroepidemiological survey of hepatitis B among individuals aged 1 to 69 years in Shaanxi Province, HBsAg carriers were selected as the study subjects. Basic information, knowledge and behaviors about hepatitis B prevention and control were collected through questionnaire surveys. The awareness of hepatitis B prevention and control knowledge and related behaviors among HBsAg carriers were analyzed. Results A total of 107 HBsAg carriers were enrolled, including 52 males (48.60%) and 55 females (51.40%), and had a median age of 47.04 (interquartile range, 19.78) years. The awareness of hepatitis B prevention and control knowledge ranged from 56.07% to 87.85% among HBsAg carriers, with the highest awareness for "hepatitis B vaccination can effectively prevent hepatitis B "(87.85%), and the lowest awareness for "sharing meals with HBsAg carriers or hepatitis B patients will not lead to infection" (56.07%) and "hepatitis B can be treated with antiviral drugs" (61.68%). The proportions of those who did not seek medical consultation, undergo regular check-ups, or receive treatment were relatively high, at 65.42%, 72.90% and 77.57%, respectively. Conclusions The awareness of hepatitis B transmission routes and treatment-related knowledge among HBsAg carriers is relatively low, and their medical-seeking behaviors are relatively passive. There is a need to enhance the dissemination of hepatitis B prevention and control knowledge, improve medical-seeking behaviors, and reduce the risk of hepatitis B virus transmission.
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Received: 04 December 2024
Revised: 23 January 2025
Published: 17 March 2025
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[1] GBD 2019 Hepatitis B Collaborators.Global,regional,and national burden of hepatitis B,1990-2019:a systematic analysis for the Global Burden of Disease Study 2019BD 2019 Hepatitis B Collaborators.Global,regional,and national burden of hepatitis B,1990-2019:a systematic analysis for the Global Burden of Disease Study 2019[J].Lancet Gastroenterol Hepatol,2022,7(9):796-829.
[2] World Health Organization.Global health sector strategies on HIV,hepatitis and STIs 2016-2021[J/OL].[2025-01-23].https://www.who.int/teams/global-hiv-hepatitis-and-stis-programmes/strategies/global-health-sector-strategies-2016-2021.
[3] DAIDA Y G,BOSCARINO J A,MOORMAN A C,et al.Mental and physical health status among chronic hepatitis B patients[J].Qual Life Res,2020,29(6):1567-1577.
[4] 焦娇,郭意男,章国君,等.乙肝肝硬化进展原发性肝癌的危险因素研究[J].预防医学,2019,31(4):363-366,370.
JIAO J,GUO Y N,ZHANG G J,et al.Advance in research of risk factors for hepatitis B cirrhosis progressing to primary hepatic carcinoma[J].China Prev Med J,2019,31(4):363-366,370.(in Chinese)
[5] 周天天,张丹,王锐泽,等.2020年陕西省1~69岁人群乙型肝炎血清流行病学调查[J].中国疫苗和免疫,2023,29(2):164-168.
ZHOU T T,ZHANG D,WANG R Z,et al.A hepatitis B sero-epidemiological survey among 1-69-year-olds in Shaanxi province,2020[J].Chin J Vaccines Immunization,2023,29(2):164-168.(in Chinese)
[6] 卜苏洪. 贵州省少数民族地区乙肝感染家庭聚集性与家庭结构、家庭乙肝知识知晓情况的关系研究[D].贵阳:贵州医科大学,2019.
BU S H.The association of family structure and knowledge of hepatitis B with family aggregation of hepatitis B infection in minority areas of Guizhou Province[D].Guiyang:Guizhou Medical University,2019.(in Chinese)
[7] 史文举,张维立,王鑫,等.社区居民乙肝防控知识知晓情况调查及乙肝歧视的影响因素分析[J].现代生物医学进展,2021,21(2):302-306.
SHI W J,ZHANG W L,WANG X,et al.Investigation on the knowledge of hepatitis B prevention and control among community residents and analysis on the influencing factors of hepatitis B discrimination[J].Progress Mod Biomedicine,2021,21(2):302-306.(in Chinese)
[8] 卢艳萍. 2012—2021年乙型肝炎肝硬化患者的流行病学及临床特征分析[D].昆明:昆明医科大学,2023.
LU Y P.Epidemiological and clinical characteristics of inpatients with hepatitis B cirrhosis from 2012 to 2021[D].Kunming:Kunming Medical University,2023.(in Chinese)
[9] BANCHA B,KINFE A A,CHANKO K P,et al.Prevalence of hepatitis B viruses and associated factors among pregnant women attending antenatal clinics in public hospitals of Wolaita Zone,South Ethiopia[J/OL].PLoS One,2020,15(5)[2025-01-23].https://doi.org/10.1371/journal.pone.0232653.
[10] 唐秀芹. 学龄前和学龄期儿童乙型病毒性肝炎传播现状及其影响因素[J].中国卫生工程学,2018,17(3):377-379.
TANG X Q.The current situation of hepatitis B virus transmission among preschool and school-aged children and its influencing factors[J].Chin J Public Health Eng,2018,17(3):377-379.(in Chinese)
[11] TESFU M A,HABTEMARIAM T T,BELAY N B.Risk factors associated with hepatitis B virus infection among pregnant women attending public hospitals in Addis Ababa,Ethiopia[J/OL].PLoS One,2023,18(4)[2025-01-23].https://doi.org/10.1371/
journal.pone.0284646.
[12] WELDEBRHAN D,BERHE H,TESFAY Y.Risk factors for hepatitis B virus infection in North Ethiopia:a case-control study[J].Hepat Med,2023,15:79-91.
[13] XU X L,WU C S,JIANG L S,et al.Cost-effectiveness of hepatitis B mass screening and management in high-prevalent rural china:a model study from 2020 to 2049[J].Int J Health Policy Manag,2022,11(10):2115-2123.
[14] 揭彬,白春花,毕华强,等.乙肝患者肝癌诊断前规范筛查的影响因素分析[J].预防医学,2021,33(5):433-437.
JIE B,BAI C H,BI H Q,et al.Factors associated with adherence to screening before diagnosis of hepatocellular carcinoma related to chronic hepatitis B[J].China Prev Med J,2021,33(5):433-437.(in Chinese)
[15] YAN R Y,SUN M H,YANG H Y,et al.2024 latest report on hepatitis B virus epidemiology in China:current status,changing trajectory,and challenges[J].Hepatobiliary Surg Nutr,2025,14(1):66-77. |
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