Survey of hepatitis B knowledge and stigma among chronically infected patients and uninfected persons in Beijing, China
Identifieur interne : 000010 ( Istex/Checkpoint ); précédent : 000009; suivant : 000011Survey of hepatitis B knowledge and stigma among chronically infected patients and uninfected persons in Beijing, China
Auteurs : Jiaxin Huang [États-Unis] ; Mary L. Guan [États-Unis] ; Jeremy Balch [États-Unis] ; Elizabeth Wu [États-Unis] ; Huiying Rao [République populaire de Chine] ; Andy Lin [États-Unis] ; Lai Wei [République populaire de Chine] ; Anna S. Lok [États-Unis]Source :
- Liver International [ 1478-3223 ] ; 2016-11.
Abstract
Background & Aims: Hepatitis B virus (HBV) infection carries substantial stigma in China. We surveyed HBV knowledge and stigma among chronic hepatitis B (CHB) patients and persons without HBV infection in Beijing, China. Methods: Four hundred and thirty five CHB patients and 801 controls at Peking University People's Hospital were surveyed. Results: Chronic hepatitis B patients were older (mean 46 vs. 39 years) and more often men (71 vs. 48%) than controls. Mean knowledge score was 11.9/15 for CHB and 9.3/15 for control patients (P < 0.001). Average stigma score was 22.1/39 for CHB and 19.2/30 for control patients. Controls expressed discomfort with close contact (45%) or sharing meals with CHB patients (39%) and believed CHB patients should not be allowed to work in restaurants (58%) or childcare (44%). Chronic hepatitis B patients felt that they were undesirable as spouses (33 vs. 17%) and brought trouble to their families (58 vs. 34%) more often than controls. Despite legal prohibitions, 40% of CHB patients were required to undergo pre‐employment HBV testing, and 29% of these individuals thought that they lost job opportunities because of their disease status. 16% of CHB patients regretted disclosing their HBV status and disclosure was inversely associated with stigma. Higher stigma was associated with older age, lower education and lower knowledge score among controls; and with lower education, younger age, having undergone pre‐employment HBV testing and regret disclosing their HBV status among CHB patients. Conclusion: 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.
See Editorial on Page 1582
Url:
DOI: 10.1111/liv.13168
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Guan</name></author><author><name sortKey="Balch, Jeremy" sort="Balch, Jeremy" uniqKey="Balch J" first="Jeremy" last="Balch">Jeremy Balch</name></author><author><name sortKey="Wu, Elizabeth" sort="Wu, Elizabeth" uniqKey="Wu E" first="Elizabeth" last="Wu">Elizabeth Wu</name></author><author><name sortKey="Rao, Huiying" sort="Rao, Huiying" uniqKey="Rao H" first="Huiying" last="Rao">Huiying Rao</name></author><author><name sortKey="Lin, Andy" sort="Lin, Andy" uniqKey="Lin A" first="Andy" last="Lin">Andy Lin</name></author><author><name sortKey="Wei, Lai" sort="Wei, Lai" uniqKey="Wei L" first="Lai" last="Wei">Lai Wei</name></author><author><name sortKey="Lok, Anna S" sort="Lok, Anna S" uniqKey="Lok A" first="Anna S." last="Lok">Anna S. 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Guan</name><affiliation wicri:level="1"><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Michigan Medical School, MI, Ann Arbor</wicri:regionArea><wicri:noRegion>Ann Arbor</wicri:noRegion></affiliation></author><author><name sortKey="Balch, Jeremy" sort="Balch, Jeremy" uniqKey="Balch J" first="Jeremy" last="Balch">Jeremy Balch</name><affiliation wicri:level="1"><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Michigan Medical School, MI, Ann Arbor</wicri:regionArea><wicri:noRegion>Ann Arbor</wicri:noRegion></affiliation></author><author><name sortKey="Wu, Elizabeth" sort="Wu, Elizabeth" uniqKey="Wu E" first="Elizabeth" last="Wu">Elizabeth Wu</name><affiliation wicri:level="1"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Gastroenterology and Hepatology, University of Michigan, MI, Ann Arbor</wicri:regionArea><wicri:noRegion>Ann Arbor</wicri:noRegion></affiliation></author><author><name sortKey="Rao, Huiying" sort="Rao, Huiying" uniqKey="Rao H" first="Huiying" last="Rao">Huiying Rao</name><affiliation wicri:level="3"><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Peking University Hepatology Institute, Peking University People's Hospital, Beijing</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Lin, Andy" sort="Lin, Andy" uniqKey="Lin A" first="Andy" last="Lin">Andy Lin</name><affiliation wicri:level="1"><country xml:lang="fr">États-Unis</country><wicri:regionArea>The Molecular and Behavioral Neuroscience Institute, University of Michigan, MI, Ann Arbor</wicri:regionArea><wicri:noRegion>Ann Arbor</wicri:noRegion></affiliation></author><author><name sortKey="Wei, Lai" sort="Wei, Lai" uniqKey="Wei L" first="Lai" last="Wei">Lai Wei</name><affiliation wicri:level="3"><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Peking University Hepatology Institute, Peking University People's Hospital, Beijing</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Lok, Anna S" sort="Lok, Anna S" uniqKey="Lok A" first="Anna S." last="Lok">Anna S. Lok</name><affiliation wicri:level="1"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Gastroenterology and Hepatology, University of Michigan, MI, Ann Arbor</wicri:regionArea><wicri:noRegion>Ann Arbor</wicri:noRegion></affiliation><affiliation wicri:level="1"><country wicri:rule="url">États-Unis</country></affiliation><affiliation></affiliation><affiliation wicri:level="1"><country wicri:rule="url">États-Unis</country></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Liver International</title><title level="j" type="alt">LIVER INTERNATIONAL</title><idno type="ISSN">1478-3223</idno><idno type="eISSN">1478-3231</idno><imprint><biblScope unit="vol">36</biblScope><biblScope unit="issue">11</biblScope><biblScope unit="page" from="1595">1595</biblScope><biblScope unit="page" to="1603">1603</biblScope><biblScope unit="page-count">9</biblScope><date type="published" when="2016-11">2016-11</date></imprint><idno type="ISSN">1478-3223</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1478-3223</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">Background & Aims: Hepatitis B virus (HBV) infection carries substantial stigma in China. We surveyed HBV knowledge and stigma among chronic hepatitis B (CHB) patients and persons without HBV infection in Beijing, China. Methods: Four hundred and thirty five CHB patients and 801 controls at Peking University People's Hospital were surveyed. Results: Chronic hepatitis B patients were older (mean 46 vs. 39 years) and more often men (71 vs. 48%) than controls. Mean knowledge score was 11.9/15 for CHB and 9.3/15 for control patients (P < 0.001). Average stigma score was 22.1/39 for CHB and 19.2/30 for control patients. Controls expressed discomfort with close contact (45%) or sharing meals with CHB patients (39%) and believed CHB patients should not be allowed to work in restaurants (58%) or childcare (44%). Chronic hepatitis B patients felt that they were undesirable as spouses (33 vs. 17%) and brought trouble to their families (58 vs. 34%) more often than controls. Despite legal prohibitions, 40% of CHB patients were required to undergo pre‐employment HBV testing, and 29% of these individuals thought that they lost job opportunities because of their disease status. 16% of CHB patients regretted disclosing their HBV status and disclosure was inversely associated with stigma. Higher stigma was associated with older age, lower education and lower knowledge score among controls; and with lower education, younger age, having undergone pre‐employment HBV testing and regret disclosing their HBV status among CHB patients. Conclusion: 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.</div><div type="abstract">See Editorial on Page 1582</div></front></TEI><affiliations><list><country><li>République populaire de Chine</li><li>États-Unis</li></country><settlement><li>Pékin</li></settlement></list><tree><country name="États-Unis"><noRegion><name sortKey="Huang, Jiaxin" sort="Huang, Jiaxin" uniqKey="Huang J" first="Jiaxin" last="Huang">Jiaxin Huang</name></noRegion><name sortKey="Balch, Jeremy" sort="Balch, Jeremy" uniqKey="Balch J" first="Jeremy" last="Balch">Jeremy Balch</name><name sortKey="Guan, Mary L" sort="Guan, Mary L" uniqKey="Guan M" first="Mary L." last="Guan">Mary L. Guan</name><name sortKey="Lin, Andy" sort="Lin, Andy" uniqKey="Lin A" first="Andy" last="Lin">Andy Lin</name><name sortKey="Lok, Anna S" sort="Lok, Anna S" uniqKey="Lok A" first="Anna S." last="Lok">Anna S. Lok</name><name sortKey="Lok, Anna S" sort="Lok, Anna S" uniqKey="Lok A" first="Anna S." last="Lok">Anna S. Lok</name><name sortKey="Lok, Anna S" sort="Lok, Anna S" uniqKey="Lok A" first="Anna S." last="Lok">Anna S. Lok</name><name sortKey="Wu, Elizabeth" sort="Wu, Elizabeth" uniqKey="Wu E" first="Elizabeth" last="Wu">Elizabeth Wu</name></country><country name="République populaire de Chine"><noRegion><name sortKey="Rao, Huiying" sort="Rao, Huiying" uniqKey="Rao H" first="Huiying" last="Rao">Huiying Rao</name></noRegion><name sortKey="Wei, Lai" sort="Wei, Lai" uniqKey="Wei L" first="Lai" last="Wei">Lai Wei</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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