Survey of hepatitis B knowledge and stigma among chronically infected patients and uninfected persons in Beijing, China
Identifieur interne : 001172 ( Istex/Curation ); précédent : 001171; suivant : 001173Survey 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
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: Pour aller vers cette notice dans l'étape Curation :001172
Links to Exploration step
ISTEX:5B2DA3A3315F1FCF5097183CB36F103CCF281196Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Survey of hepatitis B knowledge and stigma among chronically infected patients and uninfected persons in Beijing, China</title>
<author><name sortKey="Huang, Jiaxin" sort="Huang, Jiaxin" uniqKey="Huang J" first="Jiaxin" last="Huang">Jiaxin Huang</name>
<affiliation wicri:level="1"><mods:affiliation>University of Michigan Medical School, MI, Ann Arbor, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Michigan Medical School, MI, Ann Arbor</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Guan, Mary L" sort="Guan, Mary L" uniqKey="Guan M" first="Mary L." last="Guan">Mary L. Guan</name>
<affiliation wicri:level="1"><mods:affiliation>University of Michigan Medical School, MI, Ann Arbor, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Michigan Medical School, MI, Ann Arbor</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Balch, Jeremy" sort="Balch, Jeremy" uniqKey="Balch J" first="Jeremy" last="Balch">Jeremy Balch</name>
<affiliation wicri:level="1"><mods:affiliation>University of Michigan Medical School, MI, Ann Arbor, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Michigan Medical School, MI, Ann Arbor</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Wu, Elizabeth" sort="Wu, Elizabeth" uniqKey="Wu E" first="Elizabeth" last="Wu">Elizabeth Wu</name>
<affiliation wicri:level="1"><mods:affiliation>Division of Gastroenterology and Hepatology, University of Michigan, MI, Ann Arbor, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Gastroenterology and Hepatology, University of Michigan, MI, Ann Arbor</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Rao, Huiying" sort="Rao, Huiying" uniqKey="Rao H" first="Huiying" last="Rao">Huiying Rao</name>
<affiliation wicri:level="1"><mods:affiliation>Peking University Hepatology Institute, Peking University People's Hospital, Beijing, China</mods:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Peking University Hepatology Institute, Peking University People's Hospital, Beijing</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Lin, Andy" sort="Lin, Andy" uniqKey="Lin A" first="Andy" last="Lin">Andy Lin</name>
<affiliation wicri:level="1"><mods:affiliation>The Molecular and Behavioral Neuroscience Institute, University of Michigan, MI, Ann Arbor, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>The Molecular and Behavioral Neuroscience Institute, University of Michigan, MI, Ann Arbor</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Wei, Lai" sort="Wei, Lai" uniqKey="Wei L" first="Lai" last="Wei">Lai Wei</name>
<affiliation wicri:level="1"><mods:affiliation>Peking University Hepatology Institute, Peking University People's Hospital, Beijing, China</mods:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Peking University Hepatology Institute, Peking University People's Hospital, Beijing</wicri:regionArea>
</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"><mods:affiliation>Division of Gastroenterology and Hepatology, University of Michigan, MI, Ann Arbor, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Gastroenterology and Hepatology, University of Michigan, MI, Ann Arbor</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><mods:affiliation>E-mail: aslok@umich.edu</mods:affiliation>
<country wicri:rule="url">États-Unis</country>
</affiliation>
<affiliation><mods:affiliation>Anna S. Lok, MD, Division of Gastroenterology and Hepatology, University of Michigan, 1500 E Medical Center Drive, 3912 Taubman Center, SPC 5362, Ann Arbor, MI 48109, USATel: +1 734 936 7511; Fax: +1 734 936 7392e‐mail:</mods:affiliation>
<wicri:noCountry code="subField">7392e‐mail:</wicri:noCountry>
</affiliation>
<affiliation wicri:level="1"><mods:affiliation>E-mail: aslok@umich.edu</mods:affiliation>
<country wicri:rule="url">États-Unis</country>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">ISTEX</idno>
<idno type="RBID">ISTEX:5B2DA3A3315F1FCF5097183CB36F103CCF281196</idno>
<date when="2016" year="2016">2016</date>
<idno type="doi">10.1111/liv.13168</idno>
<idno type="url">https://api.istex.fr/ark:/67375/WNG-SRZ0ZWV3-S/fulltext.pdf</idno>
<idno type="wicri:Area/Istex/Corpus">001172</idno>
<idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">001172</idno>
<idno type="wicri:Area/Istex/Curation">001172</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title level="a" type="main">Survey of hepatitis B knowledge and stigma among chronically infected patients and uninfected persons in Beijing, China</title>
<author><name sortKey="Huang, Jiaxin" sort="Huang, Jiaxin" uniqKey="Huang J" first="Jiaxin" last="Huang">Jiaxin Huang</name>
<affiliation wicri:level="1"><mods:affiliation>University of Michigan Medical School, MI, Ann Arbor, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Michigan Medical School, MI, Ann Arbor</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Guan, Mary L" sort="Guan, Mary L" uniqKey="Guan M" first="Mary L." last="Guan">Mary L. Guan</name>
<affiliation wicri:level="1"><mods:affiliation>University of Michigan Medical School, MI, Ann Arbor, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Michigan Medical School, MI, Ann Arbor</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Balch, Jeremy" sort="Balch, Jeremy" uniqKey="Balch J" first="Jeremy" last="Balch">Jeremy Balch</name>
<affiliation wicri:level="1"><mods:affiliation>University of Michigan Medical School, MI, Ann Arbor, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Michigan Medical School, MI, Ann Arbor</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Wu, Elizabeth" sort="Wu, Elizabeth" uniqKey="Wu E" first="Elizabeth" last="Wu">Elizabeth Wu</name>
<affiliation wicri:level="1"><mods:affiliation>Division of Gastroenterology and Hepatology, University of Michigan, MI, Ann Arbor, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Gastroenterology and Hepatology, University of Michigan, MI, Ann Arbor</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Rao, Huiying" sort="Rao, Huiying" uniqKey="Rao H" first="Huiying" last="Rao">Huiying Rao</name>
<affiliation wicri:level="1"><mods:affiliation>Peking University Hepatology Institute, Peking University People's Hospital, Beijing, China</mods:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Peking University Hepatology Institute, Peking University People's Hospital, Beijing</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Lin, Andy" sort="Lin, Andy" uniqKey="Lin A" first="Andy" last="Lin">Andy Lin</name>
<affiliation wicri:level="1"><mods:affiliation>The Molecular and Behavioral Neuroscience Institute, University of Michigan, MI, Ann Arbor, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>The Molecular and Behavioral Neuroscience Institute, University of Michigan, MI, Ann Arbor</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Wei, Lai" sort="Wei, Lai" uniqKey="Wei L" first="Lai" last="Wei">Lai Wei</name>
<affiliation wicri:level="1"><mods:affiliation>Peking University Hepatology Institute, Peking University People's Hospital, Beijing, China</mods:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Peking University Hepatology Institute, Peking University People's Hospital, Beijing</wicri:regionArea>
</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"><mods:affiliation>Division of Gastroenterology and Hepatology, University of Michigan, MI, Ann Arbor, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Gastroenterology and Hepatology, University of Michigan, MI, Ann Arbor</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><mods:affiliation>E-mail: aslok@umich.edu</mods:affiliation>
<country wicri:rule="url">États-Unis</country>
</affiliation>
<affiliation><mods:affiliation>Anna S. Lok, MD, Division of Gastroenterology and Hepatology, University of Michigan, 1500 E Medical Center Drive, 3912 Taubman Center, SPC 5362, Ann Arbor, MI 48109, USATel: +1 734 936 7511; Fax: +1 734 936 7392e‐mail:</mods:affiliation>
</affiliation>
<affiliation wicri:level="1"><mods:affiliation>E-mail: aslok@umich.edu</mods:affiliation>
<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>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/SrasV1/Data/Istex/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001172 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Istex/Curation/biblio.hfd -nk 001172 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Sante |area= SrasV1 |flux= Istex |étape= Curation |type= RBID |clé= ISTEX:5B2DA3A3315F1FCF5097183CB36F103CCF281196 |texte= Survey of hepatitis B knowledge and stigma among chronically infected patients and uninfected persons in Beijing, China }}
![]() | This area was generated with Dilib version V0.6.33. | ![]() |