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
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DOI: 10.1111/liv.13168
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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)
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