Correlation of literacy and awareness regarding hepatitis C: a survey of family members of hepatitis C patients’
Abstract
Objective: To determine the knowledge among family members of Hepatitis C patients and correlate it with their educational status.
Study Design: A cross sectional observational study.
Place and Duration: Outpatient department of Aziz BhattiShaheed Teaching hospital, Gujrat from 1st January 2015 to 31st march 2015.
Methodology: Data was collected to assess the fundamental knowledge and mode of transmission in people coming with HCV infected patients. Collected data was analyzed by SPSS V.20.
Results: Two hundred and forty one participants were included in study with mean age of 33 years (+11.940 SD). Male to female ratio was 3.30:1, 65.98% married and 104 were below matric (SSC). Two hundred twenty (90%) attendants knew that HCV can cause chronic inflammation, liver failure and liver cancer. Sixty three (26%) assumed it to be a bacterial infection. 164 (Sixty eight %) thought vaccine is available. More than 90 % of attendants knew that it is transmitted through sharing or reuse of syringes 236 (97.9%), blood transfusion without screening 235 (97.5%) and needle stick injuries 225 (93.4%). Two hundred thirty two (96.3 %) disagreed its transmission through holding hands, hugging and kissing. Ninety (37.3%) and fifty five (22.8%) assumed its spread through drinking polluted and unsafe sex respectively. Seventy (29%) disagreed its spread perinataly and contact with open wound. Male and above matric participants have significantly better knowledge (<0.05).
Conclusion: Awareness about HCV among attendants of hepatitis C infected patients was inadequate and has lot of misconceptions especially among females and less educated people.
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References
2. Ali SA, Donahue RM, Qureshi H, Vermund SH. Hepatitis B and hepatitis C in Pakistan: prevalence and risk factors. Int J Infect Dis. 2009 Jan;13(1):9-19. doi: 10.1016/j.ijid.2008.06.019. Epub 2008 Oct 2. [PubMed]
3. Huda WU, Jameel N, Fasih U, Rehman A, Shaikh A. Prevalence of Hepatitis B and C in Urban Patients Undergoing Cataract Surgery. Pak J Ophthalmol 2013; 29 (3): 147-50.
4. Mitchell AE, Colvin HM, Palmer Beasley R. Institute of Medicine recommendations for the prevention and control of hepatitis B and C. Hepatology. 2010 Mar;51(3):729-33. doi: 10.1002/hep.23561.
5. Lim VK, Teo TS, Teo AC, Tan KT. HIV and youths in Singapore--knowledge, attitudes and willingness to work with HIV-infected persons. Singapore Med J. 1999 Jun;40(6):410-5. [PubMed]
6. Heijnders M, Van Der Meij S. The fight against stigma: an overview of stigma-reduction strategies and interventions. Psychol Health Med. 2006 Aug;11(3):353-63.
7. Krauskopf K, McGinn TG, Federman AD, Halm EA, Leventhal H, McGinn LK, Gardenier D, Oster A, Kronish IM. HIV and HCV health beliefs in an inner-city community. J Viral Hepat. 2011 Nov;18(11):785-91. doi: 10.1111/j.1365-2893.2010.01383.x. Epub 2010 Oct 18. [PubMed]
8. Muñoz Sastre MT, Bacq Y, Mullet E, Sorum PC. Misconceptions regarding hepatitis C in the French public. Prev Med. 2002 Jun;34(6):596-9. [PubMed]
9. van der Veen YJ, Voeten HA, de Zwart O, Richardus JH. Awareness, knowledge and self-reported test rates regarding Hepatitis B in Turkish-Dutch: a survey. BMC Public Health. 2010 Aug 24;10:512. doi: 10.1186/1471-2458-10-512.
10. Chao J, Chang ET, So SK (2010) Hepatitis B and liver cancer knowledge and practices among healthcare and public health professionals in China: a cross-sectional study. BMC Public Health 10: 98. doi:10.1186/1471-2458-10-98.
11. Razi A, Rehman R, Naz S, Ghafoor F, Khan M A. Knowledge attitude and practices of university students regarding hepatitis B and C. ARPN J Agricul and Bio Sci. 2010; 5(4): 38-43. ISSN 1990-6145.
12. Ghahramani F, Mohammad beigi A, Mohammad salehi N.A Survey of the Students' Knowledge about Hepatitis in Shiraz University of Medical Sciences. Hepatitis monthly.2006; 6(2): 59-62.
13. Jamil MS, Ali H, Shaheen R, Basit A. Prevalence, knowledge and awareness of hepatitis C among residents of three Union Councils in Mansehra. J Ayub Med Coll Abbottabad. 2010 Jul-Sep;22(3):192-6.
14. Anjum Q, Siddiqui H, Ahmed Y, Rizvi SR, Usman Y. Knowledge of students regarding hepatitis and HIV/AIDS of a private medical university in Karachi. J Pak Med Assoc. 2005 Jul;55(7):285-8.
15. Gambhir R., Kapoor V., Jindal G., Garg S., Setia S., Setia S. Attitudes and awareness regarding Hepatitis B and Hepatitis C amongst health-care workers of a tertiary Hospital in India. Annals of Medical and Health Sciences Research. 2013;3(4):551–558. doi. 10.4103/2141-9248.122105.
16. Bari A, Akhtar S, Rahbar MH, Luby SP. Risk factors for hepatitis C virus infection in male adults in Rawalpindi-Islamabad, Pakistan. Trop Med Int Health. 2001 Sep;6(9):732-8. [PubMed]
17. Previsani N, Lavanchy, D. WHO/CDS/CSR/LYO/2002.2: Hepatitis B. Geneva: World Health Organization; 2002. Hepatitis B.
18. Raja NS, Janjua KA. Epidemiology of hepatitis C virus infection in Pakistan. J Microbiol Immunol Infect. 2008 Feb;41(1):4-8. [PubMed]
19. Conte D, Fraquelli M, Prati D, Colucci A, Minola E. Prevalence and clinical course of chronic hepatitis C virus (HCV) infection and rate of HCV vertical transmission in a cohort of 15,250 pregnant women. Hepatology. 2000 Mar;31(3):751-5.
20. Mast EE, Hwang LY, Seto DS, Nolte FS, Nainan OV, Wurtzel H, Alter MJ. Risk factors for perinatal transmission of hepatitis C virus (HCV) and the natural history of HCV infection acquired in infancy. J Infect Dis. 2005;192:1880-9 PMID: 16267758 doi: 10.1086/497701.
21. Kao JH, Liu CJ, Chen PJ, Chen W, Lai MY, Chen DS. Low incidence of hepatitis C virus transmission between spouses: a prospective study. J Gastroenterol Hepatol. 2000 Apr;15(4):391-5.
22. Marincovich B, Castilla J, del Romero J, García S, Hernando V, Raposo M, Rodríguez C. Absence of hepatitis C virus transmission in a prospective cohort of heterosexual serodiscordant couples. Sex Transm Infect. 2003 Apr;79(2):160-2. [PubMed]
23. McMahon JM, Pouget ER, Tortu S. Individual and couple-level risk factors for hepatitis C infection among heterosexual drug users: a multilevel dyadic analysis. J Infect Dis. 2007 Jun 1;195(11):1572-81. Epub 2007 Apr 16. [PubMed]
24. Eguchi H, Wada K (2013) Knowledge of HBV and HCV and Individuals’ Attitudes Toward HBV- and HCV-Infected Colleagues: A National Cross Sectional Study among a Working Population in Japan. PLoS ONE 8(9): e76921. doi:10.1371/journal.pone.0076921. [PubMed]
25. Corrigan PW, Watson AC, Warpinski AC, Gracia G. Implications of educating the public on mental illness, violence, and stigma. Psychiatr Serv. 2004 May;55(5):577-80. [PubMed]
26. Hoa NP, Diwan VK, Co NV, Thorson AE. Knowledge about tuberculosis and its treatment among new pulmonary TB patients in the north and central regions of Vietnam. Int J Tuberc Lung Dis. 2004 May;8(5):603-8.
27. Ataei B, Meidani M, Khosravi M, Khorvash F, Akbari M. Knowledge, attitude, and performance of medical staff of teaching healthcare settings about hepatitis B and C in Isfahan, Iran. Adv Biomed Res. 2014 Dec 31;3:267. doi: 10.4103/2277-9175.148249. eCollection 2014.