Hepatitis B/Hepatitis C Knowledge-attitude-practice Epidemiological Investigation Of Residents In Chengdu And Chongqing

Objective: To investigate the awareness and influencing factors of residents on hepatitis B/hepatitis C in Chengdu and Chongqing,finding the current situation of community control of viral hepatitis,and put forward some measures to provide scientific evidence for community control model.Methods: Choosing two communities which in Chongqing and Chengdu as the research area and using the combined method of quantitative and qualitative research.Various stakeholders including residents,community health ambassadors,hepatitis patients,community managers,community health service managers and doctors.Quantitative study: A total of 1,000 residents to conduct a questionnaire survey in a plot of Chongqing and Chengdu respectively.The demographic characteristics,the knowledge of hepatitis B and hepatitis C,hepatitis B relevant attitude,hepatitis B and hepatitis C related behavior were collected by questionnaire.All date were input in Epidata3.1,and all analyses were conducted in SPSS21.0.Qualitative interview: In-depth interviews were carried for 8 community health ambassadors,5 hepatitis patients,3 community neighborhood committee related staff,2 community health service managers and 2 doctors.MAXqda software and thematic framework method was applied to analyze qualitative data from in-depth interviews.Results: In the knowledge of hepatitis B,awareness rate of the hepatitis B can be vaccinated to prevention was highest(80.62%),may still be infected with hepatitis B virus after vaccination was the lowest(14.39%).In the knowledge of hepatitis C,the awareness rate of a serious infectious disease was highest(62.83%),hepatitis C without vaccine was the lowest(17.20%).The knowledge full score was 120 points,residents without 70 points accounted for 58.81%.The binary logistic regression analysis results indicates that gender,educational level,per capita income and marital status(unmarried)were the influencing factors of knowledge.In the response to treat HBV patients,residents who do not want to be in love or marriage with HBV patients were highest(79.85%).There were 36.92% and 39.66% residents expressed that they had encountered hepatitis B patients were away from people and had difficult in employment or education(P<0.01).The differences in the attitudes of residents with different age,income and education level on hepatitis B patients were statistically significant(P<0.01).46.10% vaccinated against the hepatitis B vaccine.The low-age groups inoculation rate was higher than the high-age groups(P<0.01),the high-income groups was higher than the low-income groups(P<0.01),the high-education groups was higher than the low-education(P<0.01).The binary logistic regression analysis results showed that the higher education and the higher per capita income residents were more likely to be vaccinated with hepatitis B vaccine(OR: 1.619,1.180),higher age residents was less likely to be vaccinated(OR=0.763).The detection rate of hepatitis B serology was 41.82%(P<0.01).The detection rate of the high-education groups was higher than the low-education groups(P <0.01),the high-income groups was higher than the low-income groups(P <0.01).Multivariate analysis results showed that women,higher education and higher income were more likely to have hepatitis B serological tests(OR: 1.627,1.877,1.385).Compared with married,divorced or widowed residents was less likely to be do the test.The detection rate of HCVAb was 16.68%.The detection rate of the high-education groups was higher than the low-education groups(P <0.01),the high-income groups was higher than the low-income groups(P <0.01).The binary logistic regression analysis results indicated that higher income residents were more likely to do HCVAb test(OR=1.222)and high-age residents were less likely to do HCVAb test.Qualitative interviews found that residents were more concerned health problems about the elderly.Residents gain access to hepatitis is limited.At present,community health service do not have the ability to screen and treat hepatitis B and hepatitis C,and there is also no equipment and medicine for treatment.Hepatitis B is not included in the basic public health services and patients without tracking and management.Conclusion: Hepatitis B/hepatitis C awareness of residents at a low level,and the discrimination in those hepatitis B patients is generally existed.High-age,low-income and low-education population of hepatitis B vaccination rate is low,they lack of hepatitis B serological testing and HCVAb testing.We require the government increase publicity efforts to improve the awareness of residents liver protection.