Assessment of Knowledge, Stigmatizing Attitudes and Health-Seeking Behaviors Regarding Hepatitis B Virus Infection in a Pharmacy and Community Setting in Sierra Leone: A Cross-Sectional Study

被引：5

作者：

Ghazzawi, Manal ^{[1
]}

Yendewa, Sahr A. ^{[2
]}

James, Peter B. ^{[3
]}

Massaquoi, Samuel P. ^{[2
]}

Babawo, Lawrence S. ^{[4
]}

Sahr, Foday ^{[2
]}

Deen, Gibrilla F. ^{[2
,5
]}

Kabba, Mustapha ^{[2
]}

Ocama, Ponsiano ^{[6
]}

Lakoh, Sulaiman ^{[2
,5
]}

Salata, Robert A. ^{[7
,8
]}

Yendewa, George A. ^{[7
,8
,9
]}

机构：

[1] KnowHep Fdn, Freetown, Sierra Leone

[2] Minist Hlth & Sanitat, Freetown, Sierra Leone

[3] Southern Cross Univ, Fac Hlth, Lismore, NSW 2480, Australia

[4] Njala Univ, Sch Community Hlth Sci, Dept Nursing, Bo Campus, Freetown, Sierra Leone

[5] Univ Sierra Leone, Coll Med & Allied Hlth Sci, Dept Med, Freetown, Sierra Leone

[6] Makerere Univ, Coll Hlth Sci, Dept Med, POB 7062, Kampala, Uganda

[7] Case Western Reserve Univ, Sch Med, Dept Med, Cleveland, OH 44106 USA

[8] Univ Hosp Cleveland, Div Infect Dis & HIV Med, Med Ctr, Cleveland, OH 44106 USA

[9] Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD 21205 USA

来源：

HEALTHCARE | 2023年 / 11卷 / 02期

基金：

美国国家卫生研究院;

关键词：

hepatitis B virus; knowledge; stigma; health-seeking behaviors; Sierra Leone; PREVALENCE; BARRIERS; PEOPLE; IMPACT;

D O I：

10.3390/healthcare11020177

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Hepatitis B virus (HBV) is a major global health challenge. Emerging evidence suggests that poor knowledge and stigma are impacting HBV control efforts in sub-Saharan Africa (SSA), but their role is not well understood. We conducted a cross-sectional study of adults aged >= 18 years in a community and pharmacy setting in Freetown, Sierra Leone. A structured questionnaire was used to assess knowledge, stigmatizing attitudes and health-seeking behaviors regarding HBV. Logistic regression was used to identify predictors of HBV knowledge and related stigma. A total of 306 adult participants were enrolled (50.7% male, 7.5% HBV positive and 11.7% vaccinated). Overall, 52.2% had good HBV knowledge and 49.3% expressed a stigmatizing attitude towards people with HBV. Notwithstanding, 72.2% stated they would receive the HBV vaccine if offered, 80.4% would take anti-HBV medication and 78.8% would be willing to attend clinic regularly. Good HBV knowledge was associated with HBV positive status (aOR 4.41; p = 0.029) and being vaccinated against HBV (aOR 3.30; p = 0.034). HBV-related stigma was associated with secondary or higher level of education (aOR 2.36; p < 0.001), good HBV knowledge (aOR 2.05; p = 0.006) and pharmacy setting (aOR 1.74, p = 0.037). These findings suggest that education and stigma reduction may benefit HBV elimination efforts in SSA.

引用

页数：14

共 38 条

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