Does the Race or Gender of Hepatitis C Infected Patients Influence Physicians’ Assessment of Hepatitis A and Hepatitis B Serologic Status

Ramsay, David B.; Friedman, Mark; Borum, Marie L.

doi:10.1097/smj.0b013e318063ecc5

Cited by 13 publications

(11 citation statements)

References 12 publications

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“…45 Race and ethnic concordance between provider and patient have been associated with providers' willingness to screen for HBV, patients' perceptions of physician bedside manner, and patients' willingness to comply with health-care directives. [46][47][48] However, there are other means by which physicians can demonstrate respect or trust without requiring race or ethnic concordance, including increasing familiarity with patients and understanding their cultural values and beliefs. 49,50 Finally, CAM presented itself as a topic that physicians leveraged to demonstrate cultural sensitivity.…”

Section: Discussionmentioning

confidence: 99%

Medical Care of Hepatitis B among Asian American Populations: Perspectives from Three Provider Groups

Hwang

Roundtree

Engebretson³

et al. 2010

J GEN INTERN MED

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BACKGROUND: Physicians can play a significant role in helping to decrease the hepatitis B virus (HBV) burden among Asian Americans. Few studies have described knowledge and practice patterns in the medical community among different provider types regarding HBV and liver cancer.OBJECTIVE: Our study explores the HBV beliefs, attitudes and practice patterns of medical providers serving Asian American communities. DESIGN:We conducted three focus groups with primary care providers, liver specialists, and other providers predominantly serving Asian American community. We asked about practices and barriers to appropriate medical care and outreach. PARTICIPANTS:We moderated three focus groups with 23 participants, 18 of whom completed and returned demographic surveys. Twelve were of Asian ethnicity and 13 spoke English as a second language. Only eight screened at least half of their patients, most (72%) using the hepatitis B surface antigen test. APPROACH: We used grounded theory methods to analyze focus group transcripts.RESULTS: Participants frequently discussed cultural and financial barriers to hepatitis care. They admitted reluctance to screen for HBV because patients might be unwilling or unable to afford treatment. Cultural differences were discussed most by primary care providers; best methods of outreach were discussed most by liver specialists; and alternative medicine was discussed most by acupuncturists and other providers.CONCLUSIONS: More resources are needed to lower financial barriers complicating HBV care and encourage providing guideline-recommended screenings. Other providers can help promote HBV screening and increase community and cultural awareness.

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Section: Discussionmentioning

confidence: 99%

Medical Care of Hepatitis B among Asian American Populations: Perspectives from Three Provider Groups

Hwang

Roundtree

Engebretson³

et al. 2010

J GEN INTERN MED

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“…[1] In South-East Asian Region, there are estimated 80 million hepatitis B virus (HBV) carriers (about 6% of the total population). [2] India has the intermediate endemicity of hepatitis B, with hepatitis B surface antigen prevalence between 2% and 10% among the population studied.…”

Section: Introductionmentioning

confidence: 99%

Attitudes and awareness regarding Hepatitis B and Hepatitis C amongst health-care workers of a tertiary Hospital in India

Setia

Gambhir

Kapoor

et al. 2013

Ann Med Health Sci Res

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Background:Hepatitis is an inflammatory disease of the liver. In sever cases, it may lead to permanent liver damage including liver cirrhosis or hepato-cellular carcinoma and may ultimately lead to death. Health-care workers (HCWs), due to their regular contact with patients are at a high-risk of acquiring this disease.Aim:The aim of this study was to assess the knowledge and attitude toward hepatitis B and C infection among the health-care interns and correlate the level of awareness to the attitude they behold toward the disease.Subjects and Methods:A closed ended questionnaire consisting of questions to evaluate the knowledge regarding hepatitis B and C infection and attitude of the (HCWs/interns) was duly filled by 255 participants including, 100 dental, 100 medical, and 55 nursing interns. Statistical analysis was carried out using the Chi-square test, ANOVA test, post-hoc test and Pearson's correlation.Results:Although most of the interns were aware of the existence of hepatitis B and C infection, the level of awareness regarding the modes of transmission and vaccination was found to be dissatisfactory. Awareness level regarding the infection among nursing interns was statistically significantly lower than the dental and medical interns. A direct positive correlation as found between awareness score and behavior score, which reveals that interns with better awareness level had better attitudes toward the infection and prevention of its transmission.Conclusion:There is an urgent need to increase the level and quality of training among HCWs to prevent the spread of hepatitis B virus and hepatitis C virus.

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“…The disease was originally known as "serum hepatitis". [4] Hepatitis C is a hepatotropic viral infection caused by hepatitis C virus (HCV), which is a major cause of acute hepatitis and chronic liver disease. It is characterized by inflammation of the liver and in many cases permanent damage to liver tissue.…”

Section: Introductionmentioning

confidence: 99%

“…The most common types of hepatitis are hepatitis A, B, C, D, E, and G. Hepatitis B and C can lead to permanent liver damage and in many cases death. [4] There are more than 2 billion people worldwide having evidence of recent or past HBV infection and 350 million are chronic carriers. In the Southeast Asia region, there are estimated 80 million HBV carriers (about 6% of the total population).…”

Section: Introductionmentioning

confidence: 99%

Hepatitis B and C infection: Clinical implications in dental practice

Setia

Gambhir

Kapoor

2013

European Journal of General Dentistry

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Health-care workers have an occupational risk of infection with hepatitis B virus (HBV) and hepatitis C virus (HCV). Since dental healthcare professionals have numerous patients and are exposed to blood, they are likely to have the maximum risk. HBC and HCV are transmitted by skin prick with infected, contaminated needles and syringes or through accidental inoculation of minute quantities of blood during surgical and dental procedures. HBV can be prevented by strict adherence to standard microbiological practices and techniques, and routine use of appropriate barrier precautions to prevent skin and mucous membrane exposure when handling blood and other body fluids of all patients in healthcare settings and pre-exposure vaccines. Despite many publications about programs and strategies to prevent transmission, HBV and HCV infections remain a major public health issue. Oral clinical manifestations can be observed, such as bleeding disorders, jaundice, fetor hepaticus, and xerostomia. The most frequent extrahepatic manifestations mostly affect the oral region in the form of lichen planus, xerostomia, Sjögren's syndrome, and sialadenitis. The present paper highlights some of the important oral manifestations related to hepatitis B and C infection and various post-exposure protocols that can be undertaken to minimize the risk of infection.

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Does the Race or Gender of Hepatitis C Infected Patients Influence Physicians’ Assessment of Hepatitis A and Hepatitis B Serologic Status

Abstract: HCV-infected individuals were inconsistently tested for HAV and HBV. Patients' race, but not gender, had a significant impact upon whether HCV-infected individuals were tested for HAV and HBV.

Cited by 13 publications

References 12 publications

Medical Care of Hepatitis B among Asian American Populations: Perspectives from Three Provider Groups

Medical Care of Hepatitis B among Asian American Populations: Perspectives from Three Provider Groups

Attitudes and awareness regarding Hepatitis B and Hepatitis C amongst health-care workers of a tertiary Hospital in India

Hepatitis B and C infection: Clinical implications in dental practice

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