Hepatitis B knowledge and associated factors among people with chronic hepatitis B

Hajarizadeh, Behzad; Wallace, Jack; Richmond, Jacqui; Ngo, Naomi; Enright, Chris

doi:10.1111/1753-6405.12378

Cited by 50 publications

(51 citation statements)

References 26 publications

(47 reference statements)

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“…Insufficient knowledge or misconception about hepatitis B is one explanation for an unrealistic fear or reluctance to talk about hepatitis B with others. Previous studies have shown a positive association between academic education and knowledge of hepatitis B among people with CHB (14, 20, 24, 25) and a lower educational level can be a surrogate marker for less knowledge about hepatitis B. This hypothesis is supported by our findings indicating a higher proportion of participants with higher education were realistically worried about developing liver disease.…”

Section: Discussionsupporting

confidence: 86%

“…Changes in social behaviours, life style and the way they live due to a chronic disease are expected among patients living with a chronic disease. However, some additional negative attitudes among people with CHB coupled with misconceptions about hepatitis B transmission occurring through sharing foods, utensils, kissing and hugging (14, 20, 24, 25) may result in social isolation of people with CHB and consequently impair their social health. In a study from the United States, 43% of people with CHB reported dating less since they had been diagnosed with hepatitis B and 52% felt overwhelmed about dealing with hepatitis B (18).…”

Section: Discussionmentioning

confidence: 99%

“…As part of a larger research exploring barriers to treatment, knowledge, psycho-social health and clinical experiences of people with CHB living in Australia (14, 15), this current study examined feelings and attitudes about having hepatitis B among people with CHB living in Australia, including hepatitis B-related concerns and anxieties.…”

Section: Objectivesmentioning

confidence: 99%

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Hepatitis B-Related Concerns and Anxieties Among People With Chronic Hepatitis B in Australia

et al. 2016

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BackgroundThe psychological wellbeing of people with chronic hepatitis B (CHB) may be negatively affected due to the chronic and transmissible nature of the disease, and possible serious complications (e.g. cirrhosis and liver cancer). There are limited data investigating concerns and anxieties among people living with CHB.ObjectivesThis study examined feelings about having hepatitis B among people with CHB, including hepatitis B-related concerns and anxieties.Patients and MethodsUsing convenience sampling, people with CHB attending four public liver clinics and one general practice in three Australian jurisdictions between April and September 2013 completed a self-administered questionnaire about their feelings about having hepatitis B.ResultsNinety-three people completed the survey. Mean age was 45 years, 57% were men, and 93% were born overseas (75% from Asia). Seventy-six percent of participants reported having hepatitis B-related concerns and anxieties. The most common concerns were of developing liver cancer (57%), and infecting other people (53%). Thirty-five percent of participants were unwilling to talk to anyone about their hepatitis B while 25% changed how they lived as a result of having hepatitis B. Lower educational level was associated with feeling scared of hepatitis B (adjusted Odds Ratio [OR]: 4.04; 95%CI: 1.09, 14.90; P = 0.04), and an unwillingness to talk to anyone about hepatitis B (adjusted OR: 4.41; 95%CI: 1.09, 17.83; P = 0.04). Very good English proficiency was associated with a higher likelihood of participants changing how they lived (adjusted OR: 12.66; 95%CI: 2.21, 72.42; P < 0.01), and seeing life differently as a result of having hepatitis B (adjusted OR: 21.10; 95%CI: 3.70, 120.19; P < 0.01). Health professionals were the key person for 34% of participants in helping them cope with having hepatitis B, while 18% reported that no one supported them.ConclusionsHepatitis B-related concerns and anxieties are prevalent among people with CHB. Clinical management of people with CHB must address their psychological support needs as an essential component of comprehensive care.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

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Hepatitis B-Related Concerns and Anxieties Among People With Chronic Hepatitis B in Australia

et al. 2016

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“…The frequency of undertaking each withdrawal activity in the past month were collected with responses ranging from 0 (never) to 4 (very often). The total score ranged from 0 (never taken any of the preventative actions) to 20 (taken preventative actions very often for all of the activities).BBV transmission knowledgeParticipants rated 14 statements about HIV transmission [27], 31 about HCV transmission [28, 29] and 15 about HBV [30]. The total number of correct answers across each BBV transmission questionnaire was summed (range 0–14 for HIV, 0–31 for HCV and 0–15 for HBV).…”

Section: Methodsmentioning

confidence: 99%

“…Participants rated 14 statements about HIV transmission [27], 31 about HCV transmission [28, 29] and 15 about HBV [30]. The total number of correct answers across each BBV transmission questionnaire was summed (range 0–14 for HIV, 0–31 for HCV and 0–15 for HBV).…”

Section: Methodsmentioning

confidence: 99%

The acceptability and feasibility of a brief psychosocial intervention to reduce blood-borne virus risk behaviours among people who inject drugs: a randomised control feasibility trial of a psychosocial intervention (the PROTECT study) versus treatment as usual

et al. 2017

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BackgroundWhile opiate substitution therapy and injecting equipment provision (IEP) have reduced blood-borne viruses (BBV) among people who inject drugs (PWID), some PWID continue to share injecting equipment and acquire BBV. Psychosocial interventions that address risk behaviours could reduce BBV transmission among PWID.MethodsA pragmatic, two-armed randomised controlled, open feasibility study of PWID attending drug treatment or IEP in four UK regions. Ninety-nine PWID were randomly allocated to receive a three-session manualised psychosocial group intervention and BBV transmission information booklet plus treatment as usual (TAU) (n = 52) or information booklet plus TAU (n = 47). The intervention was developed from evidence-based literature, qualitative interviews with PWID, key stakeholder consultations, and expert opinion. Recruitment rates, retention in treatment, follow-up completion rates and health economic data completion measured feasibility.ResultsFifty-six percent (99/176) of eligible PWID were recruited. More participants attended at least one intervention session in London (10/16; 63%) and North Wales (7/13; 54%) than in Glasgow (3/12; 25%) and York (0/11). Participants who attended no sessions (n = 32) compared to those attending at least one (n = 20) session were more likely to be homeless (56 vs 25%, p = 0.044), injected drugs for a greater number of days (median 25 vs 6.5, p = 0.019) and used a greater number of needles from an IEP in the last month (median 31 vs 20, p = 0.056). No adverse events were reported. 45.5% (45/99) were followed up 1 month post-intervention. Feedback forms confirmed that the intervention was acceptable to both intervention facilitators and participants who attended it. Follow-up attendance was associated with fewer days of injecting in the last month (median 14 vs 27, p = 0.030) and fewer injections of cocaine (13 vs 30%, p = 0.063). Analysis of the questionnaires identified several service use questionnaire categories that could be excluded from the assessment battery in a full-randomised controlled trial.ConclusionsFindings should be interpreted with caution due to small sample sizes. A future definitive RCT of the psychosocial intervention is not feasible. The complex needs of some PWID may have limited their engagement in the intervention. More flexible delivery methods may have greater reach.Trial registration ISRCTN66453696 Electronic supplementary materialThe online version of this article (doi:10.1186/s12954-017-0142-5) contains supplementary material, which is available to authorized users.

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Adapting and translating the ‘Hep B Story’ App the right way: A transferable toolkit to develop health resources with, and for, Aboriginal people

Binks,

Ross,

Gurruwiwi

et al. 2024

Health Prom J of Aust

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Issue AddressedIn 2014 the ‘Hep B Story App’, the first hepatitis B educational app in an Aboriginal language was released. Subsequently, in 2018, it was assessed and adapted before translation into an additional 10 Aboriginal languages. The translation process developed iteratively into a model that may be applied when creating any health resource in Aboriginal languages.MethodsThe adaptation and translation of the ‘Hep B Story’ followed a tailored participatory action research (PAR) process involving crucial steps such as extensive community consultation, adaptation of the original material, forward and back translation of the script, content accuracy verification, voiceover recording, and thorough review before the publication of the new version.ResultsIterative PAR cycles shaped the translation process, leading to a refined model applicable to creating health resources in any Aboriginal language. The community‐wide consultation yielded widespread chronic hepatitis B education, prompting participants to share the story within their families, advocating for hepatitis B check‐ups. The project offered numerous insights and lessons, such as the significance of allocating sufficient time and resources to undertake the process. Additionally, it highlighted the importance of implementing flexible work arrangements and eliminating barriers to work for the translators.ConclusionsThrough our extensive work across the Northern Territory, we produced an educational tool for Aboriginal people in their preferred languages and developed a translation model to create resources for different cultural and linguistic groups.So What?This translation model provides a rigorous, transferable method for creating accurate health resources for culturally and linguistically diverse populations.

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Hepatitis B knowledge and associated factors among people with chronic hepatitis B

Cited by 50 publications

References 26 publications

Hepatitis B-Related Concerns and Anxieties Among People With Chronic Hepatitis B in Australia

Hepatitis B-Related Concerns and Anxieties Among People With Chronic Hepatitis B in Australia

The acceptability and feasibility of a brief psychosocial intervention to reduce blood-borne virus risk behaviours among people who inject drugs: a randomised control feasibility trial of a psychosocial intervention (the PROTECT study) versus treatment as usual

Adapting and translating the ‘Hep B Story’ App the right way: A transferable toolkit to develop health resources with, and for, Aboriginal people

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