Knowledge regarding hepatitis <scp>B</scp> mother‐to‐child transmission among healthcare workers in South China

Chen, Y.; Xie, Chan; Zhang, Y.; Li, Y.; Ehrhardt, Stephan; Thio, Chloe L.; Nelson, Kenrad E.; Chen, Lin

doi:10.1111/jvh.12839

Cited by 10 publications

(15 citation statements)

References 26 publications

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“…When analyzed by the type of HCWs surveyed, physician assistants, nurses and midwives scored significantly lower than physicians. This is in line with the findings from other studies in which the type of healthcare professional have a significant association with HBV knowledge scores [13, 34–36]. Surprisingly, in this study, HCWs who had previous exposure to CHB patients or vaccinated against hepatitis B did not score better than those who did not.…”

Section: Discussionsupporting

confidence: 92%

Knowledge, attitudes and medical practice regarding hepatitis B prevention and management among healthcare workers in Northern Vietnam

et al. 2019

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Background and aimVietnam’s burden of liver cancer is largely due to its high prevalence of chronic hepatitis B virus (HBV) infection. This study aimed to examine healthcare workers’ (HCWs) knowledge, attitude and practices regarding HBV prevention and management.MethodsA cross-sectional survey among health care workers working at primary and tertiary facilities in two Northern provinces in Vietnam in 2017. A standardized questionnaire was administered to randomly selected HCWs. Multivariate regression was used to identify predictors of the HBV knowledge score.ResultsAmong the 314 participants, 75.5% did not know HBV infection at birth carries the highest risk of developing chronic infection. The median knowledge score was 25 out of 42 (59.5%). About one third (30.2%) wrongly believed that HBV can be transmitted through eating or sharing food with chronic hepatitis B patients. About 38.8% did not feel confident that the hepatitis B vaccine is safe. Only 30.1% provided correct answers to all the questions on injection safety. Up to 48.2% reported they consistently recap needles with two hands after injection, a practice that would put them at greater risk of needle stick injury. About 24.2% reported having been pricked by a needle at work within the past 12 months. More than 40% were concerned about having casual contact or sharing food with a person with chronic hepatitis B infection (CHB). In multivariate analysis, physicians scored significantly higher compared to other healthcare professionals. Having received training regarding hepatitis B within the last two years was also significantly associated with a better HBV knowledge score.ConclusionsFindings from the survey indicated an immediate need to implement an effective hepatitis B education and training program to build capacity among Vietnam’s healthcare workers in hepatitis B prevention and control and to dispel hepatitis B stigma.

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Section: Discussionsupporting

confidence: 92%

Knowledge, attitudes and medical practice regarding hepatitis B prevention and management among healthcare workers in Northern Vietnam

et al. 2019

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“…Social drivers can also affect progress on HBV elimination, such as patients’ educational level, occupation and income, and the country’s reimbursement policies. Previous studies showed that knowledge about HBV among the public was still limited, especially among less-educated groups 45 , 46 . Limited awareness and lack of knowledge about HBV infection and HBV-related diseases is one of the barriers to timely diagnosis and treatment 39 .…”

Section: Priorities For Actionmentioning

confidence: 99%

Countdown to 2030: eliminating hepatitis B disease, China

Liu

Wan²,

Jing

et al. 2019

Bull. World Health Organ.

331

296

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Hepatitis B virus (HBV) infection is a major public health problem worldwide. China has the world’s largest burden of HBV infection and will be a major contributor towards the global elimination of hepatitis B disease by 2030. The country has made good progress in reducing incidence of HBV infection in the past three decades. The achievements are mainly due to high vaccination coverages among children and high coverage of timely birth-dose vaccine for prevention of mother-to-child transmission of HBV (both > 95%). However, China still faces challenges in achieving its target of 65% reduction in mortality from hepatitis B by 2030. Based on targets of the World Health Organization’s Global health sector strategy on viral hepatitis 2016–2021 , we highlight further priorities for action towards HBV elimination in China. To achieve the impact target of reduced mortality we suggest that the service coverage targets of diagnosis and treatment should be prioritized. First, improvements are needed in the diagnostic and treatment abilities of medical institutions and health workers. Second, the government needs to reduce the financial burden of health care on patients. Third, better coordination is needed across existing national programmes and resources to establish an integrated prevention and control system that covers prevention, screening, diagnosis and treatment of HBV infection across the life cycle. In this way, progress can be made towards achieving the target of eliminating hepatitis B in China by 2030.

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“…Similarly, only a small proportion of the respondents knew that antiviral therapy in mothers with a high HBV viral load in the 2nd and/or 3rd trimester of pregnancy can further reduce the risk of the MTCT of HBV, and has extensively been proven to be effective and safe for mother and baby. This may be related to the fact that healthcare workers, except for those from the Department of Infectious Disease, were deficient in their systemic and comprehensive knowledge about HBV and its MTCT (22)(23)(24), which could lead to the provision of incorrect information or limit the health education provided to the public. Continuing education training programs should be conducted to help health workers disseminate the correct knowledge and make correct decisions about the MTCT of HBV (22).…”

Section: Discussionmentioning

confidence: 99%

A cross-sectional survey on the rate of awareness of hepatitis B virus (HBV) infection and the prevention of mother-to-child transmission among hepatitis B surface antigen (HBsAg)-positive pregnant women

Huang¹,

Liu²,

Qin³

et al. 2022

Ann Transl Med

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Background: Mother-to-child transmission (MTCT) remains the main transmission route of hepatitis B virus (HBV) in China. Hepatitis B surface antigen (HBsAg) positive pregnant women were the main participants in MTCT of HBV. Nevertheless, little was known about their knowledge and awareness of HBV infection and MTCT. We intended to evaluate their knowledge of HBV infection and MTCT prevention, and to clarify the emphasis of health education to improve the control of MTCT of HBV. Methods:We invited 164 HBsAg-positive pregnant women, who were aged ≥18 years old, had basic literacy skills and visited the Outpatient Clinic of Infectious Disease of the Sun Yat-Sen Memorial Hospital from May 2019 to January 2020, to independently and anonymously complete a self-administered survey regarding their knowledge of HBV infection and MTCT prevention. The correct rate of the questions was calculated and analyzed. A multivariate regression was conducted to identify predictors of HBV and MTCT knowledge and awareness. Results:The average awareness rate of the 164 respondents was 52.56%, among which the awareness rates of basic knowledge and the transmission route of HBV were 80.49% and 53.29%, respectively. The awareness rates of knowledge about the interruption measures of MTCT during pregnancy, delivery, and postpartum were 43.78%, 49.75%, and 31.25%, respectively. The respondents who had a college education level or above, were employed, and had visited the outpatient Department of Infectious Disease before pregnancy had a significantly higher awareness rate. Previous visits to the Department of Infectious Disease were the only influencing factor for the higher awareness rate (OR =3.108, P=0.049).Conclusions: A lack of knowledge about the transmission route and interruption measures of MTCT of HBV is still common among HBsAg-positive pregnant women. Health education should be directed toward HBsAg-positive mothers to further improve the control of HBV infection.

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Knowledge regarding hepatitis B mother‐to‐child transmission among healthcare workers in South China

Cited by 10 publications

References 26 publications

Knowledge, attitudes and medical practice regarding hepatitis B prevention and management among healthcare workers in Northern Vietnam

Knowledge, attitudes and medical practice regarding hepatitis B prevention and management among healthcare workers in Northern Vietnam

Countdown to 2030: eliminating hepatitis B disease, China

A cross-sectional survey on the rate of awareness of hepatitis B virus (HBV) infection and the prevention of mother-to-child transmission among hepatitis B surface antigen (HBsAg)-positive pregnant women

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