A study of factors influencing the willingness of primary healthcare workers in Qinghai Province to engage in non-discriminatory behaviors towards HBV-infected patients
10.19428/j.cnki.sjpm.2023.23101
- VernacularTitle:青海省基层医务人员乙型肝炎歧视行为意愿的影响因素研究
- Author:
Juan WU
1
;
Kezhong A
1
;
Zengping HAO
1
;
Ruiyao DING
2
;
Zizhe GUO
2
Author Information
1. Institute of Immunization Planning， Qinghai Provincial Center for Disease Prevention and Control， Xining， Qinghai 810007， China
2. Department of Public Health， Faculty of Medicine， Qinghai University， Xining， Qinghai 810001， China
- Publication Type:Journal Article
- Keywords:
hepatitis B;
primary healthcare worker;
discrimination;
behavioral intention;
influencing factor
- From:
Shanghai Journal of Preventive Medicine
2023;35(12):1206-1211
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo understand the current status of primary healthcare workers’ knowledge of hepatitis B and their willingness to engage in non-discriminatory behaviors， to explore the factors influencing their willingness， and to provide a basis for health education on hepatitis B for primary healthcare workers in Qinghai Province. MethodsA questionnaire survey was conducted among primary healthcare institutions in eight cities （prefectures） of Qinghai Province using a combination of random sampling and convenience sampling. The questionnaire included demographic information， knowledge related to hepatitis B， and willingness to engage in non-discriminatory behaviors. ResultsA total of 393 subjects were included in the survey. The accurate awareness rate of hepatitis B transmission route among primary healthcare workers in Qinghai Province was 36.89%. Of the respondents， 46.31% were unwilling to live with family members infected with HBV or carriers， and 50.13% were unwilling to dine with friends infected with HBV or carriers. The willingness of primary healthcare workers to engage in non-discriminatory behaviors related to hepatitis B varied by different places of residence， gender， marital status and per capita household income （P<0.05）. Regarding different dimensions of HBV-related knowledge， there were significant differences in age， education level， and per capita household income for transmission route （P<0.05）. Vaccination showed significant differences based on marital status and per capita family income （P<0.05）. There were significant differences in treatment and outcome among different gender， education level， and per capita family income. Anti-discrimination policies varied significantly by place of residence， age， ethnicity， and per capita income. Multivariate logistic regression analysis showed that primary healthcare workers’ knowledge of hepatitis B transmission route was a significant factor influencing their willingness to engage in non-discriminatory behaviors （OR=0.49， 95%CI：0.29‒0.84）. ConclusionIt is essential to continuously strengthen hepatitis B health education for primary healthcare workers in western China to reduce the willingness to engage in non-discriminatory behaviors towards hepatitis B and protect the rights of HBV-infected individuals.
