Feng Bo, Zhang Jin, Wei Lai
Hepatology Institute, Peking University People's Hospital, Beijing, People's Republic of China.
Adv Med Educ Pract. 2011 Oct 10;2:209-14. doi: 10.2147/AMEP.S23887. Print 2011.
BACKGROUNDPURPOSE: Hepatitis C virus (HCV) is a major public health problem and can cause severe liver disease. The public has little understanding of hepatitis C. Therefore, a survey was performed to investigate the awareness of nonspecialists in China of hepatitis C.
A questionnaire on hepatitis C was publicized on the medical community site DXY.cn from April 15 to July 15, 2009. The questionnaire included ten questions and covered the etiology, epidemiology, diagnosis, treatment, and prevention of hepatitis C.
About 1362 physicians from various regions, hospitals, and departments in China took part in the survey. Eleven percent mistakenly believed that the disease was not transmitted from mother to infant, by sharing a needle or syringe, by sharing a razor or toothbrush, or by having sex with a partner with HCV infection. Sixty-two percent did not regard anti-HCV antibody detection as a routine procedure for hospitals. Forty-four percent of respondents indicated that they would not advise a patient who tested positive for anti-HCV antibody to consult a specialist. Seventy-one percent thought that hepatitis C was incurable or had a very low cure rate. Nearly 50% thought that there were no effective treatments for hepatitis C.
Chinese nonspecialists have a little understanding of hepatitis C, which may have a negative effect on the prevention and treatment of hepatitis C.
背景与目的:丙型肝炎病毒(HCV)是一个重大的公共卫生问题,可导致严重的肝脏疾病。公众对丙型肝炎了解甚少。因此,开展了一项调查以了解中国非专科医生对丙型肝炎的认知情况。
2009年4月15日至7月15日在医学社区网站丁香园(DXY.cn)上公布了一份关于丙型肝炎的调查问卷。该问卷包含10个问题,涵盖丙型肝炎的病因、流行病学、诊断、治疗及预防。
来自中国不同地区、医院和科室的约1362名医生参与了此次调查。11%的人错误地认为该疾病不会通过母婴传播、共用针头或注射器、共用剃须刀或牙刷或与丙型肝炎病毒感染的性伴侣发生性行为传播。62%的人不认为抗-HCV抗体检测是医院的常规检查项目。44%的受访者表示他们不会建议抗-HCV抗体检测呈阳性的患者咨询专科医生。71%的人认为丙型肝炎无法治愈或治愈率极低。近50%的人认为丙型肝炎没有有效的治疗方法。
中国非专科医生对丙型肝炎了解甚少,这可能对丙型肝炎的预防和治疗产生负面影响。