Rashrash Mohamed, Maneno Mary, Wutoh Anthony, Ettienne Earl, Daftary Monika
Chapman University School of Pharmacy, 9401 Jeronimo Road, Irvine, CA 92618, USA.
Department of Clinical Social Administrative Pharmacy, Howard University College of Pharmacy, 2300 4th Street, NW Washington, DC 20059, USA.
J Epidemiol Glob Health. 2017 Jun;7(2):119-122. doi: 10.1016/j.jegh.2016.12.005. Epub 2017 Feb 16.
Baby Boomers (BBs) are responsible for three-quarters of hepatitis C virus (HCV) infections in the United States; however, HCV testing is distinctly underused by them. A cross-sectional study was conducted to assess the prevalence of HCV testing and to evaluate predictors of HCV testing intention among African-American BBs. The study was guided by the Health Belief Model and theory of reasoned action frameworks. Of the 137 participants included in the study, 44.8% had at least a college education; 13.9% received prior to 1992 blood transfusion. Findings related to HCV testing showed that 32.1% of the participants intended to test for HCV within 6months and 43.8% had received a previous HCV test. Significant predictors of HCV testing intention within 6months included having a blood transfusion prior to 1992 [odds ratio (OR)=8.25, 95% confidence interval (CI): 2.02-33.61], perceptions of benefits (OR=1.57, 95% CI: 1.13-2.18), severity (OR=1.39, 95% CI: 1.17-1.65), and subjective norms (OR=1.42, 95% CI: 1.12-1.79). These predictors of HCV testing intention can be used to develop future HCV testing initiatives for African-American BBs.
在美国,婴儿潮一代(BBs)占丙型肝炎病毒(HCV)感染病例的四分之三;然而,他们对HCV检测的利用明显不足。开展了一项横断面研究,以评估HCV检测的普及率,并评估非裔美国婴儿潮一代进行HCV检测的意愿的预测因素。该研究以健康信念模型和理性行动理论框架为指导。在纳入该研究的137名参与者中,44.8%至少接受过大学教育;13.9%在1992年之前接受过输血。与HCHC检测的结果显示,32.1%的参与者打算在6个月内进行HCV检测,43.8%曾接受过HCV检测。6个月内进行HCV检测意愿的显著预测因素包括在1992年之前接受过输血[比值比(OR)=8.25,95%置信区间(CI):2.02 - 33.61]、对益处的认知(OR = 1.57,95% CI:1.13 - 2.18)、严重性(OR = 1.39,95% CI:1.17 - 1.65)和主观规范(OR = 1.42,95% CI:1.12 - 1.79)。这些HCV检测意愿的预测因素可用于为非裔美国婴儿潮一代制定未来的HCV检测倡议。