Driscoll Lisa J, Brown Heidi E, Harris Robin B, Oren Eyal
College of Medicine, University of Arizona, Tucson, AZ, United States.
Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, United States.
Front Public Health. 2017 Jun 23;5:144. doi: 10.3389/fpubh.2017.00144. eCollection 2017.
infection is associated with the development of chronic gastritis, peptic ulcer disease, and gastric cancer. Current clinical recommendations are that test-and-treat should be individualized based on comorbidities and patient preferences among populations at increased risk for certain morbidities. However, knowledge, attitudes and practices regarding among potential patient populations are largely unknown.
We conducted a literature review to assess knowledge, attitudes, and practices of patients or community populations around transmission, prevention, and associated morbidity.
Nine studies met the inclusion criteria, all published between 1997 and 2014. Eight studies evaluated perception of among at-risk populations, while one study evaluated perception among a general population. The studies suggest inconsistencies between the perceptions of these populations and the established understanding of knowledge, attitude, and preventive practices for among even at-risk populations.
To adequately respond to current test-and-treat recommendations for treatment of , general population education must be implemented, especially among at-risk populations. Further work is needed within at-risk populations in the United States to determine prevalence of and their current knowledge if adequate prevention strategies are to be designed.
感染与慢性胃炎、消化性溃疡疾病及胃癌的发生有关。当前临床建议是，基于合并症以及特定发病风险增加人群中的患者偏好，检测和治疗应个体化。然而，潜在患者群体中关于感染的知识、态度和行为在很大程度上尚不明确。
我们进行了一项文献综述，以评估患者或社区人群围绕感染传播、预防及相关发病情况的知识、态度和行为。
九项研究符合纳入标准，均发表于1997年至2014年之间。八项研究评估了高危人群对感染的认知，而一项研究评估了普通人群的认知。这些研究表明，即使在高危人群中，这些人群的认知与对感染的既定知识、态度及预防行为的理解之间也存在不一致。
为充分响应当前关于感染治疗的检测和治疗建议，必须开展普通人群教育，尤其是在高危人群中。在美国的高危人群中，若要设计出充分的预防策略，还需要进一步开展工作以确定感染的患病率及其当前知识水平。
