Environmental Hazards and Health Lab, Department of Geography, Western University, London, Ontario, Canada.
Institute of Interdisciplinary Studies, Human Rights Program, Carleton University, Ottawa, Canada.
Health Place. 2018 Nov;54:85-91. doi: 10.1016/j.healthplace.2018.09.011. Epub 2018 Sep 22.
This study examined the role of health facilities on testing for Hepatitis B virus in a policy context where screening is only available at a cost. We fitted multivariate multinomial logistic regression models to cross-sectional data (n = 1374) collected from Upper West Region of Ghana. The analysis showed that approximately 28% of respondents reported ever testing for HBV. Although source of healthcare influenced HBV testing, traders (RRR = 0.29, p ≤ 0.001) and farmers (RRR = 0.34, p ≤ 0.01) were significantly less likely to test voluntarily. Wealth generally predicted voluntary testing, although less so for mandatory testing. The findings highlight the need for free HBV services targeting the very poor, especially those who use community-level health facilities as their primary source of care.
本研究考察了在仅提供付费筛查服务的政策背景下，卫生机构在乙型肝炎病毒检测中的作用。我们对加纳上西部地区采集的横断面数据（n=1374）进行了多变量多项逻辑回归模型拟合。分析显示，约 28%的受访者报告曾进行过 HBV 检测。尽管医疗保健来源影响了 HBV 检测，但贸易商（RRR=0.29，p≤0.001）和农民（RRR=0.34，p≤0.01）自愿检测的可能性显著降低。财富普遍预测了自愿检测，尽管对于强制检测来说则不然。研究结果强调了需要针对非常贫困人群，特别是那些将社区级卫生机构作为主要医疗服务来源的人群，提供免费的 HBV 服务。
